Jennifer Wenborn
Community occupational therapy for people with dementia and family carers (COTiD-UK) versus treatment as usual (Valuing Active Life in Dementia [VALID] programme): study protocol for a randomised controlled trial
Wenborn, Jennifer; Hynes, Sinéad; Moniz-Cook, Esme; Mountain, Gail; Poland, Fiona; King, Michael; Omar, Rumana; Morris, Steven; Vernooij-Dassen, Myrra; Challis, David; Michie, Susan; Russell, Ian; Sackley, Catherine; Graff, Maud; O’Keeffe, Aidan; Crellin, Nadia; Orrell, Martin
Authors
Sinéad Hynes
Professor Esme Moniz-Cook E.D.Moniz-Cook@hull.ac.uk
Emeritus Professor of Clinical Psychology of Ageing and Dementia Care Research / Dementia Research Work Group Lead
Gail Mountain
Fiona Poland
Michael King
Rumana Omar
Steven Morris
Myrra Vernooij-Dassen
David Challis
Susan Michie
Ian Russell
Catherine Sackley
Maud Graff
Aidan O’Keeffe
Nadia Crellin
Martin Orrell
Abstract
Background: A community-based occupational therapy intervention for people with mild to moderate dementia and their family carers (Community Occupational Therapy in Dementia (COTiD)) was found clinically and cost effective in the Netherlands but not in Germany. This highlights the need to adapt and implement complex interventions to specific national contexts. The current trial aims to evaluate the United Kingdom-adapted occupational therapy intervention for people with mild to moderate dementia and their family carers living in the community (COTiD-UK) compared with treatment as usual. Methods/Design: This study is a multi-centre, parallel-group, pragmatic randomised trial with internal pilot. We aim to allocate 480 pairs, with each pair comprising a person with mild to moderate dementia and a family carer, who provides at least 4 hours of practical support per week, at random between COTiD-UK and treatment as usual. We shall assess participants at baseline, 12 and 26 weeks, and by telephone at 52 and 78 weeks (first 40 % of recruits only) after randomisation. The primary outcome measure is the Bristol Activities of Daily Living Scale (BADLS) at 26 weeks. Secondary outcome measures will include quality of life, mood, and resource use. To assess intervention delivery, and client experience, we shall collect qualitative data via audio recordings of COTiD-UK sessions and conduct semi-structured interviews with pairs and occupational therapists. Discussion: COTiD-UK is an evidence-based person-centred intervention that reflects the current priority to enable people with dementia to remain in their own homes by improving their capabilities whilst reducing carer burden. If COTiD-UK is clinically and cost effective, this has major implications for the future delivery of dementia services across the UK.
Citation
Wenborn, J., Hynes, S., Moniz-Cook, E., Mountain, G., Poland, F., King, M., Omar, R., Morris, S., Vernooij-Dassen, M., Challis, D., Michie, S., Russell, I., Sackley, C., Graff, M., O’Keeffe, A., Crellin, N., & Orrell, M. (2016). Community occupational therapy for people with dementia and family carers (COTiD-UK) versus treatment as usual (Valuing Active Life in Dementia [VALID] programme): study protocol for a randomised controlled trial. Trials, 17(1), Article ARTN 65. https://doi.org/10.1186/s13063-015-1150-y
Journal Article Type | Article |
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Acceptance Date | Dec 30, 2015 |
Online Publication Date | Feb 3, 2016 |
Publication Date | Feb 3, 2016 |
Deposit Date | Mar 10, 2016 |
Publicly Available Date | Aug 3, 2021 |
Journal | Trials |
Print ISSN | 1745-6215 |
Publisher | Springer Verlag |
Peer Reviewed | Peer Reviewed |
Volume | 17 |
Issue | 1 |
Article Number | ARTN 65 |
DOI | https://doi.org/10.1186/s13063-015-1150-y |
Keywords | Occupational therapy; Dementia; Caregiver; Community; Psychosocial; Activities of daily living; Social participation; Quality of life; Cost effectiveness |
Public URL | https://hull-repository.worktribe.com/output/412634 |
Publisher URL | http://trialsjournal.biomedcentral.com/articles/10.1186/s13063-015-1150-y |
Contract Date | Mar 10, 2016 |
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Publisher Licence URL
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Copyright Statement
© 2016 Wenborn et al.
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