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Trials of interventions for people with dementia 

Trials of interventions for people with dementia
Chapter:
Trials of interventions for people with dementia
Author(s):

Amit Dias

, Dilip Motghare

, Daisy Acosta

, Jacob Roy

, A.T. Jotheeswaran

, and Ralph N. Martins

DOI:
10.1093/med/9780199680467.003.0012
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date: 20 November 2017

There is very little awareness in LAMIC of people with dementia and the treatment gap ranges from 70%–90%. This chapter highlights the tremendous scope for well-designed RCTs to test innovative interventions that would be affordable and effective for the people with dementia and their families in low-resource settings. The Dementia Home Care Project demonstrates the process of developing and evaluating an intervention, to test the effectiveness of a flexible, stepped-care, psychosocial intervention, designed using locally available resources to help families of people with dementia. Non-specialist health workers were trained to deliver an intervention at the residence of the person with dementia in Goa, India. The trial concluded that locally available resources could be utilized to decrease the burden and burnout associated with caring for a person with dementia and should be integrated with primary health care in LAMIC to bridge the treatment gap for dementia.

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