Swipe om te navigeren naar een ander artikel
This is a Dutch adaptation of MacNeil Vroomen et al., Comparing Dutch casemanagement care models for people with dementia and their caregivers: The design of the COMPAS study. BMC Health Serv Res. 2012 May 28;12:132.
Dementia care in The Netherlands is shifting from fragmented, ad hoc care to more coordinated and personalized 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.
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. Community-dwelling individuals with a dementia diagnosis with an informal caregiver are included. The primary outcome measure is the Neuropsychiatric Inventory for the people with dementia and the General Health Questionnaire for their caregivers. Costs are measured from a societal perspective. Semi-structured interviews with stakeholders based on the theoretical model of adaptive implementation are planned.
521 pairs of persons with dementia and their primary informal caregiver were included and are followed over two years. In the linked model substantially more impeding factors for implementation were identified compared with the model.
This article describes the design of an evaluation study of two case management models along with clinical and economic data from persons with dementia and caregivers. The impeding and facilitating factors differed substantially between the two models. Further results on cost-effectiveness are expected by the beginning of 2015. This is a Dutch adaptation of MacNeil Vroomen et al., Comparing Dutch casemanagement care models for people with dementia and their caregivers: The design of the COMPAS study. BMC Health Serv Res. 2012 May 28;12:132.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Ministerie van VWS. Guideline for Integrated Dementia Care [excerpt]: An aid for the development of integrated dementia care. 2009 ;12.
Joling K, van Marwijk H, Schellevis F,Scheltens P, van der Horst H, van Hout H. Incidence of depression and anxiety in the spouses of demented patients: a naturalistic cohort study of recorded morbidity with a 6-year follow-up. Am J Ger Psych 2009;18:146-53. CrossRef
Poos MMJC, Hoekstra J, Slobbe LCJ. Kosten van Ziekten in Nederland 2005. Bilthoven: Rijksinstituut voor Volksgezondheid en Milieu; 2008.
Prince M, (ed) World Alzheimer Report. Alzheimer’s Disease International; London, 2011.
Woods RT, Aguirre E, Spector AE, Orrell M. 2012. Cognitive stimulation to improve cognitive functioning in people with dementia. Cochrane Database of Systematic Reviews, Issue 2 Art. No.: CD005562.
Acton GJ, Kang J. Interventions to reduce the burden of caregiving for an adult with dementia: a meta-analysis. Research in nursing & health 2001;24(5):349–360. CrossRef
Zwaanswijk M, van Beek AP, Peeters J, Meerveld J, Francke AL. Problemen en wensen van mantelzorgers van mensen met dementie: een vergelijking tussen de beginfase en latere fasen in het ziekteproces [Problems and needs of informal caregivers of persons with dementia: a comparison between the initial stage and subsequent stages of the illness process]. Tijdschr Gerontol Geriatr. 2010;41(4):162-71. PubMedCrossRef
Peeters JM, Van Beek AP, Meerveld JH, Spreeuwenberg PM, Francke AL. Informal caregivers of persons with dementia, their use of and needs for specific professional support: a survey of the National Dementia Programme. BMC Nurs. 2010;7;9:9.
Casemanagement Society United Kingdom: What is Casemanagement? 2011 [cited 2011 August 10, 2011].
Bodenheimer T, Wagner EH, Grumbach K: Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA: the journal of the American Medical Association 2002;288(15):1909–1914. CrossRef
Brodaty H, Draper BM, Low LF: Behavioural and psychological symptoms of dementia: a seven-tiered model of service delivery. The Medical journal of Australia 2003;178(5):231–234. PubMed
Jansen AP, van Hout HP, Nijpels G, Rijmen F, Dröes RM, Pot AM, Schellevis FG, Stalman WA, van Marwijk HW. Effectiveness of casemanagement among older adults with early symptoms of dementia and their primary informal caregivers: a randomized clinical trial. International journal of nursing studies 2011;48(8):933–943. PubMedCrossRef
Pimouguet C, Lavaud T, Dartigues JF, Helmer C. Dementia casemanagement effectiveness on health care costs and resource utilization: a systematic review of randomized controlled trials. The journal of nutrition, health & aging 2010;14(8):669–676. CrossRef
Minkman MM, Ligthart SA, Huijsman R: Integrated dementia care in The Netherlands: a multiple case study of casemanagement programmes. Health & social care in the community 2009;17(5):485–494. CrossRef
MacNeil Vroomen J, Van Mierlo LD, van de Ven PM, Bosmans JE, van den Dungen P, Meiland FJ, Dröes RM, Moll van Charante EP, van der Horst HE, de Rooij SE, van Hout HP. Comparing Dutch casemanagement care models for people with dementia and their caregivers: The design of the COMPAS study. BMC Health Serv Res. 2012 May 28;12:132.
