Evidence map›Paper›PMID 32517727›Full record

ArticleTrials2020

LIVE@Home.Path-innovating the clinical pathway for home-dwelling people with dementia and their caregivers: study protocol for a mixed-method, stepped-wedge, randomized controlled trial.

Bettina Sandgathe Husebo, Heather Allore, Wilco Achterberg, Renira Corinne Angeles, Clive Ballard, Frøydis Kristine Bruvik, Stein Erik Fæø, Marie Hidle Gedde, Eirin Hillestad, Frode Fadnes Jacobsen and 13 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04043364 (LIVE@Home.Path), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT04043364 naunknown statusnot on this map

LIVE@Home.Path: a Mixed Method, Stepped Wedge and Randomized Controlled Trial Innovating the Clinical Pathway for Home-dwelling Persons With Dementia and Their Families

TypeinterventionalSponsorUniversity of BergenRan2019 to 2023Enrolled280ConditionsDementia, Home-dwelling, CaregiverArmsLIVE
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. Burden and care time for dementia caregivers in the LIVE@Home.Path trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 15 institutions in 5 countries.

Bettina Sandgathe HuseboCentre for Elderly and Nursing Home Medicine, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway.
Heather AlloreDepartment of Internal Medicine, Section of Geriatrics, Yale School of Medicine, New Haven, CT, USA.
Wilco AchterbergDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Renira Corinne AngelesNORCE Norwegian Research Centre, Bergen, Norway.
Clive BallardCollege of Medicine and Health, University of Exeter, Exeter, UK.
Frøydis Kristine BruvikDepartment of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway.
Stein Erik FæøCentre for Elderly and Nursing Home Medicine, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway.
Marie Hidle GeddeCentre for Elderly and Nursing Home Medicine, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway.
Eirin HillestadCentre for Elderly and Nursing Home Medicine, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway.
Frode Fadnes JacobsenVid Specialized University, Bergen, Norway.
Øyvind KirkevoldNorwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Lillehamner, Norway.
Egil KjerstadNORCE Norwegian Research Centre, Bergen, Norway.
Reidun Lisbeth Skeide KjomeCentre for Pharmacy, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Janne MannsethCentre for Elderly and Nursing Home Medicine, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway.
Mala NaikHaraldsplass Deaconess Hospital, Bergen, Norway.
Rui NouchiDepartment of Cognitive Health Science, Institute of Development, Aging and Cancer, Tohoku University, Tohoku, Japan.
Nathalie PuaschitzCentre for Care Research, Western Norway University of Applied Sciences, Bergen, Norway.
Rune SamdalCentre for Elderly and Nursing Home Medicine, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway.
Oscar TranvågCentre for Elderly and Nursing Home Medicine, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway.
Charalampos TzoulisNeuro-SysMed, Department of Neurology, Haukeland University Hospital, Bergen, Norway.
Ipsit Vihang VahiaMcLean Hospital, Belmont, MA, USA.
Maarja VislapuuCentre for Elderly and Nursing Home Medicine, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway.
Line Iden BergeCentre for Elderly and Nursing Home Medicine, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway. Line.Berge@uib.no.ORCID http://orcid.org/0000-0003-4278-5240
University of Bergen · NOHaraldsplass Diakonale Sykehus · NONORCE Research AS · NOWestern Norway University of Applied Sciences · NOBergen Kommune · NOHarvard University · USHaukeland University Hospital · NOLeiden University Medical Center · NLNorwegian University of Science and Technology · NOOslo University Hospital · NOSt Olav's University Hospital · NOTohoku University · JPUniversity of Exeter · GBVID Specialized University · NOYale University · US

Funding

Norwegian research council 261626Norwegian research council 273581
6 · The paper itself

Abstract

backgroundThe global health challenge of dementia is exceptional in size, cost and impact. It is the only top ten cause of death that cannot be prevented, cured or substantially slowed, leaving disease management, caregiver support and service innovation as the main targets for reduction of disease burden. Institutionalization of persons with dementia is common in western countries, despite patients preferring to live longer at home, supported by caregivers. Such complex health challenges warrant multicomponent interventions thoroughly implemented in daily clinical practice. This article describes the rationale, development, feasibility testing and implementation process of the LIVE@Home.Path trial.

methodsThe LIVE@Home.Path trial is a 2-year, multicenter, mixed-method, stepped-wedge randomized controlled trial, aiming to include 315 dyads of home-dwelling people with dementia and their caregivers, recruited from 3 municipalities in Norway. The stepped-wedge randomization implies that all dyads receive the intervention, but the timing is determined by randomization. The control group constitutes the dyads waiting for the intervention. The multicomponent intervention was developed in collaboration with user-representatives, researchers and stakeholders to meet the requirements from the national Dementia Plan 2020. During the 6-month intervention period, the participants will be allocated to a municipal coordinator, the core feature of the intervention, responsible for regular contact with the dyads to facilitate L: Learning, I: Innovation, V: Volunteering and E: Empowerment (LIVE). The primary outcome is resource utilization. This is measured by the Resource Utilization in Dementia (RUD) instrument and the Relative Stress Scale (RSS), reflecting that resource utilization is more than the actual time required for caring but also how burdensome the task is experienced by the caregiver. DISCUSSION: We expect the implementation of LIVE to lead to a pathway for dementia treatment and care which is cost-effective, compared to treatment as usual, and will support high-quality independent living, at home.

trial registrationClinicalTrials.gov: NCT04043364. Registered on 15 March 2019.

Indexed as

Cost of IllnessCritical PathwaysActivities of Daily LivingAdaptation, PsychologicalAgedCaregiversCost-Benefit AnalysisDementiaHome Care ServicesHumansInstitutionalizationMulticenter Studies as TopicNorwayQuality of LifeRandomized Controlled Trials as TopicCaregiver burdenDementia careHome-dwellingMulticomponent interventionsResource utilizationService collaborationStepped-wedge randomization

Identifiers

PMID32517727
PMCPMC7281688
OpenAlexW3033452274

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.