Evidence map›Paper›PMID 35042544›Full record

ArticleTrials2022

Achieving Quality and Effectiveness in Dementia Using Crisis Teams (AQUEDUCT): a study protocol for a randomised controlled trial of a Resource Kit.

Donna Maria Coleston-Shields, David Challis, Angela Worden, Emma Broome, Tom Dening, Boliang Guo, Juanita Hoe, Brynmor Lloyd-Evans, Esme Moniz-Cook, Steve Morris and 3 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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

13 authors at 6 institutions in 1 country.

Donna Maria Coleston-ShieldsMental Health & Clinical Neurosciences, University of Nottingham, Nottingham, UK.
David ChallisMental Health & Clinical Neurosciences, University of Nottingham, Nottingham, UK. david.challis@nottingham.ac.uk.ORCID http://orcid.org/0000-0002-6464-2286
Angela WordenMental Health & Clinical Neurosciences, University of Nottingham, Nottingham, UK.
Emma BroomeNIHR Nottingham Biomedical Research Centre, Hearing Sciences, University of Nottingham, Nottingham, UK.
Tom DeningMental Health & Clinical Neurosciences, University of Nottingham, Nottingham, UK.
Boliang GuoSchool of Medicine, University of Nottingham, Nottingham, UK.
Juanita HoeSchool of Health Sciences, City, University of London, London, UK.
Brynmor Lloyd-EvansDivision of Psychiatry, University College London, London, UK.
Esme Moniz-CookFaculty of Health Sciences, University of Hull, Hull, UK.
Steve MorrisDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Fiona PolandSchool of Health Sciences, University of East Anglia, Norwich, UK.
David ProtheroInstitute of Mental Health, University of Nottingham, Nottingham, UK.
Martin OrrellMental Health & Clinical Neurosciences, University of Nottingham, Nottingham, UK.
University of Nottingham · GBCity, University of London · GBUniversity College London · GBUniversity of Cambridge · GBUniversity of East Anglia · GBUniversity of Hull · GB

Funding

programme grants for applied research RP-PG-0612-20004
6 · The paper itself

Abstract

backgroundImproving care at home for people with dementia is a core policy goal in the dementia strategies of many European countries. A challenge to effective home support is the occurrence of crises in the care of people with dementia which arise from changes in their health and social circumstances. Improving the management of these crises may prevent hospital admissions and facilitate better and longer care at home. This trial is part of a National Institute for Health Research funded programme, AQUEDUCT, which aims to improve the quality and effectiveness of teams working to manage crises in dementia. METHODS/

designIt is a pragmatic randomised controlled trial of an online Resource Kit to enhance practice in teams managing crises in dementia care. Thirty teams managing mental health crises in dementia in community settings will be randomised between the Resource Kit intervention and treatment as usual. The primary outcome measure is psychiatric admissions to hospital for people with dementia in the teams' catchment area recorded 6 months after randomisation. Other outcomes include quality of life measures for people with dementia and their carers, practitioner impact measures, acute hospital admissions and costs. To enhance understanding of the Resource Kit intervention, qualitative work will explore staff, patient and carers' experience. DISCUSSION: The Resource Kit intervention reflects current policy to enable home-based care for people with dementia by addressing the management of crises which threaten the viability of care at home. It is based upon a model of best practice for managing crises in dementia designed to enhance the quality of care, developed in partnership with people with dementia, carers and practitioners. If the Resource Kit is shown to be clinically and cost-effective in this study, this will enhance the probability of its incorporation into mainstream practice.

trial registrationISRCTN 42855694 ; Registered on 04/03/2021; Protocol number: 127686/2020v9; Research Ethics Committee, 09/03/2021, Ref 21/WM/0004; IRAS ID: 289982.

Indexed as

DementiaQuality of LifeCaregiversCost-Benefit AnalysisHumansMental HealthPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicCrisis teamsDementiaHome supportHospitalisationQuality of care

Identifiers

PMID35042544
PMCPMC8764492
OpenAlexW4225307890

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.