Efficiency of E-learning and Role-playing for the Training of Nursing Home Caregivers in the Support of Agitation in Neurodegenerative Diseases
Study Details
Study Description
Brief Summary
This study will investigate the effects of "I-Learn cognition and behaviour" training in the care in agitation in patients with neurodegenerative diseases. This training for caregivers, aims to reduce agitation and psycho-behavioral disorders of patients living in nursing home. In addition, amount of psychotropic drugs prescribed, as well as the number of hospitalizations during the study will be assessed.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental Group The experimental group will be made up of patients from nursing homes whose carers have received I-Learn training. |
Behavioral: I-LEARN training
Training of psycho-behavorial disorders care in neurodegenerative diseases: including a theoretical part in e-learning and a practical part
Other: usual care
usual care
|
| Control Group The control group will consist of nursing homes patients whose caregivers have not received I-Learn training and will continue their usual care, regardless of the practices already implemented. |
Other: usual care
usual care
|
Outcome Measures
Primary Outcome Measures
- Measurement of agitation of patients in the nursing home [Baseline]
Assessment of agitation using the Cohen-Mansfield Agitation Inventory (CMAI, 1989) by asking caregivers about the patients' behaviour. The minimum value is 0 and the maximum value is 203. the higher the score, the more intense the agitation
- Measurement of agitation of patients in the nursing home [3 months]
Assessment of agitation using the Cohen-Mansfield Agitation Inventory (CMAI, 1989) by asking caregivers about the patients' behaviour. The minimum value is 0 and the maximum value is 203. the higher the score, the more intense the agitation
- Measurement of agitation of patients in the nursing home [6 months]
Assessment of agitation using the Cohen-Mansfield Agitation Inventory (CMAI, 1989) by asking caregivers about the patients' behaviour. The minimum value is 0 and the maximum value is 203. the higher the score, the more intense the agitation
- Measurement of agitation of patients in the nursing home [9 months]
Assessment of agitation using the Cohen-Mansfield Agitation Inventory (CMAI, 1989) by asking caregivers about the patients' behaviour. The minimum value is 0 and the maximum value is 203. the higher the score, the more intense the agitation
Secondary Outcome Measures
- Frequency and severity of Psychobehavioural Symptoms associated with Dementia [Baseline, 3 months, 6 months and 9 months]
Assessment using the Neuro Psychiatric Inventory, care team version (NPI-ES, 2000). 10 behavioural domains and 2 neurovegetative variables are considered. item score = frequency x severity frequency minimum = 1 and maximum = 4 severity minimum = 1 and maximum = 3 A score above 2 is pathological
- Quality of life of patients [Baseline, 3 months, 6 months and 9 months]
Assessment using the Quality of Life-Alzheimer's Disease (QOL-AD, 2009) 13 questions focus on the patient's quality of life. the patient's current quality of life in each domain is assessed by choosing one of the following four words: poor, fair, good, excellent.
- Impact of I-Learn on psychotropic drug prescriptions [Baseline, 3 months, 6 months and 9 months]
Changes in the prescriptions given to patients in terms of psychotropic drugs (addition or withdrawal of a neuroleptic, antidepressant, anxiolytic, etc.)
- Impact of I-Learn on psychotropic drug prescriptions [Baseline, 3 months, 6 months and 9 months]
Changes in the prescriptions given to patients in terms of dosage (increase/decrease of the daily dose)
- Impact of I-Learn training on hospital admissions [3 months, 6 months and 9 months]
number of transfers to acute or emergency departments
- Impact of I-Learn training on hospital admissions [3 months, 6 months and 9 months]
reasons for hospitalisation
- Impact of Psychobehavioural Symptoms Associated with Dementia on the professional practice of health care teams [Baseline, 3 months, 6 months and 9 months]
Assessment using the Neuro Psychiatric Inventory, care team version (NPI-ES, 2000) 10 behavioural domains and 2 neurovegetative variables are considered. item score = frequency x severity fequency minimum = 1 and maximum = 4 severity minimum = 1 and maximum = 3 A score above 2 is pathological
- Caregiver burnout at work [Baseline, 6 months and 9 months]
Assessment using the Maslach Burnout Inventory (MBI, 1986) 22 items For each item, the minimum value is 0 and the maximum value is 6 BURNOUT Questions 1.2.3.6.8.13.14.16.20 Degree of burn out Total below 17 = low Total between 18 and 29 = moderate Total above 30 = high DEPERSONALISATION Questions 5.10.11.15.22 Degree of burn out Total below 5 = low Total between 6 and 11 = moderate Total above 12 = high PERSONAL FULFILMENT Questions 4.7.9.12.17.18.19.21 Degree of burn out Total above 40 = low Total between 34 and 39 = moderate Total below 33 = high Moderate or even high scores are a sign of latent burnout that is taking hold.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Diagnosis of Major Neurocognitive Disorder according to DSM 5
-
With agitation and NPI agitation item score of 4 or more (frequency X severity)
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Information and verification of the non-opposition of the patient and his guardian / curator if he is under legal protection.
Exclusion Criteria:
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Patient under court protection
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Inability to understand the French language
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Patient whose state of health is not stabilised at the time of inclusion and/or in palliative care
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | EHPAD Résidence du Prévot | Châteaugiron | France | 35000 | |
| 2 | Maison Saint Michel | Liffré | France | 35340 | |
| 3 | EHPAD La Bourdaisière | Montlouis-sur-Loire | France | 37270 | |
| 4 | Résidence Père Brottier | Pléchâtel | France | 35470 | |
| 5 | EHPAD Le Clos Saint-Vincent | Rochecorbon | France | 37210 | |
| 6 | EHPAD Montconseil | Tours | France | 37012 | |
| 7 | EHPAD La Source | Tours | France | 37100 |
Sponsors and Collaborators
- University Hospital, Tours
Investigators
- Principal Investigator: Céline LOURDEL, University Hospital, Tours
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- DR200087 (I-LEARN)