The purpose of this study is to develop and test an educational intervention for dementia in primary care, combining timely diagnosis, psychosocial support around the period of diagnosis and management concordant with guidelines.
Dementia presents many challenges for primary care. Early diagnosis is important as this allows those with dementia and their family care networks to engage with support services and plan for the future. These actions can relieve the significant psychological distress that people with dementia and close supporters may experience , and provide knowledge about the availability of medical and psycho-social support that can improved functioning and morale The main efforts to improve the identification and diagnosis of dementia should logically be targeted at primary care as this is the first point of contact for most individuals and their carers when faced with experiences of 'ill health'. There is, however, evidence that dementia remains under-detected and sub-optimally managed in general practice . An educational intervention that could enhance clinical practice, improving the skills of practitioners in the recognition of and response to dementia syndromes, could therefore be beneficial to people with dementia and their families, and potentially to health and social services.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
125
Tailored learning activities on dementia, over a three-month period and will be given an electronic training manual (based on Microsoft packages) which they can run in the background during and after consultations with people with known or suspected dementia syndrome and face-to- face individualised workshop sessions. Tailoring of the education programme is carried out in a three step process: 1) an educational needs analysis is carried our using a standard checklist to identify aspects of dementia care which the practice perceives as problematic for them; 2) a prescription for education is then written to address shortcomings; 3) the best forms of learning are then identified.
Department of Primary Care and Population Health
London, England, United Kingdom
RECRUITINGUniversity College London
London, Greater London, United Kingdom
ENROLLING_BY_INVITATIONAn increase in the proportion of patients with dementia receiving two dementia reviews per year, from 20% to 50%
Time frame: twelve month follow up
quality of life, met and unmet need in carers and/or people with dementia
Time frame: twelve month follow up
documented concordance with intervention recommendations on recording disclosure decisions & consequences
Time frame: twelve month follow up
documented concordance with screening for depression
Time frame: twelve month follow up
documented concordance with referral to social services
Time frame: twelve month follow up
documented concordance with informing people with dementia and their carers about relevant local voluntary organisations
Time frame: twelve month follow up
documented concordance with provision of legal information
Time frame: twelve month follow up
documented concordance with shared management of cholinesterase inhibitor medication
Time frame: twelve month follow up
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