Comparison for the Patient With Alzheimer Disease the Impact of Three Different Groups of Patient Care

Study Overview
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Brief Summary
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One of the interests of the Alzheimer Plan 2008-2010 is to provide increase support to helping families. It's also of major to involve the patient in the most active treatment possible, encouraging social inter relationship as well as cognitive and behavioural stimulation activities. In the frame of non drug related approaches to Alzheimer disease (AD), several research projects and actions have already been conducted, but no specific study concerning the efficiency of different types of respite care structures have been conducted so far in France. The present project concerns the thematic of the frame Development and diversification of respite care structures. A platform is defined in the Alzheimer Plan as a diversified range of despite structures according to patients' needs and informal caregivers' expectations providing several objectives: Two objectives targeting the informal caregivers: offer spare time or tutored inform, support and accompany Two objectives targeting the patients: encourage maintain of the patient social life and relationships and work together towards his/her psychological and emotional well-being contribute to improve functional cognitive and sensory capacities The study COMPARSE suggests to compare for the patient - informal caregiver couple, the impact of three different groups of patient care on health profit; resit platform (P), the day care group (D), the control group without access to a respite structure (C).

Official Title
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Comparaison du Service Rendu à la Personne Atteinte d'Une Maladie d'Alzheimer et de l'Aidant Par Trois Types de Prises en Charge (Plateforme, Accueil de Jour et Groupe contrôle

Conditions
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Alzheimer Disease

Intervention / Treatment
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* Behavioral: respite platform
* Behavioral: Day care
* Behavioral: No access to a respite structure


Participation Criteria
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Eligibility Criteria
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Inclusion criteria patient affect by Alzheimer disease or related pathology patient with an informal caregiver patient not using any respite structure signed informed consent (patient and informal caregiver) affiliate to social security Exclusion criteria patient without informal caregiver patient include in another clinical protocol Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 18 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
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: D<br>Impact of the day care on health profit of patient | Behavioral: Day care<br>* Impact of the day care on health profit of patient<br>|
| Active Comparator: C<br>No access to a respite structure | Behavioral: No access to a respite structure<br>* Control group without access to a respite structure<br>|
| Active Comparator: B<br>Respite platform | Behavioral: respite platform<br>* Impact of the respite platform patient care on health profit<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Analysis of the perceived and diagnosed health evolution of the patient | Realize neuropsychological evaluation and satisfaction degree evaluation of the patient and the informal caregiver to compare different types of respite care structures | at baseline, one month and nine month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Efficacity of the different structures | Assess autonomy level of patient Realize sociological qualitative analysis and economic evaluation by comparing differents structures | at baseline, one month and nine month |