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Randomized Controlled Trial
. 2018 Oct 22;18(1):252.
doi: 10.1186/s12877-018-0948-3.

The "more at home with dementia" program: a randomized controlled study protocol to determine how caregiver training affects the well-being of patients and caregivers

Elizabeth G Birkenhäger-Gillesse  1   2 , Boudewijn J Kollen  3 , Sytse U Zuidema  3 , Wilco P Achterberg  4
Affiliations
Randomized Controlled Trial

The "more at home with dementia" program: a randomized controlled study protocol to determine how caregiver training affects the well-being of patients and caregivers

Elizabeth G Birkenhäger-Gillesse et al. BMC Geriatr. .

Abstract

Background: Caring for people with dementia imposes heavy burdens on caregivers, especially spouses. This can lead to depression, anxiety, and physical symptoms in the caregiver, with early institutionalization for the patient. An Australian study reported that a residential caregiver training program delivered in medical settings could delay nursing home admission, lower mortality, reduce psychological morbidity in caregivers, and lower healthcare costs. In this replication study, we aim to determine the effectiveness of an adaptation of this program to non-medical settings in the Dutch health care system.

Methods: A randomized controlled study design will be used, comparing an intervention group with a control group. The intervention will last for five days and will be delivered in either a holiday park or a bed and breakfast setting. The control group will receive care as usual. Data will be collected at baseline and after 3 and 6 months, and outcomes will be assessed in the caregiver group and in the dementia group. The primary outcome will be caregiver-related quality of life after 3 months. The main secondary outcome will be the neuropsychiatric symptoms in the dementia group. Secondary outcomes in the dementia group will be activities of daily living and instrumental activities of daily living, use of health facilities, quality of life, agitation, dementia severity, and use of psychotropic medication. Secondary outcomes in the caregiver group will be the subjective and objective burdens, health and health care facility use, psychotropic medication use, depression, anxiety, and perseverance time.

Discussion: We anticipate that the outcomes will allow us to confirm the effectiveness of the intervention, and in turn, potentially inform the introduction of this program into care plans. It is also expected that the experiences and recommendations of participants will help us to develop the training program further.

Trial registration: Registered in the Netherlands Trial Register on March 9, 2016, number 5775 .

Keywords: Caregiver; Dementia; Psychosocial intervention; Training.

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Conflict of interest statement

Ethics approval and consent to participate

The study has been submitted for approval to the Human Research Ethics Committee University of Groningen, the Netherlands. It was concluded that no approval was needed in the context of the Dutch Medical Research Involving Human Subjects Act. Written consent will be obtained from all participating caregivers and if possible from their partners with dementia.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests. However, there were two commercial sources of funding (THEIA foundation of Zilveren Kruis Health insurance, and Laurens Care Centers, Rotterdam, the Netherlands). The commercial funders had no role in the design of the study.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

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