PsyDoMa : Non-drug Approaches at Home for Alzheimer's Patients With Psycho-behavioural Disorders

Study Overview
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Brief Summary
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Recruitment is carried out directly at the geriatric unit of the CIMIEZ University Hospital Center by geriatric doctors during day consultation or in short stay unit. The doctor wil select carer -patient couples more likely to take part in the study. The investigator will give them an informative leaflet and they will have to sign the consent form. A diagnosis is made by the investigator. The patient will first have to undergo a neurocognitive assessment carried out at the Cimiez Hospital (test for the evaluation of a cognitive deficit) by a psychologist. The non-drug approaches presented will be carried out directly at the participant's home with the help of the carer for therapeutic purposes. The therapeutic objectives and the choice of approaches are specified within the Personalised Accompaniment Project (PAP). The carer, if he or she wishes, participates in the sessions in order to reproduce the behaviours implemented by the psychologist. Different workshops will be offered : Cooking, Art Therapy, Games, Multi-sensory, Soft Gymnastic, Relaxation, Music and Reminisence. Patients will received three visits per week during six months. The carer will receive one visit per week for six months.

Official Title
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PsyDoMa :Non-drug Approaches at Home for Alzheimer's Patients With Psycho-behavioural Disorders and Psycho-education for the Caregivers

Conditions
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Behavioral Disorder

Intervention / Treatment
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* Procedure: Home visit


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: For Patients Men or women over 65 years old showing signs of cognitive decline Living at home with specific needs ( meals, etc.) and the regular presence of a carer, Living in Nice Diagnosed with Alzheimer or dementia Presence of at least one behavioural disorder Person who agreed and signed the informed consent or his/her guardian For Carers Carer of the patient who meets the inclusion criteria: spouse, children, siblings or other family members at home or a professional carer. Person involved during the motivational interviewing session regarding the psychoeducational program. Person who agreed and signed the informed consent. Exclusion Criteria: For patients : Elderly person presenting no NINCDS- ADRDA criteria, Presence of sensory deficit (hearing or vision) Person unable to communicate, No regular presence of a home carer, waiting for a place in a nursing home Aging psychiatric pathologies, Elderly person attending a day-care centre For carers : carer absent or not present enough, Elderly person with undiagnosed behavioural disorders Drug treatment that can interfere with assessments (psychotropic drugs, neuroleptics, etc.).

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Non-drug approaches at home<br>Non-drug approaches at home three visits per week during six months and psycho-education for the caregivers one time per week for six months. | Procedure: Home visit<br>* Psychologist come once a week for the carer and three times a week for the patient<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Ratio of personalised care projects completed |  | at the end of 6 months |