Individualised sensory intervention to improve quality of life in people with dementia and their companions (SENSE-Cog trial): study protocol for a randomised controlled trial.


Journal

Trials
ISSN: 1745-6215
Titre abrégé: Trials
Pays: England
ID NLM: 101263253

Informations de publication

Date de publication:
25 Jan 2019
Historique:
received: 29 06 2018
accepted: 09 10 2018
entrez: 27 1 2019
pubmed: 27 1 2019
medline: 29 5 2019
Statut: epublish

Résumé

Hearing and vision impairments are highly prevalent in people with dementia and may have a negative impact on quality of life and other dementia-related outcomes. Intervening to optimise sensory impairment and support sensory function may be a means of improving dementia-related outcomes. The SENSE-Cog trial will test whether a home-based multi-part sensory intervention is effective in improving quality of life and other key outcomes in people with dementia and hearing or vision problems (or both) and their companions. This is an European, multi-centre, observer-blind, pragmatic, randomised controlled trial. Three hundred fifty four people with dementia and hearing or vision impairment (or both) and their companions will be randomly assigned to receive either "care as usual" or a multi-component sensory intervention including assessment and correction of hearing or vision impairments (or both), home-based (maximum 10 visits over 18 weeks), therapist-delivered sensory support (that is, adherence to devices; improving the sensory environment (that is, lighting), communication training, and sign-posting to other support agencies). Change from baseline to intervention end (18 weeks) and post-intervention (36 weeks) will be compared between the two arms in the following outcomes: quality of life (primary endpoint), sensory and cognitive functional ability, relationships, mental well-being, health resource utilisation and cost-effectiveness. This is one of two articles outlining the SENSE-Cog trial. Here, we describe the protocol for the effectiveness of the SENSE-Cog intervention. A parallel and complementary process evaluation will be described elsewhere. If the SENSE-Cog trial demonstrates that the sensory intervention improves outcomes in dementia, we will make a toolkit of training materials, resources and information available to health and social care providers to implement the intervention in routine practice. This will be a significant contribution to the therapeutic management of people with dementia and sensory impairment. ISRCTN (Trial ID: ISRCTN17056211 ) on 19 February 2018.

Sections du résumé

BACKGROUND BACKGROUND
Hearing and vision impairments are highly prevalent in people with dementia and may have a negative impact on quality of life and other dementia-related outcomes. Intervening to optimise sensory impairment and support sensory function may be a means of improving dementia-related outcomes. The SENSE-Cog trial will test whether a home-based multi-part sensory intervention is effective in improving quality of life and other key outcomes in people with dementia and hearing or vision problems (or both) and their companions.
METHODS METHODS
This is an European, multi-centre, observer-blind, pragmatic, randomised controlled trial. Three hundred fifty four people with dementia and hearing or vision impairment (or both) and their companions will be randomly assigned to receive either "care as usual" or a multi-component sensory intervention including assessment and correction of hearing or vision impairments (or both), home-based (maximum 10 visits over 18 weeks), therapist-delivered sensory support (that is, adherence to devices; improving the sensory environment (that is, lighting), communication training, and sign-posting to other support agencies). Change from baseline to intervention end (18 weeks) and post-intervention (36 weeks) will be compared between the two arms in the following outcomes: quality of life (primary endpoint), sensory and cognitive functional ability, relationships, mental well-being, health resource utilisation and cost-effectiveness.
DISCUSSION CONCLUSIONS
This is one of two articles outlining the SENSE-Cog trial. Here, we describe the protocol for the effectiveness of the SENSE-Cog intervention. A parallel and complementary process evaluation will be described elsewhere. If the SENSE-Cog trial demonstrates that the sensory intervention improves outcomes in dementia, we will make a toolkit of training materials, resources and information available to health and social care providers to implement the intervention in routine practice. This will be a significant contribution to the therapeutic management of people with dementia and sensory impairment.
TRIAL REGISTRATION BACKGROUND
ISRCTN (Trial ID: ISRCTN17056211 ) on 19 February 2018.

Identifiants

pubmed: 30683150
doi: 10.1186/s13063-018-2973-0
pii: 10.1186/s13063-018-2973-0
pmc: PMC6347775
doi:

Types de publication

Clinical Trial Protocol Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

80

Subventions

Organisme : Horizon 2020
ID : 668648

Investigateurs

Harvey Abrams (H)
Nathalie Chaghil-Boissière (N)
Pavlina Charalambous (P)
Fidéline Collin (F)
Fofi Constantinidou (F)
Eric Frison (E)
Camille Gilbert (C)
Mark Hann (M)
Catherine Helmer (C)
Emma Hooper (E)
Francine Jury (F)
Evangelia Kontogianni (E)
Brian Lawlor (B)
Iracema Leroi (I)
Charly Matard (C)
Susana Montecelo (S)
Sarah Marie (S)
Antonios Politis (A)
Otilia Postea (O)
Jemma Regan (J)
David Reeves (D)
David Renaud (D)
Zoe Simkin (Z)
Monique Termote (M)
Chryssoula Thodi (C)
Lucas Wolski (L)

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Auteurs

Jemma Regan (J)

Division of Neuroscience and Experimental Psychology, University of Manchester and the Manchester Academic Health Sciences Centre, Oxford Road, Manchester, M13 9PL, UK.

Eric Frison (E)

University of Bordeaux, INSERM, EUCLID/F-CRIN Clinical Trials Platform, Bordeaux Population Health Center, CHU Bordeaux, F-33000, Bordeaux, France.

Fidéline Collin (F)

University of Bordeaux, INSERM, EUCLID/F-CRIN Clinical Trials Platform, Bordeaux Population Health Center, CHU Bordeaux, F-33000, Bordeaux, France.

Piers Dawes (P)

Manchester Centre for Audiology and Deafness (ManCAD) University of Manchester and the Manchester Academic Health Sciences Centre, Oxford Road, Manchester, M13 9PL, UK.

Mark Hann (M)

Division of Population Health, Health Services Research & Primary Care, University of Manchester, Grafton Street, Manchester, M12 9NT, UK.

Ines Himmelsbach (I)

Institute of Applied Research, Development and Continuing Education, Catholic University of Applied Sciences, Karlstraße 63, Freiburg, 79104, Germany.

Emma Hooper (E)

Division of Neuroscience and Experimental Psychology, University of Manchester and the Manchester Academic Health Sciences Centre, Oxford Road, Manchester, M13 9PL, UK.

David Reeves (D)

Division of Population Health, Health Services Research & Primary Care, University of Manchester, Grafton Street, Manchester, M12 9NT, UK.

Zoe Simkin (Z)

Division of Neuroscience and Experimental Psychology, University of Manchester and the Manchester Academic Health Sciences Centre, Oxford Road, Manchester, M13 9PL, UK.

Chryssoula Thodi (C)

School of Sciences, Department of Health Sciences, European University Cyprus, Diogenis Street, Nicosia, 2404, Cyprus.

Fan Yang (F)

Division of Population Health, Health Services Research & Primary Care, University of Manchester, Grafton Street, Manchester, M12 9NT, UK.

Iracema Leroi (I)

Division of Neuroscience and Experimental Psychology, University of Manchester and the Manchester Academic Health Sciences Centre, Oxford Road, Manchester, M13 9PL, UK. iracema.leroi@manchester.ac.uk.

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