title: [Comparative study of two on aged care-based occupational (professional) training in medical home for aged and dependent patients with neuropsychiatric behaviors].
abstract: BACKGROUND
  Neuropsychiatric behaviours of the elderly is the main issue for caregivers' distress, burn out and high turn-over. This situation will steadily worsen with longer lifetime.
  
  
  OBJECTIVE
  Specialised training of medical staff may decrease their distress: we compare both training programs Humanitude® et Formadep® outcomes.
  
  
  METHODS
  A comparative open multicentric non randomised study included 459 elderlies of 9 EHPAD of Korian Company into 3 training groups: Humanitude®, Formadep® and a group control, with 29 weeks follow-up. We studied the scoring NPI-ES (FG and R), BMS-10, ECPA and GIR, medications, caregivers' burn out/absences/turn-over levels. Statistical significance were done by Wilcoxon signed-rank test, Ancova and linear regression.
  
  
  RESULTS
  320 caregivers and 3 groups of nearly 150 elderlies each, with around 50% dementia. In Formadep® group : lower scoring for a short time of total NPI-R (p<0.05), sustained lower scoring of NPI-FG « agitation/agressivity» (p=0.035) but transitional for its NPI-R (p<0.05), sustained higher scoring of NPI-FG «apathy/indifference» (p=0.002) but transitional for its NPI-R (p=0 .003), sustained lower scoring of NPI-R (p=0.0039) for Motor Aberrant Behaviours (MAB). In Humanitude® group: transitional higher scoring of NPI-R (p=0.025) for MAB et transitional lower scoring NPI-R (p=0.0032) for depression (Alzheimer Disease sub-groupe). No change for other parameters.
  
  
  CONCLUSIONS
  Despite high variability of the neuropsychiatric behaviours in elderly, Formadep® training has shown a positive impact on the global distress and on three main challenging behaviours, compared to Humanitude®: this may be depend on their own philosophy. But caregivers' burden in dementia is not a one-factor problem.
authors.affiliation: Institut du Bien Vieillir Korian, Paris, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Denormandie
authors.affiliation: Direction médicale, Groupe Korian, Paris, France.
authors.forename: Véronique
authors.initials: V
authors.lastname: Dubost
authors.affiliation: Institut du Bien Vieillir Korian, Paris, France.
authors.forename: Dhiba
authors.initials: D
authors.lastname: Marigot-Outtandy
authors.affiliation: Direction médicale, Groupe Korian, Paris, France.
authors.forename: François
authors.initials: F
authors.lastname: Bertin-Hugault
authors.affiliation: Formadep, Paris, France.
authors.forename: François
authors.initials: F
authors.lastname: Hermann
authors.affiliation: Formadep, Paris, France.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Treffel
authors.affiliation: Service de gériatrie, CHU de Montpellier, France.
authors.forename: Claude
authors.initials: C
authors.lastname: Jeandel
mesh_terms: D000368:Aged; D000544:Alzheimer Disease / Q000628:therapy; D006282:Health Personnel / Q000193:education*; D006299:Health Services for the Aged / Q000592:standards*; D006707:Homes for the Aged; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D011446:Prospective Studies
keywords: Formadep; Korian; NPI; dementia; humanitude; medical home for dependant people; neuropsychiatric behaviours