(Cost)-effectiveness of case-management by district nurses among primary informal caregivers of older adults with dementia symptoms and the older adults who receive informal care: design of a randomized controlled trial [ISCRTN83135728]

A.P.D. Jansen, H.P.J. van Hout, H.W.J. van Marwijk, M.G.A.A.M. Nijpels, M.C. de Bruijne, J.E. Bosmans, A.M. Pot, W.A.B. Stalman

    Research output: Contribution to JournalArticleAcademicpeer-review

    Abstract

    Background: Dementia is an incurable disease with devastating consequences for both patients and their relatives. The objective of this study is to describe the study protocol of a randomized controlled trial with assignment to either usual care or case-management by district nurses, among informal caregivers of older adults with dementia symptoms who live at home and the older adults who receive informal care. Methods/design: In this randomized controlled trial, effectiveness as well as cost-effectiveness of case-management is evaluated. It concerns case-management in early-detected patients with dementia symptoms and their primary informal caregivers. Participants are followed up to twelve months after baseline assessment. The main outcome measure of the effect evaluation is the caregiver's sense of competence to care for the older person with dementia symptoms. The economic evaluation is performed from a societal perspective. Discussion: This is one of the first trials on case-management that includes an economic evaluation. In addition, it concerns a tailor-made intervention in early-detected patients with dementia symptoms and their caregivers. The results of this randomized controlled trial will provide valuable information for health professionals and policy makers on effectiveness and cost-effectiveness of early tailor-made case-management for patients and their informal caregivers. Moreover, positive effects will challenge current health care systems to move to more pro-active approaches for this group. © 2005 Jansen et al; licensee BioMed Central Ltd.
    Original languageEnglish
    Pages (from-to)133
    JournalBMC Public Health
    Volume5
    DOIs
    Publication statusPublished - 2005

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    Case Management
    Caregivers
    Cost-Benefit Analysis
    Dementia
    Patient Care
    Randomized Controlled Trials
    Nurses
    Health Policy
    Administrative Personnel
    Mental Competency
    Outcome Assessment (Health Care)
    Delivery of Health Care

    Cite this

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    title = "(Cost)-effectiveness of case-management by district nurses among primary informal caregivers of older adults with dementia symptoms and the older adults who receive informal care: design of a randomized controlled trial [ISCRTN83135728]",
    abstract = "Background: Dementia is an incurable disease with devastating consequences for both patients and their relatives. The objective of this study is to describe the study protocol of a randomized controlled trial with assignment to either usual care or case-management by district nurses, among informal caregivers of older adults with dementia symptoms who live at home and the older adults who receive informal care. Methods/design: In this randomized controlled trial, effectiveness as well as cost-effectiveness of case-management is evaluated. It concerns case-management in early-detected patients with dementia symptoms and their primary informal caregivers. Participants are followed up to twelve months after baseline assessment. The main outcome measure of the effect evaluation is the caregiver's sense of competence to care for the older person with dementia symptoms. The economic evaluation is performed from a societal perspective. Discussion: This is one of the first trials on case-management that includes an economic evaluation. In addition, it concerns a tailor-made intervention in early-detected patients with dementia symptoms and their caregivers. The results of this randomized controlled trial will provide valuable information for health professionals and policy makers on effectiveness and cost-effectiveness of early tailor-made case-management for patients and their informal caregivers. Moreover, positive effects will challenge current health care systems to move to more pro-active approaches for this group. {\circledC} 2005 Jansen et al; licensee BioMed Central Ltd.",
    author = "A.P.D. Jansen and {van Hout}, H.P.J. and {van Marwijk}, H.W.J. and M.G.A.A.M. Nijpels and {de Bruijne}, M.C. and J.E. Bosmans and A.M. Pot and W.A.B. Stalman",
    year = "2005",
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    language = "English",
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    (Cost)-effectiveness of case-management by district nurses among primary informal caregivers of older adults with dementia symptoms and the older adults who receive informal care: design of a randomized controlled trial [ISCRTN83135728]. / Jansen, A.P.D.; van Hout, H.P.J.; van Marwijk, H.W.J.; Nijpels, M.G.A.A.M.; de Bruijne, M.C.; Bosmans, J.E.; Pot, A.M.; Stalman, W.A.B.

    In: BMC Public Health, Vol. 5, 2005, p. 133.

    Research output: Contribution to JournalArticleAcademicpeer-review

    TY - JOUR

    T1 - (Cost)-effectiveness of case-management by district nurses among primary informal caregivers of older adults with dementia symptoms and the older adults who receive informal care: design of a randomized controlled trial [ISCRTN83135728]

    AU - Jansen, A.P.D.

    AU - van Hout, H.P.J.

    AU - van Marwijk, H.W.J.

    AU - Nijpels, M.G.A.A.M.

    AU - de Bruijne, M.C.

    AU - Bosmans, J.E.

    AU - Pot, A.M.

    AU - Stalman, W.A.B.

    PY - 2005

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    N2 - Background: Dementia is an incurable disease with devastating consequences for both patients and their relatives. The objective of this study is to describe the study protocol of a randomized controlled trial with assignment to either usual care or case-management by district nurses, among informal caregivers of older adults with dementia symptoms who live at home and the older adults who receive informal care. Methods/design: In this randomized controlled trial, effectiveness as well as cost-effectiveness of case-management is evaluated. It concerns case-management in early-detected patients with dementia symptoms and their primary informal caregivers. Participants are followed up to twelve months after baseline assessment. The main outcome measure of the effect evaluation is the caregiver's sense of competence to care for the older person with dementia symptoms. The economic evaluation is performed from a societal perspective. Discussion: This is one of the first trials on case-management that includes an economic evaluation. In addition, it concerns a tailor-made intervention in early-detected patients with dementia symptoms and their caregivers. The results of this randomized controlled trial will provide valuable information for health professionals and policy makers on effectiveness and cost-effectiveness of early tailor-made case-management for patients and their informal caregivers. Moreover, positive effects will challenge current health care systems to move to more pro-active approaches for this group. © 2005 Jansen et al; licensee BioMed Central Ltd.

    AB - Background: Dementia is an incurable disease with devastating consequences for both patients and their relatives. The objective of this study is to describe the study protocol of a randomized controlled trial with assignment to either usual care or case-management by district nurses, among informal caregivers of older adults with dementia symptoms who live at home and the older adults who receive informal care. Methods/design: In this randomized controlled trial, effectiveness as well as cost-effectiveness of case-management is evaluated. It concerns case-management in early-detected patients with dementia symptoms and their primary informal caregivers. Participants are followed up to twelve months after baseline assessment. The main outcome measure of the effect evaluation is the caregiver's sense of competence to care for the older person with dementia symptoms. The economic evaluation is performed from a societal perspective. Discussion: This is one of the first trials on case-management that includes an economic evaluation. In addition, it concerns a tailor-made intervention in early-detected patients with dementia symptoms and their caregivers. The results of this randomized controlled trial will provide valuable information for health professionals and policy makers on effectiveness and cost-effectiveness of early tailor-made case-management for patients and their informal caregivers. Moreover, positive effects will challenge current health care systems to move to more pro-active approaches for this group. © 2005 Jansen et al; licensee BioMed Central Ltd.

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    DO - 10.1186/1471-2458-5-133

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    VL - 5

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    JO - BMC Public Health

    JF - BMC Public Health

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    ER -