Since dementia is often undiagnosed until relatively late, case finding and proactive care may be beneficial for both patients and carers by clarifying the reasons for cognitive decline and facilitating support, care planning and access to services. This paper presents the design for a cluster randomised controlled trial (with process evaluation), for research which aims to improve the recognition and diagnosis of individuals with dementia in general practice. The effects of case finding on the subsequent care and the mental health of individuals with dementia (and their informal carers) are to be studied.
This study is hoped to provide insights into the “diagnostic yield” and the clinical effects of case finding and collaborative care for individuals with suspected cognitive impairment, compared to usual care. The feasibility of these interventions will be assessed. The first results of this research should appear during 2013.
van den Dungen, P. Moll van Charante, EP. [and] van Marwijk, HW. [et al] (2012). Case-finding of dementia in general practice and effects of subsequent collaborative care; design of a cluster RCT. BMC Public Health, August 4th 2012, Vol.12(609), pp.1-9. (Click here to view the PubMed abstract).
[A brief reference to this item features in Dementia and Elderly Care: the Latest Evidence Newsletter (RWNHST), Volume 3 Issue 5, January 2013].