CompletedNot Applicable

Personalized Management of Psycho-behavioral Symptoms in Alzheimer's Disease: Impact on Health Resources Use

France668 participantsStarted 2021-10-14

Plain-language summary

The present project propose to study the effectiveness of a personalized care management of psycho-behavioral symptoms based on an evidence-based standardized assessment to identify and understand the underlying causes of psycho-behavioral symptoms followed by a personalized intervention based on targeted and prioritized actions. This personalized intervention is proposed both to Alzheimer disease (AD) patients living at home with agitation-type psycho-behavioral symptoms, and also to their caregivers with the support and coordination of a nurse working in collaboration with the specialist physician and the General Practitioner (GP). News technologies are used to enhance the follow-up, based on telehealth, and caregiver training. The project hypothesize that, for a vulnerable population at risk (AD patient with agitation and their caregivers) living at home, a personalized intervention, carried out and coordinated by a nurse in close collaboration with the specialist and GP, would reduce hospitalizations and have a positive effect on the disease evolution and caregiver distress. Also this personalized intervention could reduce the cost of care, in particular by reducing the costs associated with hospitalizations and informal help.

Who can participate

Age range60 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: For the patient : * Diagnosed with major neuro-cognitive disorders (DSM V) at all severity stages. * Leaving at home * Assisted by a caregiver, from patient's family or personal environment, assuming most of patient care (spending at least 6 hours per week with the patient) * caregiver available to come with the patient to study visits as planned per protocol * existing agitation since at least one month (according to International Psychogeriatric Association (IPA) criteria) * agitation severity ≥ 2 , based on Clinician Global Impression of Severity (CGI-S) (at least mild severity) * the patient, his/her family member/trusted person , or his /her legal responsible has provided written informed consent to participate in the study * referring physician's oral approval obtained for patient participation in the study * Affiliated to French Healthcare System For the caregiver: * Has provided his/her written informed consent to participate in the study * Ability to understand and speak French properly, ability to complete the questionnaires and assess the patient. * Affiliated to French Healthcare System Exclusion Criteria: For the patient: * Agitation symptoms attributable either to other concomitant prescriptions, or to other psychiatric or evolving somatic diseases. * Patient living in a residential care facility or having an institutionalization project within 6 months * Patient with clinically significant or unstable disease that could affect he/her …

What they're measuring

patient's number of hospitalization at 18 months

Timeframe: From the inclusion until End of Study, 18 months

Trial details

NCT IDNCT04820127

SponsorUniversity Hospital, Toulouse

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2026-04-28