Evidence map›Paper›PMID 40233947›Full record

ArticleBMJ open2025

Randomised controlled trial of a nurse coordination intervention for people living with dementia and their carers: study protocol.

Mariko L Carey, Michelle Kelly, Dimity Pond, Balakrishnan R Nair, John Attia, Yun-Hee Jeon, Simon Deeming, Joel J Rhee, Kylie Wales, Kay Khaing and 12 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

22 authors.

Mariko L CareySchool of Medicine and Public Health, College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia Mariko.Carey@newcastle.edu.au.ORCID http://orcid.org/0000-0002-0549-1115
Michelle KellySchool of Psychological Science, College of Engineering, Science and Environment, The University of Newcastle Australia, Callaghan, New South Wales, Australia.
Dimity PondWicking Dementia Research and Teaching Centre, University of Tasmania, Hobart, Tasmania, Australia.ORCID http://orcid.org/0000-0001-6520-4213
Balakrishnan R NairSchool of Medicine and Public Health, College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia.ORCID http://orcid.org/0000-0002-9100-4298
John AttiaSchool of Medicine and Public Health, College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia.ORCID http://orcid.org/0000-0001-9800-1308
Yun-Hee JeonSusan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia.
Simon DeemingSchool of Medicine and Public Health, College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia.
Joel J RheeDiscipline of General Practice, School of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Kylie WalesSchool of Health Sciences, The University of Newcastle, Callaghan, New South Wales, Australia.
Kay KhaingSchool of Medicine and Public Health, College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia.
Anna WilliamsFaculty of Health, School of Nursing and Midwifery, University of Technology Sydney, Broadway, New South Wales, Australia.
Jennifer WhiteSchool of Medicine and Public Health, College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia.
Mandy HardenHunter New England Local Health District, New Lambton, New South Wales, Australia.
Claudine FordNDIS and Chronic Disease, Hunter Primary Care Ltd, Warabrook, New South Wales, Australia.
John WardHunter Ageing Alliance, Newcastle, New South Wales, Australia.
Stephanie LithgowSchool of Medicine and Public Health, College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia.
Christopher OldmeadowHunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.
Jaishree JalewaSchool of Medicine and Public Health, College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia.
Emma SmartNDIS and Chronic Disease, Hunter Primary Care Ltd, Warabrook, New South Wales, Australia.
Kate WoodNDIS and Chronic Disease, Hunter Primary Care Ltd, Warabrook, New South Wales, Australia.
Amelia BartczakSchool of Medicine and Public Health, College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia.
Kristy FakesSchool of Medicine and Public Health, College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia.ORCID http://orcid.org/0000-0002-7217-9578

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe multifaceted impact of dementia means that people living with dementia require multidisciplinary care across different services and settings; however, these care transitions pose a risk of fragmented care. Models that improve integration and coordination of care in the community are needed. METHODS AND ANALYSIS: This randomised control trial will test the effectiveness and cost effectiveness of a dementia nurse-led intervention to: (1) increase days lived in the community at 12-month follow-up (primary outcome) among people living with dementia and (2) improve quality of life for people living with dementia and their carers, compared with usual care. Participants are recruited from several sources including private and public geriatric medicine clinics, carer support groups and self-referral. People living with dementia and their carers are randomised as a dyad to (1) usual care or (2) dementia nurse-led care-coordination. The dementia nurse will provide care coordination and direct support through a tailored, integrated and patient-centred approach. The needs of people living with dementia will be identified and addressed, with a focus on improving the management of comorbidities, risk reduction and symptoms. Carers will also receive support. The model for people living with dementia will focus on days lived in their community as the outcome variable. Differences between groups in quality of life at 12-month follow-up will be assessed using linear mixed effects regression. Analysis will follow the intention to treat principles. People living with dementia and carers' data will be analysed separately and collectively for the economic study. ETHICS AND DISSEMINATION: The trial has been approved by the Hunter New England Research Ethics Committee (2023/ETH01221) and the University of Newcastle Ethics Committee (R-2024-0021). Trial findings will be disseminated via peer-reviewed publications and conference presentations. If the intervention is effective, the research team aims to further implement the intervention as usual care within the participating services and beyond. TRIAL REGISTRATION NUMBER: The trial was prospectively registered via the Australian New Zealand Clinical Trials Registry: ACTRN12624000235505. Registration date: 11 March 2024.

Indexed as

CaregiversDementiaCost-Benefit AnalysisHumansQuality of LifeRandomized Controlled Trials as TopicDementiaNursing CareQuality of LifeRandomized Controlled Trial

Identifiers

PMID40233947
PMCPMC12004474

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.