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Implementation of improved diagnosis and treatment of pain and depression in demented elderly


- candidate number4194
- NTR NumberNTR1483
- ISRCTNISRCTN wordt niet meer aangevraagd
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR7-okt-2008
- Secondary IDs2001-220 METC VUmc
- Public TitleImplementation of improved diagnosis and treatment of pain and depression in demented elderly
- Scientific TitleImplementation of improved diagnosis and treatment of pain and depression in demented elderly
- ACRONYMN/A
- hypothesisEveryday attention to possible pain and depression will lead to better treatment of pain and depression. This will lead increased physical activity, improved circadian rhythm, improved cognition, and improved mood.
- Healt Condition(s) or Problem(s) studiedDementia, Depression, Pain
- Inclusion criteria1. Living in nursing home
2. Dementia
- Exclusion criteria1. History of psychiatric disorder
2. Alcohol abuse
3. Cerebral traumata
4. Normal pressure hydrocephalus
5. Neoplasmata
6. Concius disorders
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-nov-2008
- planned closingdate1-dec-2011
- Target number of participants100
- Interventions- Everyday, 2 times a day, pain observation by nurse, and self-rating scales by patient (coloured analogue scale, numeric rating scale, and faces pain scale).
- Everyday attention to depressive symptoms by nurse (Cornell)
- Primary outcomeImproved treatment of pain and depression
- Secondary outcome- Cognition
- Circadian rhythmv - Moodv - Quality of life
- Activities of daily life
- Timepoints0 weeks, 6 weeks, 3 months, 6 months, 9 months, 12 months
- Trial web sitehttp://www.dementieinbeweging.nl
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIESDrs. B. Plooij
- CONTACT for SCIENTIFIC QUERIESDrs. B. Plooij
- Sponsor/Initiator VU University Medical Center
- Funding
(Source(s) of Monetary or Material Support)
Innovatiefonds zorgverzekeraars
- PublicationsN/A
- Brief summaryAge is a major risk factor for both pain and dementia. The number of people with dementia suffering from pain will increase. Pain medication is less prescribed in demented elderly, compared to non-demented older people. One of the reasons is that pain is under recognised in dementia patients. Untreated pain influences physical activity and mood.
These, in turn, influence cognition, and circadian rhythm. In this study, everyday, two times a day, attention to possible pain and depressive symptoms in demented people will be implemented. The prediction is that this will lead to better pain treatment, improved mood, and hence increased physical activity, cognition, and circadian rhythm.
- Main changes (audit trail)
- RECORD7-okt-2008 - 23-okt-2008


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