Collaboration Between Department of Old Age Psychiatry and Nursing Homes

Study Overview
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Brief Summary
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Dementia is a serious health problem showing an increasing prevalence rate with increasing age. In Norway, about 80% of nursing home patients have dementia. The mean age of nursing home residents in Norway is around 84 years. Disruptive and agitated behaviour affect 30-50% of all individuals with dementia at some point in the course of the illness. In addition, they have a combination of physical and psychological diseases which necessitates a close collaboration between different specialities in medicine and Old Age psychiatry. In collaboration with the communalities, our Old Age psychiatry services want to provide a new approach to this challenge and validate it on patient and personnel level.

Official Title
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Collaboration Between Department of Old Age Psychiatry and Nursing Homes

Conditions
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Dementia, Alzheimer's Disease, Behavioral Symptoms, Agitation

Intervention / Treatment
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* Other: Education and Supervision
* Other: Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients at nursing home units Exclusion Criteria: Patients that are in a final state and patients that have not been at the nursing home unit more than two weeks
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: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Education and supervision<br>Personnel in nursing home units get intervention in form of education and supervision | Other: Education and Supervision<br>* Implementation of Scales in the care of patients with dementia in nursing home units with focus on person-centred care. Supervision of caregivers on a regular basis.<br>* Other names: Departments in NHs that do not get any intervention.;Other: Control<br>* A control group of nursing home units that do not get any form of active intervention<br>* Other names: Supervision;|
| No Intervention: Control<br>Only registering of patient and personnel data in the beginning and the end of the study without any form of intervention. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of Life in Severe Dementia (QUALID), Person-Centred Care Assessment Tool (P-CAT, 2010) | Evaluate a new model of collaboration between a specialized department of Old Age Psychiatry and nursing home units to optimize patient care and job satisfaction of the caregivers. | 12 months after baseline assessment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neuropsychiatric Inventory - Nursing Home version, Cornell Scale of Depression in Dementia, Registration of Constraints (Kirkevold, 2004) | In addition, we want to carry out a qualitative evaluation of the process of implementation of new scales and the effect of supervision on personnel and patients | 12 months after baseline assessment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Dementia, BPSD, Quality of Life, Person-centred care, Job satisfaction, Nursing home, Primary care