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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Group | The experimental group will be made up of patients from nursing homes whose carers have received I-Learn training. |
| |
| 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| I-LEARN training | Behavioral | Training of psycho-behavorial disorders care in neurodegenerative diseases: including a theoretical part in e-learning and a practical part |
|
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of agitation of patients in the nursing home | 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 | Baseline |
| Measurement of agitation of patients in the nursing home | 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 | 3 months |
| Measurement of agitation of patients in the nursing home | 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 | 6 months |
| Measurement of agitation of patients in the nursing home | 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 | 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency and severity of Psychobehavioural Symptoms associated with Dementia | 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 | Baseline, 3 months, 6 months and 9 months |
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Inclusion Criteria:
Exclusion Criteria:
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Dependent elderly people with a neurodegenerative disease
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| Name | Affiliation | Role |
|---|---|---|
| Céline LOURDEL | University Hospital, Tours | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| EHPAD Résidence du Prévot | Châteaugiron | 35000 | France | |||
| Maison Saint Michel |
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| usual care | Other | usual care |
|
| Quality of life of patients | 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. | Baseline, 3 months, 6 months and 9 months |
| Impact of I-Learn on psychotropic drug prescriptions | Changes in the prescriptions given to patients in terms of psychotropic drugs (addition or withdrawal of a neuroleptic, antidepressant, anxiolytic, etc.) | Baseline, 3 months, 6 months and 9 months |
| Impact of I-Learn on psychotropic drug prescriptions | Changes in the prescriptions given to patients in terms of dosage (increase/decrease of the daily dose) | Baseline, 3 months, 6 months and 9 months |
| Impact of I-Learn training on hospital admissions | number of transfers to acute or emergency departments | 3 months, 6 months and 9 months |
| Impact of I-Learn training on hospital admissions | reasons for hospitalisation | 3 months, 6 months and 9 months |
| Impact of Psychobehavioural Symptoms Associated with Dementia on the professional practice of health care teams | 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 | Baseline, 3 months, 6 months and 9 months |
| Caregiver burnout at work | 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. | Baseline, 6 months and 9 months |
| Liffré |
| 35340 |
| France |
| EHPAD La Bourdaisière | Montlouis-sur-Loire | 37270 | France |
| Résidence Père Brottier | Pléchâtel | 35470 | France |
| EHPAD Le Clos Saint-Vincent | Rochecorbon | 37210 | France |
| EHPAD Montconseil | Tours | 37012 | France |
| EHPAD La Source | Tours | 37100 | France |
| ID | Term |
|---|---|
| D011595 | Psychomotor Agitation |
| ID | Term |
|---|---|
| D020820 | Dyskinesias |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D011596 | Psychomotor Disorders |
| D019954 | Neurobehavioral Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000096762 | Aberrant Motor Behavior in Dementia |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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