Reorganizing tasks in primary dementia care – A randomized, controlled, crossover intervention trial to test the efficacy and cost‐effectiveness of advanced nursing care in Germany

• DOI: 10.1002/alz.065327
• Publication Date: 2022-12-20T15:06:17Z
• Authors: Franka Mühlichen; Anika Raedke; Moritz Platen; Bernhard Michalowsky; Wiebke Mohr; Annelie Scharf; Fabian Kleinke; Peter Penndorf; Wolfgang Hoffmann
• Keywords: 03 medical and health sciences; 0302 clinical medicine; ddc:610; 3. Good health

The increasing prevalence of dementia with the constant availability general practitioners is a significant challenge for healthcare systems worldwide. Advanced nursing practice (ANP) was implemented in several countries as one possible solution to overcome this challenge. However, concept care not yet Germany. InDePendent study ("Advanced and interprofessional care") first Germany, aiming implement evaluate model ANP persons (PwDs) living at home their caregivers where tasks were reorganized between dementia-specific qualified nurses physicians.The Independent multi-center, cluster-randomized, controlled, crossover interventional trial. Whereas waiting-control group receive usual, intervention aims provide optimum PwD by integrating multimodal strategies an individualized within framework German system reorganization nurses. Dementia-specific nurses, who passed specific state exam, conduct interventions. Based on evidence-based guidelines comprehensive set 115 modules defined. Each module consists predefined trigger conditions recommendations actions. starts assessment instruments identify unmet needs, individual situation resources caregiver. Subsequently, list generated address each identified needs. lists carried out nurse close cooperation practitioners. For time able carry that are usually practitioners, like prescription aids outpatient care.We expect statistically differences waiting-control-group intervention-group across primary (unmet needs) secondary outcomes (quality life, caregiver burden, acceptance, cost-effectiveness). This can evidence concerning safety, efficacy, cost-effectiveness supporting implementation into routine care.