DEMENTIA AND THE ROLE OF EVIDENCE-BASED GUIDELINES IN PRIMARY CARE: RESULTS OF A CLUSTER RANDOMIZED CONTROLLED TRIAL

作者: Sonia Lech , Julie L O'Sullivan , Robert P Spang , Jan-Niklas Voigt-Antons , Paul Gellert

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摘要: General practitioners (GPs) play a key role in the care of people with dementia (PwD). However, the potentials of evidence-based dementia guidelines in primary care remain unclear. The main objective of the present study was to examine the role of guideline-based dementia care in general practices and to evaluate the effectiveness of a tablet-based intervention aiming at improving guideline-based care. A two arm, cluster-randomized controlled trial (cRCT) with an intervention group (tablet-based intervention) and a control group (treatment as usual) was conducted from April 15, 2018, to July 31, 2021, in Berlin and the surrounding area. Primary outcome was defined as adherence to dementia guideline recommendations after 9 months. Secondary outcomes included various health outcomes assessed in PwD (eg, quality of life). Linear Mixed Models were used to analyse cross sectional baseline data. Primary …

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