Community-dwelling patients with dementia and their informal caregivers with and without case management: 2-year outcomes of a pragmatic trial

Janet MacNeil Vroomen; Judith E. Bosmans; Peter M. van de Ven; Karlijn J. Joling; Lisa D. van Mierlo; Franka J M Meiland; Eric P. Moll van Charante; Hein P J van Hout; Sophia E. de Rooij

doi:https://doi.org/10.1016/j.jamda.2015.06.011

Community-dwelling patients with dementia and their informal caregivers with and without case management: 2-year outcomes of a pragmatic trial

Janet MacNeil Vroomen, Judith E. Bosmans, Peter M. van de Ven, Karlijn J. Joling, Lisa D. van Mierlo, Franka J M Meiland, Eric P. Moll van Charante, Hein P J van Hout, Sophia E. de Rooij

Research output: Contribution to journal › Article › Academic › peer-review

23 Citations (Scopus)

Abstract

OBJECTIVE: To evaluate outcomes for persons with dementia and primary informal caregivers of 2 types of implemented case management (intensive case management [ICMM] and linkage [LM] models) with no case management (control group).

DESIGN: A pragmatic trial using a prospective, observational, controlled, cohort study.

SETTING: Community care in the Netherlands.

PARTICIPANTS: A total of 521 dyads.

INTERVENTION: Case management provided within one care organization (ICMM), case management where multiple case management organizations are present within one region (LM), and a group with no access to case management (control).

MEASUREMENTS: Neuropsychiatric problems in persons with dementia assessed by the Neuropsychiatric Inventory (NPI) and psychological health in informal caregivers as measured with the General Health Questionnaire (GHQ-12). Secondary outcomes included care and support needs, quality of life, and institutionalization. Comparability of groups at baseline was secured by inverse-propensity-score-weighted mixed models.

RESULTS: No significant differences in changes in total NPI or GHQ-12 scores between the groups over 2 years were found. Secondary outcomes showed better quality-of-life scores for informal caregivers in the ICMM than the LM. Total needs, met and unmet care needs were significantly less in the ICMM compared with the control group.

CONCLUSION: Neither case management type affected clinical outcomes of dyads meaningfully. The ICMM has positive impact on caregivers' quality of life and patient's number of needs compared with persons in LM and persons without access to case management respectively.

Original language	English
Pages (from-to)	800.e1-800.e8
Number of pages	9
Journal	Journal of the American Medical Directors Association
Volume	16
Issue number	9
DOIs	https://doi.org/10.1016/j.jamda.2015.06.011
Publication status	Published - 1 Sept 2015

Keywords

Case management
dementia
informal caregivers
longitudinal study

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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https://doi.org/10.1016/j.jamda.2015.06.011

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MacNeil Vroomen, J., Bosmans, J. E., van de Ven, P. M., Joling, K. J., van Mierlo, L. D., Meiland, F. J. M., Moll van Charante, E. P., van Hout, H. P. J., & de Rooij, S. E. (2015). Community-dwelling patients with dementia and their informal caregivers with and without case management: 2-year outcomes of a pragmatic trial. Journal of the American Medical Directors Association, 16(9), 800.e1-800.e8. https://doi.org/10.1016/j.jamda.2015.06.011

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abstract = "OBJECTIVE: To evaluate outcomes for persons with dementia and primary informal caregivers of 2 types of implemented case management (intensive case management [ICMM] and linkage [LM] models) with no case management (control group).DESIGN: A pragmatic trial using a prospective, observational, controlled, cohort study.SETTING: Community care in the Netherlands.PARTICIPANTS: A total of 521 dyads.INTERVENTION: Case management provided within one care organization (ICMM), case management where multiple case management organizations are present within one region (LM), and a group with no access to case management (control).MEASUREMENTS: Neuropsychiatric problems in persons with dementia assessed by the Neuropsychiatric Inventory (NPI) and psychological health in informal caregivers as measured with the General Health Questionnaire (GHQ-12). Secondary outcomes included care and support needs, quality of life, and institutionalization. Comparability of groups at baseline was secured by inverse-propensity-score-weighted mixed models.RESULTS: No significant differences in changes in total NPI or GHQ-12 scores between the groups over 2 years were found. Secondary outcomes showed better quality-of-life scores for informal caregivers in the ICMM than the LM. Total needs, met and unmet care needs were significantly less in the ICMM compared with the control group.CONCLUSION: Neither case management type affected clinical outcomes of dyads meaningfully. The ICMM has positive impact on caregivers' quality of life and patient's number of needs compared with persons in LM and persons without access to case management respectively.",

