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000283039 0247_ $$2doi$$a10.1002/alz70858_104268
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000283039 0247_ $$2ISSN$$a1552-5279
000283039 037__ $$aDZNE-2025-01446
000283039 041__ $$aEnglish
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000283039 1001_ $$0P:(DE-2719)9002138$$aBuchholz, Maresa$$b0$$eFirst author$$udzne
000283039 1112_ $$aAlzheimer’s Association International Conference$$cToronto$$d2025-07-27 - 2025-07-31$$gAAIC 25$$wCanada
000283039 245__ $$aEfficacy and Effectiveness of Extended Nursing Roles in Primary Dementia Care ‐ Results of the Multicenter, Cluster‐randomized Trial
000283039 260__ $$c2025
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000283039 520__ $$aBackground: Extended nursing roles in dementia care can improve treatment, care, and patient and caregiver outcomes. We tested the efficacy and cost-effectiveness in People living with Dementia (PlwD) and caregivers.Method: We analyzed data from 417 PlwD within the multicenter, cluster-randomized InDePendent trial six months after baseline. Specifically qualified nurses carried out advanced dementia care management tailored to patient's and caregiver's needs. Outcomes includes unmet needs (CANE), Quality of Life (QoL-AD, EQ-5D), Caregiver burden (Zarit), and cost-effectiveness (FIMA, RUD).Result: PlwD receiving the intervention had 74% lower unmet needs (0.26, CI95%0.17-0.40, p <0.001) and higher quality of life (0.04, CI95% 0.01–0.07, p = 0.017) than controls. There was a gain in QALY (0.01, CI95%-0.001-0.018) at slightly higher costs (1,425€, CI95% 638-2,211). There was no effect on caregiver burden.Conclusion:The results provide evidence for the efficacy and effectiveness of extended nursing roles in dementia care, demonstrating that extended nursing roles reduce unmet needs and improve quality of life.
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000283039 650_2 $$2MeSH$$aHumans
000283039 650_2 $$2MeSH$$aDementia: nursing
000283039 650_2 $$2MeSH$$aDementia: psychology
000283039 650_2 $$2MeSH$$aDementia: economics
000283039 650_2 $$2MeSH$$aCaregivers: psychology
000283039 650_2 $$2MeSH$$aQuality of Life: psychology
000283039 650_2 $$2MeSH$$aFemale
000283039 650_2 $$2MeSH$$aMale
000283039 650_2 $$2MeSH$$aCost-Benefit Analysis
000283039 650_2 $$2MeSH$$aAged
000283039 650_2 $$2MeSH$$aAged, 80 and over
000283039 7001_ $$0P:(DE-2719)2810763$$aMichalowsky, Bernhard$$b1$$udzne
000283039 7001_ $$0P:(DE-2719)9001134$$aRaedke, Anika$$b2$$udzne
000283039 7001_ $$0P:(DE-2719)9001238$$aPlaten, Moritz$$b3$$udzne
000283039 7001_ $$0P:(DE-2719)9001251$$aScharf, Annelie$$b4$$udzne
000283039 7001_ $$aKleinke, Fabian$$b5
000283039 7001_ $$avan den Berg, Neeltje$$b6
000283039 7001_ $$0P:(DE-2719)2000040$$aHoffmann, Wolfgang$$b7$$eLast author$$udzne
000283039 773__ $$0PERI:(DE-600)2201940-6$$a10.1002/alz70858_104268$$gVol. 21, no. S4, p. e104268$$nS4$$pe104268$$tAlzheimer's and dementia$$v21$$x1552-5260$$y2025
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