A pragmatic randomised controlled trial to evaluate the effectiveness and cost effectiveness of Collaborative cARE for people with DEMentia in primary care
Study Code / Acronym
CARE-DEMAward Number
08/53/99Programme
Health Technology AssessmentStatus / Stage
CompletedDates
1 March 2011 -1 June 2013
Duration (calculated)
02 years 03 monthsFunder(s)
NIHRFunding Amount
£557,788.10Funder/Grant study page
NIHRContracted Centre
University College LondonContracted Centre Webpage
Principal Investigator
Professor Steve IliffePI Contact
s.iliffe@ucl.ac.ukPI ORCID
0000-0003-2806-3997WHO Catergories
Economic Impact of DementiaMethodologies and approaches for risk reduction research
Disease Type
Dementia (Unspecified)CPEC Review Info
| Reference ID | 124 |
|---|---|
| Researcher | Reside Team |
| Published | 12/06/2023 |
Data
| Study Code / Acronym | CARE-DEM |
|---|---|
| Award Number | 08/53/99 |
| Status / Stage | Completed |
| Start Date | 20110301 |
| End Date | 20130601 |
| Duration (calculated) | 02 years 03 months |
| Funder/Grant study page | NIHR |
| Contracted Centre | University College London |
| Contracted Centre Webpage | |
| Funding Amount | £557,788.10 |
Abstract
This study will develop and evaluate the feasibility of collaborative care for people with Dementia in primary care. It will create a training programme for primary care staff to enable them to undertake case managment with patients with dementia and their families (Work package 1). The feasibility of implementing the training programme will be tested in a pilot rehearsal trial (Work package 2), which will also allow effect sizes to be estimated for a definitive main trial. Qualitative methods will be used to study the development process and implentation in the field, to inform refinement of the training programme and introduction of the case management methods into routine practice. If the intervention appears to be effective, we will seek further funding for Work package 3, a definitive main trial which will address the key research question: Primary objective: To evaluate the clinical and cost effectiveness of usual care augmented by collaborative care, compared to usual care, at reducing behavioural and psychological disorders in people with dementia in primary care. Secondary objectives of this study: 1) To develop and pilot the feasibility of a UK model of collaborative care for dementia, led by a primary-care based case manager using evidence based care pathways (Work packages 1 & 2). 2) To provide a detailed description and analysis of the case management intervention, including a description of how it works in practice, and a toolkit for its replication should the intervention prove effective (Work package 2 & Qualitative study). 3) To explore the acceptability and value of a collaborative care model in dementia, delivered by a case manager, to people with dementia, their family carers and other dementia care professionals and services (Qualitative study). Secondary objectives of the follow-on study (Work package 3) 4) To conduct a cost-utility analysis of usual care augmented by collaborative care management, compared to usual care, on NHS resource utilisation by people with dementia and their family carers. The outcome in this analysis would be change in quality-adjusted life years (QALYs) derived from the DEMQOL (using an algorithm currently being developed in a study by Banerjee, Brazier, Knapp and others, funded by the HTA) (Work package 3, definitive trial).
Aims
This study will develop and evaluate the feasibility of collaborative care for people with Dementia in primary care.