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document
The effect of person-centred dementia care to prevent agitation and other neuropsychiatric symptoms and enhance quality of life in nursing home patients : a 10-month randomized controlled trial . AIMS We examined whether Dementia Care Mapping ( DCM ) or the VIPS practice model ( VPM ) is more effective than education of the nursing home staff about dementia ( control group ) in reducing agitation and other neuropsychiatric symptoms as well as in enhancing the quality of life among nursing home patients . METHODS A 10-month three-armed cluster-randomized controlled trial compared DCM and VPM with control . Of 624 nursing home patients with dementia , 446 completed follow-up assessments . The primary outcome was the change on the Brief Agitation Rating Scale ( BARS ) . Secondary outcomes were changes on the 10-item version of the Neuropsychiatric Inventory Questionnaire ( NPI-Q ) , the Cornell Scale for Depression in Dementia ( CSDD ) and the Quality of Life in Late-Stage Dementia ( QUALID ) scale . RESULTS Changes in the BARS score did not differ significantly between the DCM and the control group or between the VPM and the control group after 10 months . Positive differences were found for changes in the secondary outcomes : the NPI-Q sum score as well as the subscales NPI-Q agitation and NPI-Q psychosis were in favour of both interventions versus control , the QUALID score was in favour of DCM versus control and the CSDD score was in favour of VPM versus control . CONCLUSIONS This study failed to find a significant effect of both interventions on the primary outcome . Positive effects on the secondary outcomes indicate that the methods merit further investigation .
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Intervention_Educational
person-centred dementia care
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Intervention_Educational
Dementia Care Mapping ( DCM )
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Intervention_Educational
VIPS practice model ( VPM )
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Intervention_Educational
dementia
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Intervention_Educational
DCM
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Intervention_Educational
VPM
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Outcome_Mental
Brief Agitation Rating Scale ( BARS ) .
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Outcome_Mental
10-item version of the Neuropsychiatric Inventory Questionnaire ( NPI-Q ) , the Cornell Scale for Depression in Dementia ( CSDD ) and the Quality of Life in Late-Stage Dementia ( QUALID ) scale .
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Outcome_Mental
BARS score
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Outcome_Mental
NPI-Q sum score
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Outcome_Mental
NPI-Q agitation and NPI-Q psychosis
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Outcome_Mental
QUALID score
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Outcome_Mental
CSDD score
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Participant_Condition
nursing home patients
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Participant_Sample-size
624
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Participant_Condition
dementia
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Participant_Sample-size
446