Trial reportBMC health services research2010
Effects of general practitioner training and family support services on the care of home-dwelling dementia patients--results of a controlled cluster-randomized study.
Trial report in BMC health services research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effectiveness of different post-diagnostic dementia care models delivered by primary care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Pooled it
- Can non-pharmacological interventions reduce hospital admissions in people with dementia? A systematic review.PloS one · 2019Pooled it
- [People with dementia in primary care : Prevalence, incidence, risk factors and interventions].Zeitschrift fur Gerontologie und Geriatrie · 2017Pooled it
- Trial
- [What prevention potential does the general practitioner setting offer for family caregivers?-findings from a qualitative interview study].Wiener medizinische Wochenschrift (1946) · 2024Article
- What requirements do primary care physicians have with regard to dementia diagnostics and dementia care? - a survey study among general practitioners in Germany 2022/2023.Archives of public health = Archives belges de sante publique · 2023Article
- Slowing dementia symptoms - a qualitative study on attitudes and experiences of general practitioners in Germany.The European journal of general practice · 2022Article
- [General practitioners, attitudes, procedures and challenges towards supporting family caregivers - results of a survey of primary care physicians].Deutsche medizinische Wochenschrift (1946) · 2022Article
- Family-Centered Primary Care for Older Adults with Cognitive Impairment.Contemporary family therapy · 2022Article
- Prerequisites for providing effective support to family caregivers within the primary care setting - results of a study series in Germany.BMC family practice · 2021Article
- Support, needs and expectations of family caregivers regarding general practitioners - results from an online survey.BMC family practice · 2021Article
- [Diagnostic procedures in patients with mild cognitive impairment and in patients with dementia].Der Nervenarzt · 2020Article
- Influences on the access to and use of formal community care by people with dementia and their informal caregivers: a scoping review.BMC health services research · 2019Article
- Article
- Optimising primary care for people with dementia.Mental health in family medicine · 2013Article
- Predictors of institutionalization of dementia patients in mild and moderate stages: a 4-year prospective analysis.Dementia and geriatric cognitive disorders extra · 2013Article
- Participation in physical and social activities among home-dwelling persons with dementia - experiences of next of kin.Psychology research and behavior management · 2013Article
- PalliPA: How can general practices support caregivers of patients at their end of life in a home-care setting? A study protocol.BMC research notes · 2012Article
- Primary Healthcare Providers' Activities in Linking Patients With Chronic Diseases to Community Organizations: A Scoping Review.Journal of primary care & community healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMore than 90% of dementia patients are cared for by their general practitioners, who are decisively involved in the diagnosis, therapy and recommendation of support services.
objectiveTo test whether special training of general practitioners alters the care of dementia patients through their systematic recommendation of caregiver counseling and support groups.
method129 general practitioners enrolled 390 dementia patients and their informal caregivers in a prospective, three-arm cluster-randomized 2-year study. Arm A constituted usual care, in Arm B and C support groups and caregiver counseling (in Arm B one year after baseline, in Arm C at baseline) were recommended by the general practitioners. The general practitioners received arm-specific training. Diagnostic and therapeutic behavior of physicians was recorded at baseline. Informal caregivers were questioned in follow-up after 2 years about the utilization of support services.
resultsThe diagnostic behavior of the general practitioners conforms to relevant guidelines. The procedure in newly-diagnosed patients does not differ from previously diagnosed patients with the exception of the rate of referral to a specialist. About one-third of the newly-diagnosed dementia patients are given an anti-dementia drug. The utilization of support groups and counseling increased five- and fourfold, respectively. Utilization of other support services remained low (< 10%), with the exception of home nursing and institutional short-term nursing.
conclusionTrained general practitioners usually act in conformity with guidelines with respect to diagnosing dementia, and partly in conformity with the guidelines with respect to recommended drug therapy. Recommendations of support services for informal caregivers by the general practitioner are successful. They result in a marked increase in the utilization rate for the recommended services compared to offers which are not recommended by the general practitioner.
trial registrationISRCTN68329593.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.