Abstract/Journal Article

DZNE-2025-01446

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Efficacy and Effectiveness of Extended Nursing Roles in Primary Dementia Care ‐ Results of the Multicenter, Cluster‐randomized Trial

Buchholz, M. (First author)DZNE* ; Michalowsky, B.DZNE* ; Raedke, A.DZNE* ; Platen, M.DZNE* ; Scharf, A.DZNE* ; Kleinke, F. ; van den Berg, N. ; Hoffmann, W. (Last author)DZNE*

2025

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Please use a persistent id in citations: doi:10.1002/alz70858_104268

Abstract: Background: 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.

Keyword(s): Humans (MeSH) ; Dementia: nursing (MeSH) ; Dementia: psychology (MeSH) ; Dementia: economics (MeSH) ; Caregivers: psychology (MeSH) ; Quality of Life: psychology (MeSH) ; Female (MeSH) ; Male (MeSH) ; Cost-Benefit Analysis (MeSH) ; Aged (MeSH) ; Aged, 80 and over (MeSH)

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Contributing Institute(s):

1. Translational Health Care Research (AG Hoffmann)
2. Patient-Reported Outcomes and Health Economics Research (AG Michalowsky)

Research Program(s):

1. 353 - Clinical and Health Care Research (POF4-353) (POF4-353)

Appears in the scientific report 2025

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Database coverage:
; ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; DEAL Wiley ; Essential Science Indicators ; IF >= 10 ; JCR ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection

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