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Evaluation of a decision support tool (application) for district nurses and dementia case managers


- candidate number25665
- NTR NumberNTR6167
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR19-dec-2016
- Secondary IDsgrant no. 2013/15434 
- Public TitleEvaluation of a decision support tool (application) for district nurses and dementia case managers
- Scientific TitleLaboratory experiment to evaluate the efficacy of a decision support tool for professionals to facilitate ‘aging in place’ of people with dementia
- ACRONYM
- hypothesis
- Healt Condition(s) or Problem(s) studiedChoice, Nurse practitioner , Dementia
- Inclusion criteria- professionals working as district nurse or dementia case manager;
- nursing students (third or fourth year) with experience in community-based care
- Exclusion criteriaProfessionals who participated in the development of the application
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blinding[default]
- control[default]
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 16-jan-2017
- planned closingdate1-mei-2017
- Target number of participants80
- InterventionsThe intervention is a decision support tool (application installed on a tablet PC) supporting professionals in conducting a problem assessment and giving advices on possible solutions aiming to facilitate aging in place of people with dementia. Participants in the intervention group should conduct a problem assessment and give advices on possible soultions for problems which can hinder people with dementia to live at home. They are asked to conduct the problem assessment and advices on possible solutions according to their usual way of working complemented by the decision support app. Particpants in the control group are asked to conduct the problem assessment and advices on possible solutions according to their usual way of working only.
- Primary outcomeLevel of confidence of professionals with regard to detection of problems and the advice on possible solutions
- Secondary outcomeUniformity in decision making with regard to the problem assessment;
Perceived added value of the application according to the participants;
Usability of the decision support tool
- TimepointsImmediately after intervention is completed
- Trial web site
- statusinclusion stopped: follow-up
- CONTACT FOR PUBLIC QUERIES Theresa Thoma-Lürken
- CONTACT for SCIENTIFIC QUERIES Theresa Thoma-Lürken
- Sponsor/Initiator Maastricht University, Zuyd University of applied sciences, Research Centre for Autonomy and Participation
- Funding
(Source(s) of Monetary or Material Support)
Province of Limburg
- Publications
- Brief summaryWith a growing emphasis on community-based dementia care, nurses and case managers play an important role in identifying practical problems hindering people with dementia (PwD) to live at home and advising them on possible solutions to facilitate aging in place. Both are complex and challenging tasks for professionals. To support nurses and case managers with these tasks a decision support tool in the form of an application (app) on a tablet PC has been developed. The aim of this study is to evaluate the efficacy in terms of sense of confidence of professionals with regard to problem assessment and advices on possible solutions, uniformity in problem identification, added value of the app and its usability.

The study design consists of a randomized controlled trial with two arms (intervention and control group). In a laboratory setting nurses, case managers and nursing students are asked to analyze once a case describing the situation of community-dwelling person with dementia and to provide suggestions for possible solutions to deal with the detected problems. Participants in the interventions are asked to use the decision support app while participants in the control group were asked to use their usual way of working.
- Main changes (audit trail)
- RECORD19-dec-2016 - 25-jul-2017


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