title: Grip on challenging behaviour: a multidisciplinary care programme for managing behavioural problems in nursing home residents with dementia. Study protocol.
abstract: BACKGROUND
  Behavioural problems are common in nursing home residents with dementia and they often are burdensome for both residents and nursing staff. In this study, the effectiveness and cost-effectiveness of a new care programme for managing behavioural problems will be evaluated.
  
  
  METHODS
  The care programme is based on Dutch national guidelines. It will consist of four steps: detection, analysis, treatment and evaluation. A stepped wedge design will be used. A total of 14 dementia special care units will implement the care programme. The primary outcome is behavioural problems. Secondary outcomes will include quality of life, prescription rate of antipsychotics, use of physical restraints and workload and job satisfaction of nursing staff. The effect of the care programme will be estimated using multilevel linear regression analysis. An economic evaluation from a societal perspective will also be carried out.
  
  
  CONCLUSIONS
  The care programme is expected to be cost-effective and effective in decreasing behavioural problems, workload of nursing staff and in increasing quality of life of residents.
  
  
  BACKGROUND
  The Netherlands National Trial Register (NTR).
  
  
  BACKGROUND
  NTR 2141.
authors.affiliation: Department of Nursing Home Medicine/EMGO + Institute for Health and Care Research, VU Medical Center, Amsterdam, The Netherlands. s.zwijsen@vumc.nl
authors.forename: Sandra A
authors.initials: SA
authors.lastname: Zwijsen
authors.forename: Martin
authors.initials: M
authors.lastname: Smalbrugge
authors.forename: Sytse U
authors.initials: SU
authors.lastname: Zuidema
authors.forename: Raymond T C M
authors.initials: RT
authors.lastname: Koopmans
authors.forename: Judith E
authors.initials: JE
authors.lastname: Bosmans
authors.forename: Maurits W
authors.initials: MW
authors.lastname: van Tulder
authors.forename: Jan A
authors.initials: JA
authors.lastname: Eefsting
authors.forename: Debby L
authors.initials: DL
authors.lastname: Gerritsen
authors.forename: Anne-Margriet
authors.initials: AM
authors.lastname: Pot
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use; D001519:Behavior; D003362:Cost-Benefit Analysis; D003704:Dementia / Q000503:physiopathology* / Q000523:psychology; D006801:Humans; D033183:Interdisciplinary Communication; D007588:Job Satisfaction; D009426:Netherlands; D009735:Nursing Homes; D009740:Nursing Staff; D010346:Patient Care Management / Q000379:methods*; D017410:Practice Guidelines as Topic; D015397:Program Evaluation / Q000379:methods; D011788:Quality of Life; D012149:Restraint, Physical
chemical_list: D014150:Antipsychotic Agents