Integrated multidisciplinary diagnostic approach for dementia care: randomised controlled trial
- PMID: 18378994
- DOI: 10.1192/bjp.bp.107.035204
Integrated multidisciplinary diagnostic approach for dementia care: randomised controlled trial
Abstract
Background: An integrated multidisciplinary approach to dementia is often recommended but has rarely been evaluated.
Aims: To evaluate the clinical effects of an integrated multidisciplinary diagnostic facility for psychogeriatric patients.
Method: Patients suspected of having complex psychogeriatric problems were randomly allocated to the intervention (n=137) or to treatment as usual (n=93). They were assessed at baseline, and at 6 months and 12 months follow-up by means of personal interviews with the patient's proxy. The primary outcome was health-related quality of life, assessed using the visual analogue scale (VAS) of the EuroQd measure, EQ-5D.
Results: Health-related quality of life had improved at 6 months in the intervention group, whereas that of the control group had decreased. Furthermore, more patients in the intervention group experienced a clinically relevant improvement of 10 points or more on the VAS at both follow-up measurements.
Conclusions: An integrated multidisciplinary approach improves dementia care.
Comment in
-
Integrated multidisciplinary approach for dementia care.Br J Psychiatry. 2008 Jul;193(1):79; author reply 79. doi: 10.1192/bjp.193.1.79. Br J Psychiatry. 2008. PMID: 18700227 No abstract available.
-
Integrated multidisciplinary diagnostic approach for dementia.Br J Psychiatry. 2008 Sep;193(3):257; author reply 257. doi: 10.1192/bjp.193.3.257a. Br J Psychiatry. 2008. PMID: 18757992 No abstract available.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical