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Personalized Management of Psycho-behavioral Symptoms in Alzheimer's Disease: Impact on Health Resources Use
Sponsor: University Hospital, Toulouse
Summary
The present project propose to study the effectiveness of a personalized care management of psycho-behavioral symptoms based on an evidence-based standardized assessment to identify and understand the underlying causes of psycho-behavioral symptoms followed by a personalized intervention based on targeted and prioritized actions. This personalized intervention is proposed both to Alzheimer disease (AD) patients living at home with agitation-type psycho-behavioral symptoms, and also to their caregivers with the support and coordination of a nurse working in collaboration with the specialist physician and the General Practitioner (GP). News technologies are used to enhance the follow-up, based on telehealth, and caregiver training. The project hypothesize that, for a vulnerable population at risk (AD patient with agitation and their caregivers) living at home, a personalized intervention, carried out and coordinated by a nurse in close collaboration with the specialist and GP, would reduce hospitalizations and have a positive effect on the disease evolution and caregiver distress. Also this personalized intervention could reduce the cost of care, in particular by reducing the costs associated with hospitalizations and informal help.
Official title: Personalized Management of Psycho-behavioral Symptoms in Alzheimer's Disease and Related Disorders: Impact on Health Resources Use
Key Details
Gender
All
Age Range
60 Years - Any
Study Type
INTERVENTIONAL
Enrollment
668
Start Date
2021-10-14
Completion Date
2024-10-14
Last Updated
2024-08-02
Healthy Volunteers
No
Conditions
Interventions
personalized care preceded by a standardized assessment
* personalized intervention plan (PIP) proposed to the patient/caregiver dyad to correct potentially reversible causes of psycho-behavioral symptoms. This PIP will be re-evaluated and adapted at each visit by the nurse in close collaboration with the GP; * PIP implementation will be based on a close follow-up during the 18 months follow-up coordinated by the nurse (3 memory consultation visits, 3 home visits (with the GP) and 6 phone calls). This follow up will be enhanced with the use of a web platform (allowing teleconsultation, tele-expertise and telemonitoring); * specific training on psycho-behavioral symptoms for caregivers at baseline and during follow-up will be performed. On line training on psycho-behavioral symptoms management for GP will be available;
Locations (16)
CH d'Albi
Albi, France
CH de Cahors
Cahors, France
Carcassonne Hospital
Carcassonne, France
CHI Castres Mazamet
Castres, France
CH Lannemezan
Lannemezan, France
CH Lavaur
Lavaur, France
Limoges university hospital
Limoges, France
Lyon University Hospital
Lyon, France
CH Montauban
Montauban, France
Narbonne Hospital
Narbonne, France
Perpignan Hospital
Perpignan, France
CHI Val d'Ariège
Saint-Girons, France
Toulouse University Hospital (CHU de Toulouse)
Toulouse, France
University Hospital Toulouse - Neurology department
Toulouse, France
CH de Bigorre
Vic-en-Bigorre, France
HNO-Franche-sur-Soâne
Villefranche-sur-Saône, France