title: Dementia care management: going new ways in ambulant dementia care within a GP-based randomized controlled intervention trial.
abstract: BACKGROUND
  Increasing prevalence of dementia is a major challenge for the German healthcare system. The study DelpHi-MV ("Dementia: life- and person-centered help in Mecklenburg-Western Pomerania") aims to implement and evaluate an innovative subsidiary support system for persons with dementia (PwDs) living at home and their caregivers.
  
  
  METHODS
  DelpHi-MV is a GP-based cluster randomized controlled intervention trial. DelpHi-Intervention aims to provide "optimum care" by integrating multi-professional and multimodal strategies to individualize and optimize treatment of dementia within the framework of the established healthcare and social service system. The intervention is conducted by Dementia Care Managers (DCMs)--nurses with dementia-specific training--at the people's homes. Based on German guidelines for evidence-based diagnoses and treatment of dementia, a comprehensive set of 95 interventio--modules--the "DelpHi-Standard"--was defined. Each module consists of predefined trigger condition(s), a subsequent intervention task, as well as at least one criterion for its completion. The intervention begins with a comprehensive assessment of the care situation, needs, and resources. The DCM develops and implements an intervention plan tailored to the individual conditions in close cooperation with the GP. EXPECTED RESULTS AND CONCLUSIONS: We expect statistically significant differences between control and intervention group in primary outcomes (quality of life, behavioral and psychological symptoms of dementia, pharmacotherapy, caregiver burden). Results can provide evidence for the effectiveness and efficacy of dementia care management according to the "Delphi-Standard"--prerequisites for implementing this concept into routine healthcare.
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE) Rostock/Greifswald, Germany.
authors.forename: Tilly
authors.initials: T
authors.lastname: Eichler
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE) Rostock/Greifswald, Germany.
authors.forename: Jochen René
authors.initials: JR
authors.lastname: Thyrian
authors.affiliation: Section Epidemiology of Health Care and Community Health, Institute for Community Medicine, Ernst-Moritz-Arndt-University, Greifswald, Germany.
authors.forename: Adina
authors.initials: A
authors.lastname: Dreier
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE) Rostock/Greifswald, Germany.
authors.forename: Diana
authors.initials: D
authors.lastname: Wucherer
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE) Rostock/Greifswald, Germany.
authors.forename: Leonore
authors.initials: L
authors.lastname: Köhler
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE) Rostock/Greifswald, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Fiß
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE) Rostock/Greifswald, Germany.
authors.forename: Georgia
authors.initials: G
authors.lastname: Böwing
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE) Rostock/Greifswald, Germany.
authors.forename: Bernhard
authors.initials: B
authors.lastname: Michalowsky
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE) Rostock/Greifswald, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Hoffmann
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D003191:Comprehensive Health Care / Q000379:methods; D003697:Delphi Technique; D003704:Dementia / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D019468:Disease Management; D005260:Female; D015577:Geriatric Assessment / Q000379:methods; D006801:Humans; D057187:Independent Living / Q000523:psychology; D008297:Male; D016743:Mental Competency; D020380:Needs Assessment; D010043:Outcome and Process Assessment, Health Care; D011788:Quality of Life; D012944:Social Support