Accepted for/Published in: JMIR Research Protocols
Date Submitted: Mar 30, 2020
Date Accepted: Aug 3, 2020
Achieving Quality and Effectiveness in Dementia Using Crisis Teams: a feasibility study protocol
ABSTRACT
Background:
Specialist community teams often support people with dementia who experience crisis. These teams may vary in composition and models of practice, which presents challenges when evaluating their effectiveness. A Best Practice Model for dementia crisis services could be used by teams to improve the quality and effectiveness of the care they deliver.
Objective:
The aim of this study is to examine the feasibility of conducting a large-scale randomised controlled trial comparing the AQUEDUCT Resource Kit intervention to treatment as usual.
Methods:
This is a multi-site feasibility study in preparation for a future randomised controlled trial. Up to 54 people with dementia and carers and 40 practitioners will be recruited from four geographically-spread Teams Managing Crisis in Dementia (TMCDs). Quantitative outcomes will be recorded at baseline and when the person with dementia is discharged from the service. This study will also involve nested qualitative research, to examine participant experiences of the intervention and involvement with the research, and a health economics sub-study.
Results:
Ethical approval for this study was granted in July 2019. Participant recruitment began in September 2019 and results are expected in April 2020. Results of this study will establish the acceptability of the intervention, recruitment rates, and will assess the feasibility and appropriateness of the outcome measures in preparation for a large-scale randomised controlled trial.
Conclusions:
There is a need to evaluate the effectiveness of crisis intervention teams for older people with dementia. This is the first study to test the feasibility of an evidence-based Best Practice Model for Teams Managing Crisis in Dementia. The results of this study will assist in the planning and delivery of a large-scale randomised controlled trial.
Citation
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