Trial reportTrials2013
Tailored educational intervention for primary care to improve the management of dementia: the EVIDEM-ED cluster randomized controlled trial.
Trial report in Trials, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00866099 (Evidence-based Interventions In Dementia EVIDEM-ED), which is not on this map. Cited by 18 papers, 1 of them a synthesis 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.
Evidence-based Interventions In Dementia EVIDEM-ED: Early Recognition and Response in Primary Care
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Dementia ascertainment using existing data in UK longitudinal and cohort studies: a systematic review of methodology.BMC psychiatry · 2017Pooled it
- Trial
- Case Finding of Mild Cognitive Impairment and Dementia and Subsequent Care; Results of a Cluster RCT in Primary Care.PloS one · 2016Trial
- The association between the level of institutional support for dementia care in primary care practices and the quality of dementia primary care: A retrospective chart review.Alzheimer's & dementia (New York, N. Y.) · 2022Article
- General practitioners' attitude toward early and pre-dementia diagnosis of AD in five European countries-A MOPEAD project survey.Alzheimer's & dementia (Amsterdam, Netherlands) · 2021Article
- Representation of Black, Asian and minority ethnic patients in secondary care mental health services: analysis of 7-year access to memory services in Leicester and Leicestershire.BJPsych bulletin · 2020Article
- GP awareness, practice, knowledge and confidence: evaluation of the first nation-wide dementia-focused continuing medical education program in Australia.BMC family practice · 2020Article
- Alzheimer's Diagnosis: Real-World Physician Behavior Across Countries.Advances in therapy · 2020Article
- Factors associated with successful dementia education for practitioners in primary care: an in-depth case study.BMC medical education · 2019Article
- Physician Perceptions about the Barriers to Prompt Diagnosis of Mild Cognitive Impairment and Alzheimer's Disease.International journal of Alzheimer's disease · 2019Article
- General practitioners' knowledge, attitudes, and experiences of managing behavioural and psychological symptoms of dementia: A mixed-methods systematic review.International journal of geriatric psychiatry · 2018Review
- Article
- Quality circles for quality improvement in primary health care: Their origins, spread, effectiveness and lacunae- A scoping review.PloS one · 2018Article
- Dementia care management in primary care : Current collaborative care models and the case for interprofessional education.Zeitschrift fur Gerontologie und Geriatrie · 2017Review
- The UK experience of promoting dementia recognition and management in primary care.Zeitschrift fur Gerontologie und Geriatrie · 2017Article
- Timely Diagnosis for Alzheimer's Disease: A Literature Review on Benefits and Challenges.Journal of Alzheimer's disease : JAD · 2016Review
- Towards a Brazilian dementia plan? Lessons to be learned from Europe.Dementia & neuropsychologiaReview
- Uncovering barriers to early diagnosis of Alzheimer's disease: a European perspective.Alzheimer's & dementia (New York, N. Y.)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundEarly diagnosis of dementia is important because this allows those with dementia and their families to engage support and plan ahead. However, dementia remains underdetected and suboptimally managed in general practice. Our objective was to test the effect of a workplace-based tailored educational intervention developed for general practice on the clinical management of people with dementia.
methodsThe tailored educational intervention was tested in an unblinded cluster randomized controlled trial with a pre/post-intervention design, with two arms: usual/normal care control versus educational intervention. The primary outcome measure was an increase in the proportion of patients with dementia who received at least two documented dementia-specific management reviews per year. Case identification was a secondary outcome measure.
results23 practices in South-East England participated. A total of 1,072 patients with dementia (intervention: 512, control: 560) had information in their medical records showing the number of reviews within 12 months (or a proportion of) before intervention or randomization and within 12 months (or a proportion of) after. The mean total number of dementia management reviews after the educational intervention for people with dementia was 0.89 (SD 1.09; minimum 0; median 1; maximum 8) compared with 0.89 (SD 0.92; minimum 0; median 1; maximum 4) before intervention. In the control group prior to randomization the mean total number of dementia management reviews was 1.66 (SD 1.87; minimum 0; median 1; maximum 12) and in the period after randomization it was 1.56 (SD 1.79; minimum 0; median 1; maximum 11). Case detection rates were unaffected. The estimated incidence rate ratio for intervention versus control group was 1.03 (P = 0.927, 95% CI 0.57 to 1.86).
conclusionsThe trial was timely, coinciding with financial incentives for dementia management in general practice (through the Quality Outcomes Framework); legal imperatives (in the form of the Mental Capacity Act 2005); policy pressure (The National Dementia Strategy 2009); and new resources (such as dementia advisors) that increased the salience of dementia for general practitioners. Despite this the intervention did not alter the documentation of clinical management of patients with dementia in volunteer practices, nor did it increase case identification.
trial registrationNCT00866099/Clinical Trials.
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What OpenQuestion holds
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.