Banks P: Casemanagement. In Integrating services for older people-a resource book for managers. Edited by Berman NPC. EHMA, 2004:101–112.
Ligthart SA. Aanpak en effecten van casemanagement bij dementie. Een exploratieve studie in het kader van het Landelijk Dementieprogramma, in Kwaliteitsinstituut voor de Gezondheidszorg CBO2006, Radboud Universiteit Nijmegen.
Moll van Charante E, Perry M, Vernooij-Dassen MJFJ, Boswijk DFR, Stoffels J, Achthoven L, Luning-Koster MN. Huisarts Wet 2012;55(7):306-17.
Callahan CM, Boustani MA, Unverzagt FW, Austrom MG, Damush TM, Perkins AJ, Fultz BA, Hui SL, Counsell SR, Hendrie HC. Effectiveness of collaborative care for older adults with Alzheimer disease in primary care: a randomized controlled trial. JAMA: the journal of the American Medical Association 2006;295(18):2148–2157. CrossRef
Vickrey BG, Mittman BS, Connor KI, Pearson ML, Della Penna RD, Ganiats TG, Demonte RW Jr, Chodosh J, Cui X, Vassar S, Duan N, Lee M. The effect of a disease management intervention on quality and outcomes of dementia care: a randomized, controlled trial. Annals of internal medicine 2006;145(10):713–726. PubMedCrossRef
Balardy L, Voisin T, Cantet C, Vellas B; REAL.FR Group. Predictive factors of emergency hospitalisation in Alzheimer’s patients: results of one-year follow-up in the REAL.FR Cohort. The journal of nutrition, health & aging 2005;9(2):112–116.
Logsdon RG, Gibbons LE, McCurry SM, Teri L. Assessing quality of life in older adults with cognitive impairment. Psychosomatic medicine 2002;64(3):510–519. PubMed
Reynolds T, Thornicroft G, Abas M, Woods B, Hoe J, Leese M, Orrell M. Camberwell Assessment of Need for the Elderly (CANE). Development, validity and reliability. The British journal of psychiatry: the journal of mental science 2000;176:444–452. CrossRef
Vernooij-Dassen MJ, Felling AJ, Brummelkamp E, Dauzenberg MG, van den Bos GA, Grol R. Assessment of caregiver’s competence in dealing with the burden of caregiving for a dementia patient: a Short Sense of Competence Questionnaire (SSCQ) suitable for clinical practice. Journal of the American Geriatrics Society 1999;47(2):256–257. PubMed
The EuroQol Group: EuroQol—a new facility for the measurement of health-related quality of life. Health policy 1990;16(3):199–208.
Brouwer WB, van Exel NJ, van Gorp B, Redekop WK. The CarerQol instrument: a new instrument to measure care-related quality of life of informal caregivers for use in economic evaluations. Quality of life research: an international journal of quality of life aspects of treatment, care and rehabilitation 2006;15(6):1005–1021. CrossRef
Hoeymans N, van Lindert H, Westert GP: The health status of the Dutch population as assessed by the EQ-6D. Quality of life research: an international journal of quality of life aspects of treatment, care and rehabilitation 2005;14(3):655–663. CrossRef
Dias A, Dewey ME, D’Souza J, Dhume R, Motghare DD, Shaji KS, Menon R, Prince M, Patel V. The effectiveness of a home care program for supporting caregivers of persons with dementia in developing countries: a randomised controlled trial from Goa, India. PloS one 2008;3(6):e2333. PubMedCentralPubMedCrossRef
Rosenbaum PR, Rubin DB. The central role of the propensity score in observational studies for causal effects. Biometrika 1983;70(1):41–55. CrossRef
Efron B: Missing data, imputation and the bootstrap. JASA 1994;89:463–475. CrossRef
Van Mierlo L, Meiland F, van Hout H, Droes RM. 2013. Facilitators and barriers of implementation of two casemanagement models. BMC Geriatrics, 2014 (in druk).
- Implementatie, effecten en kosten van casemanagement voor mensen met dementie en hun mantelzorgers: beschrijving van de COMPAS studie
H. P. J. van Hout
J. L. MacNeil Vroomen
L. D. Van Mierlo
F. J. M. Meiland
E. P. Moll van Charante
K. J. Joling
P. van den Dungen
R. M. Dröes
H. E. van der Horst
S. E. J. A. de Rooij
- Bohn Stafleu van Loghum