Thursday, June 02, 2005

Dementia - Centre for Health Service Research - University of Newcastle

Dementia - Centre for Health Service Research - University of Newcastle: "WANdering in DementiA (WANDA)

Sponsors: NHS HTA grant
Wandering is a common problem in dementia occurring in up to 40% of people. The term wandering refers to a complex collection of different behavioural abnormalities which occur for a multitude of reasons.

systematic review is therefore required to synthesise the evidence for the other non-pharmacological interventions listed above.

This project aims to determine the clinical and cost effectiveness of non-drug related interventions to prevent/reduce wandering in people with dementia, and to assess their acceptability to relevant stakeholders, through a systematic review.

Objectives

1.To perform a systematic review of all relevant studies involving non pharmaceutical interventions to prevent wandering in dementia and determine their clinical and cost effectiveness in comparison to usual care from the perspectives of patients, carers and service providers;

2.To evaluate the acceptability to stakeholders of such interventions and identify ethical issues associated with their use, and the extent to which issues of acceptability and ethics are assessed in relation to such interventions; and,

3.To explore objective 2) in greater depth through a qualitative study involving relevant stakeholders.

This project aims to determine the clinical and cost effectiveness of non-drug related interventions to prevent/reduce wandering in people with dementia, and to assess their acceptability to relevant stakeholders, through a systematic review. If the available evidence on cost effectiveness is too limited or of unsatisfactory quality, the economic evaluation will include a simulation modelling exercise. Outcomes will include the number of successful/attempted exits, number and nature of accidents, acceptability measures for both patients and carers, quality of life measures and assessment of costs of care. The project will also consider in greater depth the acceptability and ethical implications of such interventions through a qualitative study of relevant stakeholders, such as people with dementia, their informal and formal carers and health and social care professionals via focus groups and one to one interviews."

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