Evidence map›Paper›PMID 41739287›Full record

Trial reportEuropean geriatric medicine2026

Effectiveness, feasibility, and acceptance of a general practice-based supportive intervention for dementia caregivers: the AD HOC trial.

Gino Bopp, Thomas Grischott, Giuseppe Pichierri, Stephanie Greindl, Stefan Gysin, Oliver Senn, Thomas Rosemann, Stefan Neuner-Jehle

Abstract readEquivalence TrialRandomized Controlled Trial
In one paragraph

Trial report in European geriatric medicine, 2026. 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

8 authors.

Gino BoppInstitute of Primary Care, University Hospital Zurich, University of Zurich, Sonneggstrasse 6, 8091, Zurich, Switzerland.ORCID http://orcid.org/0000-0003-2517-0260
Thomas GrischottInstitute of Primary Care, University Hospital Zurich, University of Zurich, Sonneggstrasse 6, 8091, Zurich, Switzerland. thomas.grischott@usz.ch.ORCID http://orcid.org/0000-0002-1564-5296
Giuseppe PichierriInstitute of Primary Care, University Hospital Zurich, University of Zurich, Sonneggstrasse 6, 8091, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-3582-5219
Stephanie GreindlInstitute of Primary Care, University Hospital Zurich, University of Zurich, Sonneggstrasse 6, 8091, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-5930-2802
Stefan GysinFaculty of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, 6002, Lucerne, Switzerland.ORCID http://orcid.org/0000-0002-6344-6873
Oliver SennInstitute of Primary Care, University Hospital Zurich, University of Zurich, Sonneggstrasse 6, 8091, Zurich, Switzerland.ORCID http://orcid.org/0000-0003-4422-7250
Thomas RosemannInstitute of Primary Care, University Hospital Zurich, University of Zurich, Sonneggstrasse 6, 8091, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-6436-6306
Stefan Neuner-JehleInstitute of Primary Care, University Hospital Zurich, University of Zurich, Sonneggstrasse 6, 8091, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-6260-8148

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluated the effectiveness, feasibility, and acceptance of a caregiver-need-driven intervention to reduce caregiver burden among informal caregivers of people with dementia, delivered by non-physician medical staff of general practices in Switzerland.

methodsIn this prospective, single-group, pre-post superiority trial, non-physician medical practice staff were trained to deliver a supportive intervention for informal dementia caregivers involving three home visits and optional home-based and/or telephone counseling. Comparator was the "usual care" arm of the randomized DE-REACH trial in a similar setting. Primary outcome was increase in caregiver burden at six months, measured by the Zarit Burden Interview (ZBI) and analyzed by one-sample superiority t-test. Secondary outcomes included changes in quality of life. Hierarchical regression served to identify associations between outcomes and participant characteristics.

resultsAmong 32 non-physician medical practice staff (96.9% female, mean 14.6 years of professional experience) and 55 informal caregivers (69.1% female, mean age 70.0 years), the intervention proved superior to usual care by significantly attenuating the increase in caregiver burden (mean ZBI score increase 2.65 [95% confidence interval: -∞ to 4.10] vs. 7, p = 0.017). There was no significant change in quality of life during the intervention, which was well feasible and accepted by caregivers and health professionals.

conclusionThis study demonstrated that a scalable, caregiver-need-driven intervention by trained non-physician medical staff in general practices mitigated the rise in caregiver burden over six months. The intervention holds potential to enhance the efficacy of general practice teams in supporting the frequently overlooked dementia patient-caregiver dyad, thereby improving their well-being and the quality of care provided.

trial registrationISRCTN55348828 , registered 12/10/2021.

Indexed as

CaregiversCounselingDementiaGeneral PracticeAgedFeasibility StudiesFemaleHumansMaleMiddle AgedProspective StudiesQuality of LifeSwitzerlandCaregiver burdenDementiaInformal caregiverNon-physician staffQuality of lifeZarit Burden Interview

Identifiers

PMID41739287
PMCPMC13309503

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Registered trials

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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.