Evaluating the Effectiveness of a New Way of Organizing Primary Health Care to Improve the Management of Alzheimer's Disease EvaMMADom

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The objective of the present study is to evaluate the effectiveness of a general practitioner (MG) management strategy guided by a multidimensional evaluation on the multidimensional score of fragility of patients with mild to moderately severe dementia, compared to those currently implemented (without the provision of such an assessment). The measurement of the respective effectiveness of the two types of care in primary care will itself be based on a multidimensional evaluation performed independently in the memory center having established the diagnosis of Alzheimer's disease. The secondary objectives are the evaluation of the impact of the strategy on the functional abilities of patients, the incidence of geriatric syndromes, cognitive functions, quality of life of the patient and the burden of the primary caregiver. The efficiency of the strategy will be assessed through a cost-effectiveness analysis. A survey of opinions will also be conducted among primary health care providers, carers and CMs on the implemented system.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 65
Healthy Volunteers: f
View:

• Patients with probable Alzheimer's disease, according to the criteria usually used in memory centers

• Aged over 64 years with mild to moderately severe dementia syndrome

• Volunteers for medical follow-up for a period of 20 months; Which the general practitioner attending agrees to participate in the research

Locations
Other Locations
France
Assistance Publique Hôpitaux de Marseille
RECRUITING
Marseille
Contact Information
Primary
Mattieu CECCALDI, PU-PH
mathieu.ceccaldi@ap-hm.fr
491385928
Backup
Jean-Olivier ARNAUD, Director
drci@ap-hm.fr
491381475
Time Frame
Start Date: 2019-01-16
Estimated Completion Date: 2026-01-15
Participants
Target number of participants: 320
Treatments
Experimental: the multidimensional score of fragility (RAI CA)
A general practitioner (MG) management strategy guided by a multidimensional evaluation (RAI-CA) on the multidimensional score of fragility (RAI-HC) of patients with mild to moderately severe dementia.
Placebo_comparator: Usual care
support for patients without multidimensional evaluation (RAI-CA)
Related Therapeutic Areas
Sponsors
Leads: Assistance Publique Hopitaux De Marseille

This content was sourced from clinicaltrials.gov