The MOMANT study, a caregiver support programme with activities at home for people with dementia: a study protocol of a randomised controlled trial

Abstract Background Because of the expected increase in the number of people with dementia, and the associated social and economic costs, there is an urgent need to develop effective and cost-effective care for people with dementia and their caregivers. The intervention proposed here combines two ap...

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Main Authors: S. C. E. Balvert, M. V. Milders, J. E. Bosmans, M. W. Heymans, S. van Bommel, R.-M. Dröes, E. J. A. Scherder
Format: Article
Language:English
Published: BMC 2022-04-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-022-02930-x
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author S. C. E. Balvert
M. V. Milders
J. E. Bosmans
M. W. Heymans
S. van Bommel
R.-M. Dröes
E. J. A. Scherder
author_facet S. C. E. Balvert
M. V. Milders
J. E. Bosmans
M. W. Heymans
S. van Bommel
R.-M. Dröes
E. J. A. Scherder
author_sort S. C. E. Balvert
collection DOAJ
description Abstract Background Because of the expected increase in the number of people with dementia, and the associated social and economic costs, there is an urgent need to develop effective and cost-effective care for people with dementia and their caregivers. The intervention proposed here combines two approaches to caregiver support that have shown to be effective in empowering caregivers, i.e., multiple components for caregiver support and actively engaging caregivers to involve the person with dementia in activities at home. The aim is to investigate whether the intervention is effective in improving quality of life in the caregiver and the person with dementia. A further aim will be to investigate whether this intervention can improve caregivers’ feeling of competence, experience of caregiving, and mood. Methods The study design is a pragmatic, cluster randomised controlled trial with cost-effectiveness analysis. The study participants are informal caregivers and home-living persons with dementia for whom they care, recruited in various regions in the Netherlands. The trial will compare outcomes in two groups of participants: 85 dyads who receive the intervention, and 85 dyads who receive care as usual. The intervention is a caregiver support training that is manual based and consists of 6 group sessions over 2 months. Training takes place in small groups of caregivers led by a health care professional presented at dementia day care centres. Randomisation occurs at the level of the day care centre. Participants are assessed on the outcome measures at baseline, prior to the intervention, and at 3 and 6 months after baseline. Discussion The study will provide insight into effectiveness and cost-effectiveness of an intervention that has not previously been evaluated or implemented in the Netherlands. The intervention potentially adds to the effective support options for informal caregivers of people with dementia without greatly increasing the workload for health- or social care professionals. Trial registration The trial is registered at the Dutch Trial Register at NTR6643 ; August 22nd, 2017.
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spelling doaj.art-034dc192285e4810b2ed22f0723321382022-12-21T17:57:32ZengBMCBMC Geriatrics1471-23182022-04-0122111110.1186/s12877-022-02930-xThe MOMANT study, a caregiver support programme with activities at home for people with dementia: a study protocol of a randomised controlled trialS. C. E. Balvert0M. V. Milders1J. E. Bosmans2M. W. Heymans3S. van Bommel4R.-M. Dröes5E. J. A. Scherder6Department of Clinical Neuropsychology, Vrije Universiteit AmsterdamDepartment of Clinical Neuropsychology, Vrije Universiteit AmsterdamDepartment of Health Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research InstituteDepartment of Epidemiology and Biostatistics, Amsterdam University Medical Centers, Location VU University Medical CenterManagement & SupportDepartment of Psychiatry, Department of Research and Innovation, Amsterdam University Medical Centers, Location VU University Medical Center, GGZ inGeestDepartment of Clinical Neuropsychology, Vrije Universiteit AmsterdamAbstract Background Because of the expected increase in the number of people with dementia, and the associated social and economic costs, there is an urgent need to develop effective and cost-effective care for people with dementia and their caregivers. The intervention proposed here combines two approaches to caregiver support that have shown to be effective in empowering caregivers, i.e., multiple components for caregiver support and actively engaging caregivers to involve the person with dementia in activities at home. The aim is to investigate whether the intervention is effective in improving quality of life in the caregiver and the person with dementia. A further aim will be to investigate whether this intervention can improve caregivers’ feeling of competence, experience of caregiving, and mood. Methods The study design is a pragmatic, cluster randomised controlled trial with cost-effectiveness analysis. The study participants are informal caregivers and home-living persons with dementia for whom they care, recruited in various regions in the Netherlands. The trial will compare outcomes in two groups of participants: 85 dyads who receive the intervention, and 85 dyads who receive care as usual. The intervention is a caregiver support training that is manual based and consists of 6 group sessions over 2 months. Training takes place in small groups of caregivers led by a health care professional presented at dementia day care centres. Randomisation occurs at the level of the day care centre. Participants are assessed on the outcome measures at baseline, prior to the intervention, and at 3 and 6 months after baseline. Discussion The study will provide insight into effectiveness and cost-effectiveness of an intervention that has not previously been evaluated or implemented in the Netherlands. The intervention potentially adds to the effective support options for informal caregivers of people with dementia without greatly increasing the workload for health- or social care professionals. Trial registration The trial is registered at the Dutch Trial Register at NTR6643 ; August 22nd, 2017.https://doi.org/10.1186/s12877-022-02930-xDementiaInformal caregiverPsychosocial interventionRandomized controlled trialActivities at home
spellingShingle S. C. E. Balvert
M. V. Milders
J. E. Bosmans
M. W. Heymans
S. van Bommel
R.-M. Dröes
E. J. A. Scherder
The MOMANT study, a caregiver support programme with activities at home for people with dementia: a study protocol of a randomised controlled trial
BMC Geriatrics
Dementia
Informal caregiver
Psychosocial intervention
Randomized controlled trial
Activities at home
title The MOMANT study, a caregiver support programme with activities at home for people with dementia: a study protocol of a randomised controlled trial
title_full The MOMANT study, a caregiver support programme with activities at home for people with dementia: a study protocol of a randomised controlled trial
title_fullStr The MOMANT study, a caregiver support programme with activities at home for people with dementia: a study protocol of a randomised controlled trial
title_full_unstemmed The MOMANT study, a caregiver support programme with activities at home for people with dementia: a study protocol of a randomised controlled trial
title_short The MOMANT study, a caregiver support programme with activities at home for people with dementia: a study protocol of a randomised controlled trial
title_sort momant study a caregiver support programme with activities at home for people with dementia a study protocol of a randomised controlled trial
topic Dementia
Informal caregiver
Psychosocial intervention
Randomized controlled trial
Activities at home
url https://doi.org/10.1186/s12877-022-02930-x
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