Skip to main content
main-content

01.12.2012 | Study protocol | Ausgabe 1/2012 Open Access

BMC Health Services Research 1/2012

Comparing Dutch Case management care models for people with dementia and their caregivers: The design of the COMPAS study

Zeitschrift:
BMC Health Services Research > Ausgabe 1/2012
Autoren:
Janet MacNeil Vroomen, Lisa D Van Mierlo, Peter M van de Ven, Judith E Bosmans, Pim van den Dungen, Franka J M Meiland, Rose-Marie Dröes, Eric P Moll van Charante, Henriëtte E van der Horst, Sophia E de Rooij, Hein P J van Hout
Wichtige Hinweise

Competing interests

The authors of this paper declare that they have no competing interests.

Authors’ contributions

JMV, LDVM, PMvdV, JEB, PvdD, FJMM, RMD, EPMvC, HEvdH, SEdR, HPJvH were all involved in the conceptual design, the manuscript revisions and approval of the final manuscript.

Abstract

Background

Dementia care in the Netherlands is shifting from fragmented, ad hoc care to more coordinated and personalised care. Case management contributes to this shift. The linkage model and a combination of intensive case management and joint agency care models were selected based on their emerging prominence in the Netherlands. It is unclear if these different forms of case management are more effective than usual care in improving or preserving the functioning and well-being at the patient and caregiver level and at the societal cost. The objective of this article is to describe the design of a study comparing these two case management care models against usual care. Clinical and cost outcomes are investigated while care processes and the facilitators and barriers for implementation of these models are considered.

Design

Mixed methods include a prospective, observational, controlled, cohort study among persons with dementia and their primary informal caregiver in regions of the Netherlands with and without case management including a qualitative process evaluation. Inclusion criteria for the cohort study are: community-dwelling individuals with a dementia diagnosis who are not terminally-ill or anticipate admission to a nursing home within 6 months and with an informal caregiver who speaks fluent Dutch. Person with dementia-informal caregiver dyads are followed for two years. The primary outcome measure is the Neuropsychiatric Inventory for the people with dementia and the General Health Questionnaire for their caregivers. Secondary outcomes include: quality of life and needs assessment in both persons with dementia and caregivers, activity of daily living, competence of care, and number of crises. Costs are measured from a societal perspective using cost diaries. Process indicators measure the quality of care from the participant’s perspective. The qualitative study uses purposive sampling methods to ensure a wide variation of respondents. Semi-structured interviews with stakeholders based on the theoretical model of adaptive implementation are planned.

Discussion

This study provides relevant insights into care processes, description of two case management models along with clinical and economic data from persons with dementia and caregivers to clarify important differences in two case management care models compared to usual care.
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2012

BMC Health Services Research 1/2012 Zur Ausgabe