Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) in home care services: a cluster randomized feasibility trial
Abstract Background Behavioral and psychological symptoms of dementia (BPSD) occur frequently in people with dementia and can contribute to an increased need for help and a reduced quality of life, but also predict early institutionalization. The Targeted Interdisciplinary Model for Evaluation and T...
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| Format: | Article |
| Language: | English |
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BMC
2022-03-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-022-07830-9 |
| _version_ | 1811272040508817408 |
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| author | Kari-Anne Hoel Bjørn Lichtwarck Anette Væringstad Ingvild Hjorth Feiring Anne Marie Mork Rokstad Geir Selbæk Jūratė Šaltytė Benth Sverre Bergh |
| author_facet | Kari-Anne Hoel Bjørn Lichtwarck Anette Væringstad Ingvild Hjorth Feiring Anne Marie Mork Rokstad Geir Selbæk Jūratė Šaltytė Benth Sverre Bergh |
| author_sort | Kari-Anne Hoel |
| collection | DOAJ |
| description | Abstract Background Behavioral and psychological symptoms of dementia (BPSD) occur frequently in people with dementia and can contribute to an increased need for help and a reduced quality of life, but also predict early institutionalization. The Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) might be a useful personalized approach to BPSD in people with dementia. The main objective of this feasibility trial was to explore the trial design and methods along with the patients’ and the home care staff’s acceptance of the TIME intervention before developing a definitive trial. Additionally, we wanted to explore whether TIME could be appropriate for staff in home care services in their approach towards people with dementia with anxiety and depression. Methods This was a 18-month feasibility trial using a parallel cluster randomized controlled design. Nine municipalities from the eastern part of Norway (clusters) — 40 people with dementia and 37 of their next of kin— were randomized to the TIME intervention or to treatment as usual. In addition, qualitative data as field notes were collected and summarized. Results The staff in home care services experienced TIME as an appropriate method; in particular, the systematic approach to the patient’s BPSD was experienced as useful. However, the completion of the assessment phase was considered exhaustive and time-consuming, and some of the staff found it challenging to find time for the case conferences. Conclusions We consider that TIME, with some adjustments, could be useful for staff in home care services in cases where they face challenges in providing care and support to people with dementia. This feasibility trial indicates that we can move forward with a future definitive randomized controlled trial (RCT) to test the effect of TIME in people with dementia receiving home care services. Trial registration ClinicalTrial.gov identifier: SI0303150608. |
| first_indexed | 2024-04-12T22:33:12Z |
| format | Article |
| id | doaj.art-ab69437c46a64dbbb85c110276a48a37 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-12T22:33:12Z |
| publishDate | 2022-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-ab69437c46a64dbbb85c110276a48a372022-12-22T03:13:56ZengBMCBMC Health Services Research1472-69632022-03-0122111210.1186/s12913-022-07830-9Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) in home care services: a cluster randomized feasibility trialKari-Anne Hoel0Bjørn Lichtwarck1Anette Væringstad2Ingvild Hjorth Feiring3Anne Marie Mork Rokstad4Geir Selbæk5Jūratė Šaltytė Benth6Sverre Bergh7The Research Centre for Age-Related Functional Decline and Disease, Innlandet Hospital TrustThe Research Centre for Age-Related Functional Decline and Disease, Innlandet Hospital TrustThe Research Centre for Age-Related Functional Decline and Disease, Innlandet Hospital TrustThe Research Centre for Age-Related Functional Decline and Disease, Innlandet Hospital TrustThe Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust NOThe Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust NOInstitute of Clinical Medicine, Campus Ahus, University of OsloThe Research Centre for Age-Related Functional Decline and Disease, Innlandet Hospital TrustAbstract Background Behavioral and psychological symptoms of dementia (BPSD) occur frequently in people with dementia and can contribute to an increased need for help and a reduced quality of life, but also predict early institutionalization. The Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) might be a useful personalized approach to BPSD in people with dementia. The main objective of this feasibility trial was to explore the trial design and methods along with the patients’ and the home care staff’s acceptance of the TIME intervention before developing a definitive trial. Additionally, we wanted to explore whether TIME could be appropriate for staff in home care services in their approach towards people with dementia with anxiety and depression. Methods This was a 18-month feasibility trial using a parallel cluster randomized controlled design. Nine municipalities from the eastern part of Norway (clusters) — 40 people with dementia and 37 of their next of kin— were randomized to the TIME intervention or to treatment as usual. In addition, qualitative data as field notes were collected and summarized. Results The staff in home care services experienced TIME as an appropriate method; in particular, the systematic approach to the patient’s BPSD was experienced as useful. However, the completion of the assessment phase was considered exhaustive and time-consuming, and some of the staff found it challenging to find time for the case conferences. Conclusions We consider that TIME, with some adjustments, could be useful for staff in home care services in cases where they face challenges in providing care and support to people with dementia. This feasibility trial indicates that we can move forward with a future definitive randomized controlled trial (RCT) to test the effect of TIME in people with dementia receiving home care services. Trial registration ClinicalTrial.gov identifier: SI0303150608.https://doi.org/10.1186/s12913-022-07830-9DementiaNonpharmacological interventionsPsychosocial interventionsPerson-centered careDepressionAnxiety |
| spellingShingle | Kari-Anne Hoel Bjørn Lichtwarck Anette Væringstad Ingvild Hjorth Feiring Anne Marie Mork Rokstad Geir Selbæk Jūratė Šaltytė Benth Sverre Bergh Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) in home care services: a cluster randomized feasibility trial BMC Health Services Research Dementia Nonpharmacological interventions Psychosocial interventions Person-centered care Depression Anxiety |
| title | Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) in home care services: a cluster randomized feasibility trial |
| title_full | Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) in home care services: a cluster randomized feasibility trial |
| title_fullStr | Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) in home care services: a cluster randomized feasibility trial |
| title_full_unstemmed | Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) in home care services: a cluster randomized feasibility trial |
| title_short | Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) in home care services: a cluster randomized feasibility trial |
| title_sort | targeted interdisciplinary model for evaluation and treatment of neuropsychiatric symptoms time in home care services a cluster randomized feasibility trial |
| topic | Dementia Nonpharmacological interventions Psychosocial interventions Person-centered care Depression Anxiety |
| url | https://doi.org/10.1186/s12913-022-07830-9 |
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