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Alzheimer's Research & Therapy
Published in: Alzheimer's Research & Therapy 1/2019

Open Access 01-12-2019 | Alzheimer's Disease | Research

Early recognition and treatment of neuropsychiatric symptoms to improve quality of life in early Alzheimer’s disease: protocol of the BEAT-IT study

Authors: Willem S. Eikelboom, Ellen Singleton, Esther van den Berg, Michiel Coesmans, Francesco Mattace Raso, Rozemarijn L. van Bruchem, Jeannette A. Goudzwaard, Frank Jan de Jong, Marc Koopmanschap, Tom den Heijer, Jan J. M. Driesen, Lilian J. H. M. Vroegindeweij, Elsbeth C. Thomeer, Susanne E. Hoogers, Anke A. Dijkstra, Sytse U. Zuidema, Yolande A. L. Pijnenburg, Philip Scheltens, John C. van Swieten, Rik Ossenkoppele, Janne M. Papma

Published in: Alzheimer's Research & Therapy | Issue 1/2019

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Abstract

Background

Neuropsychiatric symptoms (NPS) are very common in patients with mild cognitive impairment (MCI) and Alzheimer’s disease (AD) dementia and are associated with various disadvantageous clinical outcomes including a negative impact on quality of life, caregiver burden, and accelerated disease progression. Despite growing evidence of the efficacy of (non)pharmacological interventions to reduce these symptoms, NPS remain underrecognized and undertreated in memory clinics. The BEhavioural symptoms in Alzheimer’s disease Towards early Identification and Treatment (BEAT-IT) study is developed to (1) investigate the neurobiological etiology of NPS in AD and (2) study the effectiveness of the Describe, Investigate, Create, Evaluate (DICE) approach to structure and standardize the current care of NPS in AD. By means of the DICE method, we aim to improve the quality of life of AD patients with NPS and their caregivers who visit the memory clinic. This paper describes the protocol for the intervention study that incorporates the latter aim.

Methods

We aim to enroll a total of 150 community-dwelling patients with MCI or AD and their caregivers in two waves. First, we will recruit a control group who will receive care as usual. Next, the second wave of participants will undergo the DICE method. This approach consists of the following steps: (1) describe the context in which NPS occur, (2) investigate the possible causes, (3) create and implement a treatment plan, and (4) evaluate whether these interventions are effective. Primary outcomes are the quality of life of patients and their caregivers. Secondary outcomes include NPS change, caregiver burden, caregivers’ confidence managing NPS, psychotropic medication use, the experiences of patients and caregivers who underwent the DICE method, and the cost-effectiveness of the intervention.

Conclusions

This paper describes the protocol of an intervention study that is part of the BEAT-IT study and aims to improve current recognition and treatment of NPS in AD by structuring and standardizing the detection and treatment of NPS in AD using the DICE approach.

Trial registration

The trial was registered on the Netherlands Trial Registry (NTR7459); registered 6 September 2018.
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Metadata
Title
Early recognition and treatment of neuropsychiatric symptoms to improve quality of life in early Alzheimer’s disease: protocol of the BEAT-IT study
Authors
Willem S. Eikelboom
Ellen Singleton
Esther van den Berg
Michiel Coesmans
Francesco Mattace Raso
Rozemarijn L. van Bruchem
Jeannette A. Goudzwaard
Frank Jan de Jong
Marc Koopmanschap
Tom den Heijer
Jan J. M. Driesen
Lilian J. H. M. Vroegindeweij
Elsbeth C. Thomeer
Susanne E. Hoogers
Anke A. Dijkstra
Sytse U. Zuidema
Yolande A. L. Pijnenburg
Philip Scheltens
John C. van Swieten
Rik Ossenkoppele
Janne M. Papma
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Alzheimer's Research & Therapy / Issue 1/2019
Electronic ISSN: 1758-9193
DOI
https://doi.org/10.1186/s13195-019-0503-2

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