Our main goal is to test a web platform accessible by computers, smartphones and tablets, addressed specifically to caregivers and people with mild cognitive deterioration or mild to moderate dementia providing added value services based on social networks, adapted interventions, clinic strategies and gamification to improve the quality of life of caregivers and people living with dementia (dyads) and permitting to leave in the community as long as possible. To evaluate the platform effectiveness and impact in dementia type disease affected people and caregivers a randomized, controlled, parallel, longitudinal is proposed. The objective will be to assess during 18 months aspects related to health of individuals (general aspect of health, neuropsychological, daily living functionalities, quality of life, treatment adherence, comorbidities ...), social aspects (improving dyad relationship…) and economics (cost-effectiveness of platform utilization), as well as satisfaction degree and usability of platform.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
48
The groups will be comprised of one "intervention" group with access to the web platform "CAREGIVERSPRO-MMD" and another "control" group without any access to it
Centre Hospitalier Intercommunal Elbeuf Louviers
Elbeuf, France
Rouen University Hospital
Rouen, France
Burden of primary caregivers
To evaluate the perceived burden of primary caregivers of persons living with mild cognitive impairment or mild to moderate dementia in order to identify a benefit from use of the CAREGIVERSPRO-MMD platform. The perceived burden will be evaluated by using a 29-item scale, Zarit Burden Interview (ZBI) rated from 0 to 88, 0 is a weak charge and more than 40 is a severe charge.
Time frame: 18 months
Quality of life of patients
The 28-item DEMQoL (Dementia Quality of Life Proxy) assesses quality of life of people with mild to moderate dementia. It evaluates five domains: daily activities and locking after health and well-being, cognitive functioning, social relationships and self-concept.
Time frame: 6 months
Quality of life of patients
The 28-item DEMQoL (Dementia Quality of Life Proxy) assesses quality of life of people with mild to moderate dementia. It evaluates five domains: daily activities and locking after health and well-being, cognitive functioning, social relationships and self-concept.
Time frame: 18 months
Quality of life of patients
The 28-item DEMQoL (Dementia Quality of Life Proxy) assesses quality of life of people with mild to moderate dementia. It evaluates five domains: daily activities and locking after health and well-being, cognitive functioning, social relationships and self-concept.
Time frame: 12 months
Quality of life of caregivers
The SF-36v2 - Medical Outcomes Study (MOS) 36-Item Short Form 2nd version will be used for caregivers.
Time frame: 6 months
Quality of life of caregivers
The SF-36v2 - Medical Outcomes Study (MOS) 36-Item Short Form 2nd version will be used for caregivers.
Time frame: 12 months
Cognitive symptoms of patients
Mini-Mental State Examination will be used to evaluate cognitive symptoms of patients with mild to moderate dementia.
Time frame: 18 months
Cognitive symptoms of patients
Mini-Mental State Examination will be used to evaluate cognitive symptoms of patients with mild to moderate dementia.
Time frame: 6 months
Cognitive symptoms of patients
Mini-Mental State Examination will be used to evaluate cognitive symptoms of patients with mild to moderate dementia.
Time frame: 12 months
Psychological symptoms of caregivers (1)
Geriatric Depression Scale will be used to evaluate depression of older caregivers. Scale with 15 items rated from 0 to 15, 15 is the worse case with the highest degree of depression
Time frame: 6 months
Psychological symptoms of caregivers (1)
Geriatric Depression Scale will be used to evaluate depression of older caregivers. Scale with 15 items rated from 0 to 15, 15 is the worse case with the highest degree of depression
Time frame: 12 months
Psychological symptoms of caregivers (1)
Geriatric Depression Scale will be used to evaluate depression of older caregivers. Scale with 15 items rated from 0 to 15, 15 is the worse case with the highest degree of depression
Time frame: 18 months
Psychological symptoms of caregivers (2)
State Trait Anxiety Inventory will be used to measure trait and state anxiety of caregivers
Time frame: 6 months
Psychological symptoms of caregivers (2)
State Trait Anxiety Inventory will be used to measure trait and state anxiety of caregivers
Time frame: 12 months
Psychological symptoms of caregivers (2)
State Trait Anxiety Inventory will be used to measure trait and state anxiety of caregivers
Time frame: 18 months
Instrumental Activities of Daily Living
The ability to perform tasks necessary to live independently in the community will be assessed using Lawton Instrumental Activities of Daily Living Scale (IADL), (Lawton and Brody 1969). Each item is rated from 0 for dependent and 1 independent. There are 8 items.
