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Clinical and cost-effectiveness of a New psychosocial intervention to support Independence in Dementia (NIDUS-family) for family carers and people living with dementia in their own homes: a randomised controlled trial
- Source :
- Trials, vol 22, iss 1, Trials, Trials, Vol 22, Iss 1, Pp 1-14 (2021)
- Publication Year :
- 2021
- Publisher :
- eScholarship, University of California, 2021.
-
Abstract
- Background Most people living with dementia want to remain living in their own homes and are supported to do so by family carers. No interventions have consistently demonstrated improvements to people with dementia’s life quality, functioning, or other indices of living as well as possible with dementia. We have co-produced, with health and social care professionals and family carers of people with dementia, a new intervention (NIDUS-family). To our knowledge, NIDUS-family is the first manualised intervention that can be tailored to personal goals of people living with dementia and their families and is delivered by facilitators without clinical training. The intervention utilizes components of behavioural management, carer support, psychoeducation, communication and coping skills training, enablement, and environmental adaptations, with modules selected to address dyads’ selected goals. We will evaluate the effect of NIDUS-family and usual care on goal attainment, as measured by Goal Attainment Scaling (GAS) rated by family carers, compared to usual care alone at 12-month follow-up. We will also determine whether NIDUS-family and usual care is more cost-effective than usual care alone over 12 months. Methods A randomised, two-arm, single-masked, multi-site clinical trial involving 297 people living with dementia-family carer dyads. Dyads will be randomised 2:1 to receive the NIDUS-family intervention with usual care (n = 199) or usual care alone (n = 98). The intervention group will be offered, over 1 year, via 6–8 video call or telephone sessions (or face to face if COVID-19 restrictions allow in the recruitment period) in the initial 6 months, followed by telephone follow-ups every 1–2 months to support implementation, with a trained facilitator. Discussion Increasing the time lived at home by people living with dementia is likely to benefit lives now and in the future. Our intervention, which we adapted to include remote delivery prior to trial commencement due to the COVID-19 pandemic, aims to address barriers to living as well and as independently as possible that distress people living with dementia, exacerbate family carer(s) stress, negatively affect relationships, lead to safety risks, and frequently precipitate avoidable moves to a care home. Trial registration International Standard Randomised Controlled Trials Number ISRCTN11425138. Registered on 7 October 2019
- Subjects :
- Gerontology
Medicine (General)
Aging
Cost effectiveness
medicine.medical_treatment
Cost-Benefit Analysis
Psychological intervention
Medicine (miscellaneous)
Neurodegenerative
Cardiorespiratory Medicine and Haematology
Psychosocial Intervention
Alzheimer's Disease
law.invention
Study Protocol
Randomized controlled trial
7.1 Individual care needs
law
HQ
Pharmacology (medical)
NIDUS study team
Caregivers
Neurological
Psychosocial
clinical_medicine
Clinical Trials and Supportive Activities
Clinical Sciences
RT
Goal Attainment Scaling
R5-920
Clinical Research
Intervention (counseling)
General & Internal Medicine
Behavioral and Social Science
medicine
Psychoeducation
Acquired Cognitive Impairment
Dementia
Humans
Psychosocial intervention
Pandemics
Family carer
business.industry
SARS-CoV-2
COVID-19
Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)
Independence
medicine.disease
Brain Disorders
Good Health and Well Being
Cardiovascular System & Hematology
Quality of Life
Management of diseases and conditions
business
RA
Subjects
Details
- ISSN :
- 17456215
- Database :
- OpenAIRE
- Journal :
- Trials, vol 22, iss 1, Trials, Trials, Vol 22, Iss 1, Pp 1-14 (2021)
- Accession number :
- edsair.doi.dedup.....cc2e9f0d21ac056c712cd6b5fd96bac3