Standardizing Care for Neuropsychiatric Symptoms and Quality of Life in Dementia
NCT03672201 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 187
Last updated 2026-04-13
Summary
The object of this study to evaluation an Integrated Care Pathway (ICP) to treat Aggression and Agitation in Alzheimer's disease (AD-AA). The ICP is an algorithmic approach to use psychotropic medications and non-pharmacological interventions based on standardized assessments which fosters measurement-based decision making. This study will assess the efficacy of the ICP to treat AD-AA and its impact on inappropriate use of medications in inpatient settings and Long-Term Care Facilities (LTCF).
The investigators will enroll and randomize 220 participants with AD-AA (110 inpatient and 110 LTCFs) to ICP vs. Treatment As Usual. Further, this study will also examine the impact of the ICP on caregiver burden and undertake a cost-effectiveness analysis of the ICP for patients with AD-AA.
Conditions
- Alzheimer's Disease
- Alzheimer Dementia (AD)
- Aggression
Interventions
- BEHAVIORAL
-
Non-Pharmacological Intervention
The behavioural intervention will be a structured implementation of individualized activities to be followed and customized as per the needs of the participant.
- OTHER
-
Pharmacological Intervention
The medication algorithm provides recommendations to the treatment team about algorithmic treatment and assessments as per the ICP but ultimately the decision to prescribe any particular intervention will be the treatment team's decision and the recommendations of the research team for ICP arm will not be binding for the treatment team.
Sponsors & Collaborators
-
University of Calgary
collaborator OTHER -
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
collaborator OTHER -
Douglas Mental Health University Institute
collaborator OTHER -
Centre for Addiction and Mental Health
lead OTHER
Principal Investigators
-
Tarek Rajji, MD · Centre for Addiction and Mental Health
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-11-01
- Primary Completion
- 2023-03-31
- Completion
- 2027-12-31
Countries
- Canada
Study Locations
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