Time frame: 6 months
Instrumental Activities of Daily Living
The ability to perform tasks necessary to live independently in the community will be assessed using Lawton Instrumental Activities of Daily Living Scale (IADL), (Lawton and Brody 1969). Each item is rated from 0 for dependent and 1 independent. There are 8 items.
Time frame: 12 months
Instrumental Activities of Daily Living
The ability to perform tasks necessary to live independently in the community will be assessed using Lawton Instrumental Activities of Daily Living Scale (IADL), (Lawton and Brody 1969). Each item is rated from 0 for dependent and 1 independent. There are 8 items.
Time frame: 18 months
Activities of Daily Living
Performance in activity of daily living will be measured using Barthel Index of Activities of Daily Living scale (BADL) (Mahoney and Barthel 1965). The scale is rated from 0 to 100. 0 is the most dependent stage and 100 is the most independent.
Time frame: 12 months
Activities of Daily Living
Performance in activity of daily living will be measured using Barthel Index of Activities of Daily Living scale (BADL) (Mahoney and Barthel 1965). The scale is rated from 0 to 100. 0 is the most dependent stage and 100 is the most independent.
Time frame: 18 months
Activities of Daily Living
Performance in activity of daily living will be measured using Barthel Index of Activities of Daily Living scale (BADL) (Mahoney and Barthel 1965). The scale is rated from 0 to 100. 0 is the most dependent stage and 100 is the most independent.
Time frame: 6 months
Behavioural-psychological symptoms of patients (1)
Behavioural-psychological symptoms will be evaluated using NeuroPsychiatric Inventory (12-item NPI). The score takes into account the frequency and severity of each behavioural symptom.
Time frame: 6 months
Behavioural-psychological symptoms of patients (1)
Behavioural-psychological symptoms will be evaluated using NeuroPsychiatric Inventory (12-item NPI). The score takes into account the frequency and severity of each behavioural symptom.
Time frame: 12 months
Behavioural-psychological symptoms of patients (1)
Behavioural-psychological symptoms will be evaluated using NeuroPsychiatric Inventory (12-item NPI). The score takes into account the frequency and severity of each behavioural symptom.
Time frame: 18 months
Behavioural-psychological symptoms of patients (2)
Geriatric Depression Scale 15 items evaluate depression of older people. A score above 11 is in favour of depression state.
Time frame: 18 months
Behavioural-psychological symptoms of patients (2)
Geriatric Depression Scale 15 items evaluate depression of older people. A score above 11 is in favour of depression state.
Time frame: 6 months
Behavioural-psychological symptoms of patients (2)
Geriatric Depression Scale 15 items evaluate depression of older people. A score above 11 is in favour of depression state.
Time frame: 12 months
Perceived Social Support
Multidimensional Scale of Perceived Social Support (MSPSS) 12 items scale will be used to assess an individual's perception of the social support received from family, friends and significant others. Each item is quoted from 1(totally disagree) to 7 (totally agree).
Time frame: 6 months
Perceived Social Support
Multidimensional Scale of Perceived Social Support (MSPSS) 12 items scale will be used to assess an individual's perception of the social support received from family, friends and significant others. Each item is quoted from 1(totally disagree) to 7 (totally agree).
Time frame: 12 months
Perceived Social Support
Multidimensional Scale of Perceived Social Support (MSPSS) 12 items scale will be used to assess an individual's perception of the social support received from family, friends and significant others. Each item is quoted from 1(totally disagree) to 7 (totally agree).
Time frame: 18 months
Relationships
The Flourishing Scale will be used to measure of the respondent's self-perceived success in important areas such as relationships, self-esteem, purpose and optimism. The scale provides a single psychological well-being score. It is a 8-item scale quoted from 1(totally disagree) to 7 (totally agree).
Time frame: 6 months
Relationships
The Flourishing Scale will be used to measure of the respondent's self-perceived success in important areas such as relationships, self-esteem, purpose and optimism. The scale provides a single psychological well-being score. It is a 8-item scale quoted from 1(totally disagree) to 7 (totally agree).
Time frame: 12 months
Relationships
The Flourishing Scale will be used to measure of the respondent's self-perceived success in important areas such as relationships, self-esteem, purpose and optimism. The scale provides a single psychological well-being score. It is a 8-item scale quoted from 1(totally disagree) to 7 (totally agree).
Time frame: 18 months
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