keywords = "Case management, dementia, informal caregivers, longitudinal study",

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MacNeil Vroomen, J , Bosmans, JE, van de Ven, PM, Joling, KJ, van Mierlo, LD, Meiland, FJM , Moll van Charante, EP , van Hout, HPJ & de Rooij, SE 2015, 'Community-dwelling patients with dementia and their informal caregivers with and without case management: 2-year outcomes of a pragmatic trial', Journal of the American Medical Directors Association, vol. 16, no. 9, pp. 800.e1-800.e8. https://doi.org/10.1016/j.jamda.2015.06.011

Community-dwelling patients with dementia and their informal caregivers with and without case management: 2-year outcomes of a pragmatic trial. / MacNeil Vroomen, Janet ; Bosmans, Judith E.; van de Ven, Peter M. et al.
In: Journal of the American Medical Directors Association, Vol. 16, No. 9, 01.09.2015, p. 800.e1-800.e8.

Research output: Contribution to journal › Article › Academic › peer-review

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T1 - Community-dwelling patients with dementia and their informal caregivers with and without case management

T2 - 2-year outcomes of a pragmatic trial

AU - MacNeil Vroomen, Janet

AU - Bosmans, Judith E.

AU - van de Ven, Peter M.

AU - Joling, Karlijn J.

AU - van Mierlo, Lisa D.

AU - Meiland, Franka J M

AU - Moll van Charante, Eric P.

AU - van Hout, Hein P J

AU - de Rooij, Sophia E.

PY - 2015/9/1

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N2 - OBJECTIVE: To evaluate outcomes for persons with dementia and primary informal caregivers of 2 types of implemented case management (intensive case management [ICMM] and linkage [LM] models) with no case management (control group).DESIGN: A pragmatic trial using a prospective, observational, controlled, cohort study.SETTING: Community care in the Netherlands.PARTICIPANTS: A total of 521 dyads.INTERVENTION: Case management provided within one care organization (ICMM), case management where multiple case management organizations are present within one region (LM), and a group with no access to case management (control).MEASUREMENTS: Neuropsychiatric problems in persons with dementia assessed by the Neuropsychiatric Inventory (NPI) and psychological health in informal caregivers as measured with the General Health Questionnaire (GHQ-12). Secondary outcomes included care and support needs, quality of life, and institutionalization. Comparability of groups at baseline was secured by inverse-propensity-score-weighted mixed models.RESULTS: No significant differences in changes in total NPI or GHQ-12 scores between the groups over 2 years were found. Secondary outcomes showed better quality-of-life scores for informal caregivers in the ICMM than the LM. Total needs, met and unmet care needs were significantly less in the ICMM compared with the control group.CONCLUSION: Neither case management type affected clinical outcomes of dyads meaningfully. The ICMM has positive impact on caregivers' quality of life and patient's number of needs compared with persons in LM and persons without access to case management respectively.

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KW - Case management

KW - dementia

KW - informal caregivers

KW - longitudinal study

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MacNeil Vroomen J , Bosmans JE, van de Ven PM, Joling KJ, van Mierlo LD, Meiland FJM et al. Community-dwelling patients with dementia and their informal caregivers with and without case management: 2-year outcomes of a pragmatic trial. Journal of the American Medical Directors Association. 2015 Sept 1;16(9):800.e1-800.e8. doi: https://doi.org/10.1016/j.jamda.2015.06.011

Community-dwelling patients with dementia and their informal caregivers with and without case management: 2-year outcomes of a pragmatic trial

Abstract

Keywords

UN SDGs

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