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| Titre de l’article | "Continuamente": A project to ensure continuity of care between hospital and community for people with dementia and their caregivers. Study protocol |
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| Code d’article | P12 |
| Auteurs | |
| Forme de présentation | Poster |
| Domaines thématiques |
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| Résumé (Abstract) |
Introduction The older adults represent a significant percentage of all hospital admissions in Europe. For many hospitalized older adults, returning home can be difficult for clinical and/or social reasons. There is scientific evidence that interprofessional interventions can facilitate the return home after hospitalization. The aim of the abstract is to present the protocol study of the research project. Methods This is a single-arm study to assess the feasibility of the Tailor Activity Program (TAP), an occupational therapy intervention, in older adults with behavioral disorders in both hospital and primary care as a facilitator for discharge. We plan to enroll 50 dyads (patients/caregivers) from April 2022 to April 2023. Admission criteria are diagnosis of dementia and clinically detectable presence of behavioral disorders, ability of the patient to participate in activities of daily living (Katz index ≥ 2), presence of a caregiver before the admission (age ≥ 21; minimum 4 hours of daily care); willingness of the patient/caregiver dyad to participate in the project. Treatment will be provided in two distinct phases: in hospital and at home for 8 TAP sessions. In addition to the occupational therapist, telemedicine and nursing care will be provided if needed. Data will be collected at four different points in time: at T0 at the beginning of the hospital stay, at T1 at the end of the hospital stay, at T2 at the end of the home TAP treatment and at T3 with follow-up at three months after hospital discharge. Results The primary outcome will be the rate (%) of treatment refusal by the patient/caregiver dyad and the rate (%) of treatment dropout during the observation period. The secondary outcomes will be the reduction (%) of the frequency and intensity of behavioral disorders assessed by the Neuro Psychiatric Inventory (NPI), the increase (%) of the caregiver's sense of competence, the improvement (%) of the patient's motor performance through the Time up and Go test, the improvement (%) of the patient's levels of autonomy and participation in activities of daily living. Conclusion The data should demonstrate that TAP delivered both in the hospital and in the primary care is feasible. It should also allow an improvement in function and occupational performance of enrolled patients, facilitating the hospital discharge process and a consequent reduction in hospital-acquired disability. |