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Integrated multidisciplinary diagnostic approach for dementia care
 — randomised controlled trial
Author(s)Claire A G Wolfs, Alfons Kessels, Carmen D Dirksen
Journal titleBritish Journal of Psychiatry, vol 192, April 2008
Pagespp 300-305
Sourcehttp://bjp.rcpsych.org
KeywordsDementia ; Diagnosis ; Multi disciplinary ; Cluster analysis ; Clinical surveys ; Longitudinal surveys ; Netherlands.
AnnotationAn integrated multidisciplinary approach to dementia is often recommended but has rarely been evaluated. As part of the Maastricht Evaluation of a Diagnostic Intervention for Cognitively Impaired Elderly (MEDICIE), this study aimed to evaluate the clinical effects of an integrated multidisciplinary diagnostic facility for psychogeriatric patients. Those patients suspected of having complex psychogeriatric problems were randomly allocated to the intervention (n=137) or to treatment as usual (n=93). They were assessed at baseline, and at 6 months and 12 months follow-up by means of personal interviews with the patient's proxy. The primary outcome was health-related quality of life, assessed using the visual analogue scale (VAS) of the EuroQd measure, EQ-5D. Results showed that health-related quality of life had improved at 6 months in the intervention group, whereas that of the control group had decreased. Furthermore, more patients in the intervention group experienced a clinically relevant improvement of 10 points or more on the VAS at both follow-up treatments. An integrated multidisciplinary approach improves dementia care. (KJ/RH).
Accession NumberCPA-080409204 A
ClassmarkEA: LK7: 3DM: 3YB: 3G: 3J: 76H

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