Self-management and HeAlth Promotion in Early-stage dementia with e-learning for carers (SHAPE): study protocol for a multi-centre randomised controlled trial

BMC Public Health

Martin Knapp¹  Catherine Henderson¹  Martha Therese Gjestsen²  Martine Marie Kajander³  Ingelin Testad⁴  Ingvild Dalen⁵  Guro Hanevold Bjørkløf⁶  Janne Røsvik⁶  Geir Selbæk⁷  Linda Clare⁸  Jessica Amos⁹  Kaarin Anstey^1,10  Shelley Rhodes^1,11  Jessica Bollen^1,11  Lynne Quinn^1,11 

[1]Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, London, UK

[2]Centre for Age-related Medicine – SESAM, Stavanger University Hospital, Stavanger, Norway

[3]Centre for Age-related Medicine – SESAM, Stavanger University Hospital, Stavanger, Norway

[4]Department of Clinical Medicine, University of Bergen, Bergen, Norway

[5]Centre for Age-related Medicine – SESAM, Stavanger University Hospital, Stavanger, Norway

[6]University of Exeter, College of Medicine and Health, University of Exeter, Exeter, UK

[7]Department of Old Age Psychiatry, Institute of Psychiatry, Psychology, & Neuroscience, King’s College London, London, UK

[8]Department of Research, Section of Biostatistics, Stavanger University Hospital, Stavanger, Norway

[9]Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway

[10]Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway

[11]Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway

[12]Faculty of Medicine, University of Oslo, Oslo, Norway

[13]REACH: The Centre for Research in Ageing and Cognitive Health, University of Exeter, St Luke’s Campus, Exeter, UK

[14]UNSW Ageing Futures Institute, University of New South Wales, Randwick, Australia

[15]UNSW Ageing Futures Institute, University of New South Wales, Randwick, Australia

[16]Neuroscience Research Australia, Randwick, Australia

[17]University of Exeter, College of Medicine and Health, University of Exeter, Exeter, UK

关键词: Self-management;    Health promotion;    Dementia;    Intervention;    Group intervention;    E-learning;    Carers;    Self-efficacy;    Cost-effectiveness;    Randomised controlled trial;   

DOI  :  10.1186/s12889-020-09590-9

来源: Springer

【 摘 要 】

BackgroundWith an increasing number of people with dementia worldwide and limited advancement in medical treatments, the call for new and cost-effective approaches is crucial. The utility of self-management has been proven in certain chronic conditions. However, very little work has been undertaken regarding self-management in people with dementia.MethodsThe SHAPE trial will include 372 people with mild to moderate dementia to evaluate the effectiveness and cost-effectiveness of an educational programme combining approaches of self-management, health promotion, and e-learning for care partners. The study is a multi-site, single-randomised, controlled, single-blinded trial with parallel arms. The intervention arm is compared with treatment as usual. The intervention comprises a 10-week course delivered as group sessions for the participants with dementia. The sessions are designed to develop self-management skills and to provide information on the nature of the condition and the development of healthy behaviours in a supportive learning environment. An e-learning course will be provided for care partners which covers similar and complementary material to that discussed in the group sessions for the participant with dementia.DiscussionThis trial will explore the effect of the SHAPE group intervention on people with mild to moderate dementia in terms of self-efficacy and improvement in key health and mental health outcomes and cost-effectiveness, along with carer stress and knowledge of dementia.Trial registrationClinicalTrials.gov Identifier: NCT04286139, registered prospectively February 26, 2020, https://clinicaltrials.gov/ct2/show/NCT04286139

【 授权许可】

CC BY