Achieving Quality and Effectiveness in Dementia Using Crisis Teams (AQUEDUCT): A study protocol for a randomised controlled trial of a Resource Kit

Coleston-Shields, Donna Maria, Challis, David, Worden, Angela, Broome, Emma, Dening, Tom, Guo, Boliang, Hoe, Juanita, Lloyd-Evans, Brynmor, Moniz-Cook, Esme, Morris, Steve, Poland, Fiona ORCID:, Prothero, David and Orrell, Martin (2022) Achieving Quality and Effectiveness in Dementia Using Crisis Teams (AQUEDUCT): A study protocol for a randomised controlled trial of a Resource Kit. Trials, 23 (1). ISSN 1745-6215

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Background: Improving care at home for people with dementia is a core policy goal in the dementia strategies of many European countries. A challenge to effective home support is the occurrence of crises in the care of people with dementia which arise from changes in their health and social circumstances. Improving the management of these crises may prevent hospital admissions and facilitate better and longer care at home. This trial is part of a National Institute for Health Research funded programme, AQUEDUCT, which aims to improve the quality and effectiveness of teams working to manage crises in dementia. Methods/design: It is a pragmatic randomised controlled trial of an online Resource Kit to enhance practice in teams managing crises in dementia care. Thirty teams managing mental health crises in dementia in community settings will be randomised between the Resource Kit intervention and treatment as usual. The primary outcome measure is psychiatric admissions to hospital for people with dementia in the teams’ catchment area recorded 6 months after randomisation. Other outcomes include quality of life measures for people with dementia and their carers, practitioner impact measures, acute hospital admissions and costs. To enhance understanding of the Resource Kit intervention, qualitative work will explore staff, patient and carers’ experience. Discussion: The Resource Kit intervention reflects current policy to enable home-based care for people with dementia by addressing the management of crises which threaten the viability of care at home. It is based upon a model of best practice for managing crises in dementia designed to enhance the quality of care, developed in partnership with people with dementia, carers and practitioners. If the Resource Kit is shown to be clinically and cost-effective in this study, this will enhance the probability of its incorporation into mainstream practice. Trial registration: ISRCTN 42855694; Registered on 04/03/2021; Protocol number: 127686/2020v9; Research Ethics Committee, 09/03/2021, Ref 21/WM/0004; IRAS ID: 289982

Item Type: Article
Additional Information: Funding Information: This is independent research funded by the National Institute for Health Research (NIHR), England under its Programme Grants for Applied Research (Grant reference number: RP-PG-0612-20004). The lead applicant is Professor Orrell and co-applicants are Professors Challis and Dening (Nottingham), Dr Hoe (City University London), Professor Moniz-Cook (Hull), Professor Morris (Cambridge), Professor Poland (University of East Anglia), Dr Lloyd-Evans (University College London), Mr Prothero (PPI member). The views expressed in this publication are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. The funder does not have any role in or control of the design, conduct, data collection, data management, data analysis and interpretation, report writing or dissemination of the research. The AQUEDUCT Research team acknowledges the support of the NIHR CRN.
Uncontrolled Keywords: sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Institute for Volunteering Research
Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging
Faculty of Medicine and Health Sciences > Research Groups > Dementia & Complexity in Later Life
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Depositing User: LivePure Connector
Date Deposited: 27 Jan 2022 13:30
Last Modified: 21 Apr 2023 01:21
DOI: 10.1186/s13063-021-05995-y


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