Cognitive Model for Behavioral Interventions as a Non-pharmacological Intervention for Behavioral and Psychological Symptoms of Dementia
NCT07356336 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2026-02-11
Summary
The goal of this study is to evaluate whether the Cognitive Model for Behavioral Interventions (CoMBI), a person-centered, non-pharmacological intervention, can reduce behavioral and psychological symptoms of dementia (BPSD) in people with dementia living in nursing homes. The study also aims to examine whether CoMBI can reduce caregiver burden and improve quality of life in people with dementia.
The main questions it aims to answer are:
Does CoMBI reduce the severity of behavioral and psychological symptoms of dementia compared to care as usual?
Does a reduction in BPSD lead to lower caregiver burden and improved quality of life for people with dementia?
Do personal factors, such as personality (dys)functioning, gender, level of cognitive impairment and stage of dementia, influence the effectiveness of CoMBI?
Researchers will compare CoMBI to care as usual to determine whether CoMBI leads to better outcomes for people with dementia and their caregivers.
Participants will:
Receive care in residential long-term care facilities where care staff are trained to apply CoMBI.
Be observed and assessed repeatedly over time as part of a stepped-wedge cluster randomized trial design.
Conditions
- Behavioral and Psychological Symptoms of Dementia
Interventions
- BEHAVIORAL
-
CoMBI
CoMBI describes a four-step approach. First, the primary caregiver systematically observes and assesses the resident's BPSD using the NPI-Q. Second, the person's core needs are identified. An informant completes the PID-5-BF+M. The results of the PID-5-BF+M together with the overview of the different personality types, help identify the resident's core needs. Third, the care team selects one core need based on the most prominent and challenging BPSD. They choose a maximum of three interventions, which can focus on the substantive contact, attitude and environment of the resident. Finally, The selected interventions are further specified and personalized so that they are appropriate for the person with dementia, taking into account their life history This is documented in a CoMBI care plan, specifying which interventions will be applied and the desired behavioral outcomes.
Sponsors & Collaborators
-
Alexianen Zorggroep Tienen
collaborator UNKNOWN -
vzw Bejaardenzorg Grauwzusters Limburg
collaborator UNKNOWN -
Mondriaan
collaborator UNKNOWN -
Vrije Universiteit Brussel
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-02-16
- Primary Completion
- 2028-12-31
- Completion
- 2028-12-31
Countries
- Belgium
Study Locations
More Related Trials
-
Systematic Care for Informal Caregivers of Dementia Patients: An Efficient Approach?
NCT00147693 ·Status: COMPLETED ·Phase: NA
-
Evaluation of a New CBT for People With Alzheimer's Disease and Their Caregivers
NCT03656159 ·Status: COMPLETED ·Phase: NA
-
An Innovative Caregiver Tool to Assess and Manage Behavioral Symptoms of Dementia
NCT02420535 ·Status: COMPLETED ·Phase: NA
-
Validation of the German Version of the Amsterdam Instrumental Activities of Daily Living Questionnaire®
NCT04012398 ·Status: COMPLETED
-
Non Pharmacological Management of Behavioural Symptoms in Nursing Home
NCT00824967 ·Status: TERMINATED ·Phase: NA
-
Alzheimer's Caregiver Coping: Mental and Physical Health
NCT02317523 ·Status: COMPLETED ·Phase: NA
-
Evaluating an In-home Multicomponent Program to Manage Concerns About Falling in Frail Community Dwelling Older People
NCT01358032 ·Status: COMPLETED ·Phase: NA
-
Short-term Caregiver Psychotherapy
NCT02175953 ·Status: COMPLETED ·Phase: PHASE2
-
Pharmaceutical Collaborative Care Integrated to a Multidisciplinary Psychosocial Program
NCT02802371 ·Status: UNKNOWN ·Phase: NA
-
Psychoeducational Intervention Against Support Groups for Caregivers
NCT06870474 ·Status: COMPLETED ·Phase: NA
-
Improving How People Living With Dementia Are Selected for Care Coordination
NCT05651308 ·Status: COMPLETED ·Phase: NA
-
Reducing Behavioral and Psychological Symptoms of Dementia: Family Caregivers (Aim 1)
NCT04481568 ·Status: COMPLETED ·Phase: NA
-
Reducing Behavioral and Psychological Symptoms of Dementia: Hospital Caregivers (Aim 2)
NCT04179721 ·Status: COMPLETED ·Phase: NA
-
PsyDoMa : Non-drug Approaches at Home for Alzheimer's Patients With Psycho-behavioural Disorders
NCT04573829 ·Status: COMPLETED ·Phase: NA
-
Supporting Elderly People With Cognitive Impairment During and After Hospital Stays- Intersectoral Care Management
NCT03359408 ·Status: COMPLETED ·Phase: NA
-
Monitoring and Cognitive Appraisal: The Etiology of Psychological Disorders and The Divergence Between Behavioural and Self-reported Data
NCT07137676 ·Status: COMPLETED ·Phase: NA
-
Sharing the Outcome of a Memory Assessment
NCT04935060 ·Status: COMPLETED ·Phase: NA
-
Supporting Family Caregivers of Persons With Dementia
NCT05336344 ·Status: COMPLETED ·Phase: NA
-
Positive Psychology for Early Cognitive Decline: Effects on Cognitive and Brain Function
NCT07289061 ·Status: RECRUITING ·Phase: NA
-
Trial-based Effectiveness and Cost-effectiveness of the Partner in Balance Intervention
NCT05450146 ·Status: RECRUITING ·Phase: NA
-
DemTool - Supporting Life With Dementia
NCT07355829 ·Status: COMPLETED ·Phase: NA
-
Comparison for the Patient With Alzheimer Disease the Impact of Three Different Groups of Patient Care
NCT01639586 ·Status: COMPLETED ·Phase: NA
-
Implementation of a Diagnostic Decision-aid for People With Memory Complaints and Their General Practitioners
NCT04531956 ·Status: COMPLETED ·Phase: NA
-
Adherence by Music to Exercise in Dementia: Group Therapy
NCT05603533 ·Status: RECRUITING ·Phase: NA
-
Effectiveness of a Care Management System to Reduce Unmet Needs of Informal Caregivers of People With Dementia
NCT04037501 ·Status: COMPLETED ·Phase: NA