Effective Strategies for Dementia Care

Study Overview
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Brief Summary
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The purpose of this study is to determine whether the interventions of Snoezelen, structured reminiscence therapy and 10-minutes activation are effective to reduce apathy in long term care residents with dementia.

Detailed Description
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Design: Cluster-randomized controlled trial with 20 nursing homes in Saxony and Saxony-Anhalt (Germany).

Official Title
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Testing Three Interventions for Clinical Effectiveness in Long Term Care Residents With Dementia: Snoezelen, Structured Reminiscence Therapy, 10-minutes Activation. A Cluster-randomized Controlled Trial.

Conditions
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Dementia, Cognitive Impairment

Intervention / Treatment
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* Behavioral: Snoezelen ©
* Behavioral: structured reminiscence therapy
* Behavioral: 10-minutes activation
* Behavioral: Unstructured verbal communication


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Dementia Informed consent by legal guardian MMSE ≤ 24 Exclusion Criteria: Korsakoff's syndrome Age ≤ 55 years Cognitive impairment other cause than dementia

Ages Eligible for Study
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Minimum Age: 55 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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Snoezelen ©<br> | Behavioral: Snoezelen ©<br>* Nursing individual intervention one time a week for 20 minutes<br>|
| Experimental: Reminiscence<br> | Behavioral: structured reminiscence therapy<br>* Individual nursing intervention: one time a week 20 minutes<br>|
| Experimental: 10 min activation<br> | Behavioral: 10-minutes activation<br>* Individual nursing intervention: two times a week for 10 minutes<br>|
| Active Comparator: Talk<br> | Behavioral: Unstructured verbal communication<br>* Individual nursing intervention: one time a week for 20 minutes<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Apathy Evaluation Scale (Marin et al. 1991) |  | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neuropsychiatric Inventory (Cummings 1997) |  | 3, 6 and 12 months | 
| Apathy Evaluation Scale (Marin et al. 1991) |  | 3 and 6 months | 
| Staff Observation Aggression Scale (Nijman et al. 1997) |  | 3,6 and 12 months | 
| Nottingham Health Profile (Bureau-Chalot et al. 2002) staff-related measurement |  | 6 and 12 months | 
| Smiley Analogue Scale for Well-Being |  | 3, 6 and 12 months | 
| PASTA (Zimber 2001) staff-related measurement |  | 6 and 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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dementia, snoezelen, structured reminiscence therapy, 10-minutes activation, apathy