Clare, Linda, Bayer, Antony, Burns, Alistair, Corbett, Anne, Jones, Roy, Knapp, Martin 
ORCID: 0000-0003-1427-0215, Kopelman, Michael, Kudlicka, Aleksandra, Leroi, Iracema, Oyebode, Jan, Pool, Jackie, Woods, Bob and Whitaker, Rhiannon
(2013)
Goal-oriented cognitive rehabilitation in early-stage dementia: study protocol for a multi-centre single-blind randomised controlled trial (GREAT).
Trials, 14 (1).
p. 152.
ISSN 1745-6215
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Abstract
Background: Preliminary evidence suggests that goal-oriented cognitive rehabilitation (CR) may be a clinically effective intervention for people with early-stage Alzheimer’s disease, vascular or mixed dementia and their carers. This study aims to establish whether CR is a clinically effective and cost-effective intervention for people with early-stage dementia and their carers. Methods/design: In this multi-centre, single-blind randomised controlled trial, 480 people with early-stage dementia, each with a carer, will be randomised to receive either treatment as usual or cognitive rehabilitation (10 therapy sessions over 3 months, followed by 4 maintenance sessions over 6 months). We will compare the effectiveness of cognitive rehabilitation with that of treatment as usual with regard to improving self-reported and carer-rated goal performance in areas identified as causing concern by people with early-stage dementia; improving quality of life, self-efficacy, mood and cognition of people with early-stage dementia; and reducing stress levels and ameliorating quality of life for carers of participants with early-stage dementia. The incremental cost-effectiveness of goal-oriented cognitive rehabilitation compared to treatment as usual will also be examined. Discussion: If the study confirms the benefits and cost-effectiveness of cognitive rehabilitation, it will be important to examine how the goal-oriented cognitive rehabilitation approach can most effectively be integrated into routine health-care provision. Our aim is to provide training and develop materials to support the implementation of this approach following trial completion. Trial registration: Current Controlled Trials ISRCTN21027481
| Item Type: | Article |
|---|---|
| Official URL: | http://www.trialsjournal.com/ |
| Additional Information: | © 2013 The Authors |
| Divisions: | Social Policy Care Policy and Evaluation Centre LSE Health |
| Subjects: | R Medicine > RA Public aspects of medicine |
| Date Deposited: | 03 Apr 2014 13:42 |
| Last Modified: | 12 Dec 2024 00:29 |
| Funders: | National Institute for Health Research (NIHR) Health Technology Assessment (HTA) programme |
| URI: | http://eprints.lse.ac.uk/id/eprint/56388 |
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