DemTool - Supporting Life With Dementia (DemTool)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Copenhagen, Denmark, 2100
- Danish Dementia Research Centre, Rigshospitalet, University of Copenhagen
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥18 years at enrollment.
- Providing care for a family member with dementia.
- Speaking and understanding Danish.
Exclusion Criteria:
- Unable to give informed consent for the trial
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Intervention
The trial included 15 municipalities in the intervention group.
Family caregivers in the intervention group received one or two of the tailored interventions based on their level of burden and specific needs, as assessed by the local primary care dementia coordinator in the municipality.
The interventions included: 1) a support group focused on addressing caregiver burden, providing both professional and peer support; 2) a group course consisting of six sessions aimed at helping caregivers cope with everyday challenges; and 3) a group course over five sessions that offered information on dementia, transitioning to a nursing home, person-centered care, and effective communication strategies.
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This intervention aimed to promote coping and reduce caregiver burden through professional and peer support.
It was delivered over a varied number of sessions, as this depended on the number of recruited participants in the municipalities.
To support these sessions, booklets and fact sheets for family caregivers could be incorporated.
These materials would cover various topics, including the psychological challenges and reactions faced by family caregivers, guidance on effective communication with people with dementia, and a guide to practical and legal issues.
Further, there would be fact sheets addressing specific symptoms, such as memory loss, communication difficulties, depression, apathy, behavioral changes, and reduced awareness of symptoms.
The use of these booklets and fact sheets in the intervention would be determined by the municipalities, allowing for adaptation to fit local contexts.
Dementia coordinators within the community setting would implement this intervention.
This intervention aimed to provide information on, e.g., dementia diseases, everyday life with dementia, being a family caregiver, and planning the future.
It was delivered over six sessions.
To support the sessions, booklets and fact sheets for family caregivers were incorporated.
Materials covered various topics, including, e.g., the psychological challenges and reactions faced by family caregivers, and information on accessing support and services.
Additionally, fact sheets addressed specific symptoms, such as memory loss, communication difficulties, apathy, and behavioral changes.
To support municipalities in implementing this intervention, the Danish Dementia Research Centre provided PowerPoint presentations and a suggested order for the topics covered in each session.
However, municipalities have the flexibility to adapt the use of the PowerPoints and the sequence of the sessions to suit their local contexts.
This was done by dementia coordinators within the community setting.
This intervention aimed to provide information on dementia diseases, moving into a care home, person centered care, and communication.
It was delivered over five sessions.
To support the sessions, booklets and fact sheets for family caregivers were incorporated.
Materials covered various topics, including, e.g., psychological challenges and reactions faced by family caregivers, and guidance on effective communication with people with dementia.
Additionally, fact sheets addressed specific symptoms, such as memory loss, communication difficulties, behavioral changes, and reduced awareness of symptoms.
To support municipalities in implementing this, the Danish Dementia Research Centre provided PowerPoint presentations and a suggested order for the topics covered in each session.
However, municipalities have the flexibility to adapt the use of PowerPoints and the sequence of sessions to suit their local contexts.
This was carried out by dementia coordinators within the community setting.
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No Intervention: Treatment-as-usual
The trial included 15 municipalities in the treatment-as-usual group.
Family caregivers in the treatment-as-usual group had access to local health and social services in their municipality, including support and information from primary care dementia coordinators, support groups, hotlines provided by patient associations, and respite care for the person with dementia in a home or daycare setting.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change from baseline in Neuropsychiatric Inventory - Distress (NPI-D)
Time Frame: Outcome were measured at baseline (study inclusion) and follow-up (1 month after the last received intervention and 2 months from baseline in the treatment-as-usual group).
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Used to measure the emotional and psychological burden experienced by caregivers of patients with dementia.
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Outcome were measured at baseline (study inclusion) and follow-up (1 month after the last received intervention and 2 months from baseline in the treatment-as-usual group).
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Change from baseline in European Quality of Life-Visual Analogue Scale (EQ VAS).
Time Frame: Outcome were measured at baseline (study inclusion) and follow-up (1 month after the last received intervention and 2 months from baseline in the treatment-as-usual group).
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Used to measure a person's self-assessed general health on a given day.
It's a vertical line scale from 0 (worst imaginable health) to 100 (best imaginable health), where respondents mark their current health state.
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Outcome were measured at baseline (study inclusion) and follow-up (1 month after the last received intervention and 2 months from baseline in the treatment-as-usual group).
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change from baseline in the 5-level EQ-5D version (EQ-5D-5L).
Time Frame: Outcome were measured at baseline (study inclusion) and follow-up (1 month after the last received intervention and 2 months from baseline in the treatment-as-usual group).
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Used to measure quality of life in five dimensions, on a 5-point likert scale.
Completing it generates a one-digit number for each dimension, which can be converted into a utility score.
The closer the utility value is to 1, the better the health state.
The EQ-5D-5L utility ranges from -0.757 to 1.
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Outcome were measured at baseline (study inclusion) and follow-up (1 month after the last received intervention and 2 months from baseline in the treatment-as-usual group).
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Change from baseline in World Health Organization Wellbeing Index (WHO-5).
Time Frame: Outcome were measured at baseline (study inclusion) and follow-up (1 month after the last received intervention and 2 months from baseline in the treatment-as-usual group).
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Assesses subjective psychological well-being over the past two weeks.
Five questions are rated on a 6-point Likert scale.
A higher score indicates better wellbeing.
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Outcome were measured at baseline (study inclusion) and follow-up (1 month after the last received intervention and 2 months from baseline in the treatment-as-usual group).
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Change from baseline in University of California, Los Angeles Three-Item Loneliness Scale (UCLA 3-item).
Time Frame: Outcome were measured at baseline (study inclusion) and follow-up (1 month after the last received intervention and 2 months from baseline in the treatment-as-usual group).
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Used to assess feelings of loneliness or social isolation via three questions on relational and social connectedness, and self-perceived isolation, rated on a 3-point Likert scale.
Higher scores reflect greater loneliness.
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Outcome were measured at baseline (study inclusion) and follow-up (1 month after the last received intervention and 2 months from baseline in the treatment-as-usual group).
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Change from baseline in Carer Experience Scale (CES).
Time Frame: Outcome were measured at baseline (study inclusion) and follow-up (1 month after the last received intervention and 2 months from baseline in the treatment-as-usual group).
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A measure of caregiving experience in everyday life operationalized in six questions on a 3-point Likert scale.
A total index score, calculated by adding preference weights, ranges from 0 to 100, where 0 indicates the poorest and 100 the best caregiving experience.
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Outcome were measured at baseline (study inclusion) and follow-up (1 month after the last received intervention and 2 months from baseline in the treatment-as-usual group).
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Gunhild Waldemar, MD, D.M.Sc, Danish Dementia Research Centre, Rigshospitalet, Copenhagen, Denmark.
- Principal Investigator: T. Rune Nielsen, PhD, Danish Dementia Research Centre, Rigshospitalet, Copenhagen, Denmark.
- Principal Investigator: Ann Nielsen, MSPH, PhD, Danish Dementia Research Centre, Rigshospitalet, Copenhagen, Denmark.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- DemTool
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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