Evidence map›Paper›PMID 37597869›Full record

ArticleBMJ open2023

Protocol for the feasibility and implementation study of a model of best practice in primary care led postdiagnostic dementia care: PriDem.

Sarah Griffiths, Emily Spencer, Jane Wilcock, Claire Bamford, Alison Wheatley, Greta Brunskill, Federica D'Andrea, Kate R Walters, Natalia Lago, Aidan O'Keeffe and 9 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
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  5. 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

19 authors at 8 institutions in 1 country.

Sarah GriffithsResearch Department of Primary Care & Population Health, UCL, London, UK s.a.griffiths@ucl.ac.uk.ORCID 0000-0002-2652-3163
Emily SpencerResearch Department of Primary Care & Population Health, UCL, London, UK.
Jane WilcockResearch Department of Primary Care & Population Health, UCL, London, UK.
Claire BamfordPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Alison WheatleyPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Greta BrunskillPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Federica D'AndreaResearch Department of Primary Care & Population Health, UCL, London, UK.
Kate R WaltersResearch Department of Primary Care & Population Health, UCL, London, UK.ORCID 0000-0003-2173-2430
Natalia LagoPriment Clinical Trials Unit, UCL, London, UK.
Aidan O'KeeffeMathematical Sciences, University of Nottingham, Nottingham, UK.
Rachael HunterResearch Department of Primary Care & Population Health, UCL, London, UK.ORCID 0000-0002-7447-8934
Remco TuijtDivision of Psychiatry, UCL, London, UK.ORCID 0000-0002-1147-8515
Karen Harrison DeningSchool of Health & Life Sciences, De Montfort University, Leicester, UK.
Sube BanerjeeOffice of Vice Chancellor, University of Plymouth, Plymouth, UK.
Jill ManthorpeHealth & Social Care Workforce Research Unit, King's College London, London, UK.
Louise AllanUniversity of Exeter Medical School, Exeter, UK.
Louise RobinsonPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0003-0209-2503
Greta RaitResearch Department of Primary Care & Population Health, UCL, London, UK.
PriDem study team
University College London · GBNewcastle University · GBDe Montfort University · GBKing's College London · GBMRC Clinical Trials Unit at UCL · GBUniversity of Exeter · GBUniversity of Nottingham · GBUniversity of Plymouth · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCare is often inadequate and poorly integrated after a dementia diagnosis. Research and policy highlight the unaffordability and unsustainability of specialist-led support, and instead suggest a task-shared model, led by primary care. This study is part of the PriDem primary care led postdiagnostic dementia care research programme and will assess delivery of an evidence-informed, primary care based, person-centred intervention. The intervention involves Clinical Dementia Leads (CDLs) working in primary care to develop effective dementia care systems that build workforce capacity and support teams to deliver tailored support to people living with dementia and their carers. METHODS AND ANALYSIS: This is a 15-month mixed-methods feasibility and implementation study, situated in four National Health Service (NHS) primary care networks in England. The primary outcome is adoption of personalised care planning by participating general practices, assessed through a patient records audit. Feasibility outcomes include recruitment and retention; appropriateness and acceptability of outcome measures; acceptability, feasibility and fidelity of intervention components. People living with dementia (n=80) and carers (n=66) will be recruited through participating general practices and will complete standardised measures of health and well-being. Participant service use data will be extracted from electronic medical records. A process evaluation will explore implementation barriers and facilitators through methods including semistructured interviews with people living with dementia, carers and professionals; observation of CDL engagement with practice staff; and a practice fidelity log. Process evaluation data will be analysed qualitatively using codebook thematic analysis, and quantitatively using descriptive statistics. Economic analysis will determine intervention cost-effectiveness. ETHICS AND DISSEMINATION: The study has received favourable ethical opinion from Wales REC4. NHS Confidentiality Advisory Group support allows researchers preconsent access to patient data. Results will inform intervention adaptations and a future large-scale evaluation. Dissemination through peer-review journals, engagement with policy-makers and conferences will inform recommendations for dementia services commissioning. TRIAL REGISTRATION NUMBER: ISRCTN11677384.

Indexed as

DementiaState MedicineAcclimatizationFeasibility StudiesHumansPrimary Health CareAgingDementiaFeasibility StudiesGENERAL MEDICINE (see Internal Medicine)Health Services for the AgedPRIMARY CARE

Identifiers

PMID37597869
PMCPMC10441044
OpenAlexW4386003005

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.