This study will investigate the effects of "I-Learn cognition and behaviour" training in the care in agitation in patients with neurodegenerative diseases. This training for caregivers, aims to reduce agitation and psycho-behavioral disorders of patients living in nursing home. In addition, amount of psychotropic drugs prescribed, as well as the number of hospitalizations during the study will be assessed.
Study Type
OBSERVATIONAL
Enrollment
170
Training of psycho-behavorial disorders care in neurodegenerative diseases: including a theoretical part in e-learning and a practical part
usual care
EHPAD Résidence du Prévot
Châteaugiron, France
Maison Saint Michel
Liffré, France
EHPAD La Bourdaisière
Montlouis-sur-Loire, France
Résidence Père Brottier
Pléchâtel, France
Measurement of agitation of patients in the nursing home
Assessment of agitation using the Cohen-Mansfield Agitation Inventory (CMAI, 1989) by asking caregivers about the patients' behaviour. The minimum value is 0 and the maximum value is 203. the higher the score, the more intense the agitation
Time frame: Baseline
Measurement of agitation of patients in the nursing home
Assessment of agitation using the Cohen-Mansfield Agitation Inventory (CMAI, 1989) by asking caregivers about the patients' behaviour. The minimum value is 0 and the maximum value is 203. the higher the score, the more intense the agitation
Time frame: 3 months
Measurement of agitation of patients in the nursing home
Assessment of agitation using the Cohen-Mansfield Agitation Inventory (CMAI, 1989) by asking caregivers about the patients' behaviour. The minimum value is 0 and the maximum value is 203. the higher the score, the more intense the agitation
Time frame: 6 months
Measurement of agitation of patients in the nursing home
Assessment of agitation using the Cohen-Mansfield Agitation Inventory (CMAI, 1989) by asking caregivers about the patients' behaviour. The minimum value is 0 and the maximum value is 203. the higher the score, the more intense the agitation
Time frame: 9 months
Frequency and severity of Psychobehavioural Symptoms associated with Dementia
Assessment using the Neuro Psychiatric Inventory, care team version (NPI-ES, 2000). 10 behavioural domains and 2 neurovegetative variables are considered. item score = frequency x severity frequency minimum = 1 and maximum = 4 severity minimum = 1 and maximum = 3 A score above 2 is pathological
Time frame: Baseline, 3 months, 6 months and 9 months
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EHPAD Le Clos Saint-Vincent
Rochecorbon, France
EHPAD Montconseil
Tours, France
EHPAD La Source
Tours, France
Quality of life of patients
Assessment using the Quality of Life-Alzheimer's Disease (QOL-AD, 2009) 13 questions focus on the patient's quality of life. the patient's current quality of life in each domain is assessed by choosing one of the following four words: poor, fair, good, excellent.
Time frame: Baseline, 3 months, 6 months and 9 months
Impact of I-Learn on psychotropic drug prescriptions
Changes in the prescriptions given to patients in terms of psychotropic drugs (addition or withdrawal of a neuroleptic, antidepressant, anxiolytic, etc.)
Time frame: Baseline, 3 months, 6 months and 9 months
Impact of I-Learn on psychotropic drug prescriptions
Changes in the prescriptions given to patients in terms of dosage (increase/decrease of the daily dose)
Time frame: Baseline, 3 months, 6 months and 9 months
Impact of I-Learn training on hospital admissions
number of transfers to acute or emergency departments
Time frame: 3 months, 6 months and 9 months
Impact of I-Learn training on hospital admissions
reasons for hospitalisation
Time frame: 3 months, 6 months and 9 months
Impact of Psychobehavioural Symptoms Associated with Dementia on the professional practice of health care teams
Assessment using the Neuro Psychiatric Inventory, care team version (NPI-ES, 2000) 10 behavioural domains and 2 neurovegetative variables are considered. item score = frequency x severity fequency minimum = 1 and maximum = 4 severity minimum = 1 and maximum = 3 A score above 2 is pathological
Time frame: Baseline, 3 months, 6 months and 9 months
Caregiver burnout at work
Assessment using the Maslach Burnout Inventory (MBI, 1986) 22 items For each item, the minimum value is 0 and the maximum value is 6 BURNOUT Questions 1.2.3.6.8.13.14.16.20 Degree of burn out Total below 17 = low Total between 18 and 29 = moderate Total above 30 = high DEPERSONALISATION Questions 5.10.11.15.22 Degree of burn out Total below 5 = low Total between 6 and 11 = moderate Total above 12 = high PERSONAL FULFILMENT Questions 4.7.9.12.17.18.19.21 Degree of burn out Total above 40 = low Total between 34 and 39 = moderate Total below 33 = high Moderate or even high scores are a sign of latent burnout that is taking hold.
Time frame: Baseline, 6 months and 9 months