ageing in general practice (agp) trial a cluster randomised trial to examine the effectiveness of peer education on gp diagnostic assessment and management of dementia老化一般实践试验(agp)集群随机试验检查的有效性同伴教育在gp痴呆的诊断评估和管理.pdfVIP

Pond et al. BMC Family Practice 2012, 13:12 /1471-2296/13/12 STUDY PROTOCOL Open Access Ageing in general practice (AGP) trial: a cluster randomised trial to examine the effectiveness of peer education on GP diagnostic assessment and management of dementia 1 2 3 4 1 5 1 Constance D Pond , Henry Brodaty , Nigel P Stocks , Jane Gunn , John Marley , Peter Disler , Parker Magin , 1 1 1 3 1,6* Nerida Paterson , Graeme Horton , Susan Goode , Bronwen Paine and Karen E Mate Abstract Background: Dementia is increasing in prevalence as the population ages. An earlier rather than later diagnosis allows persons with dementia and their families to plan ahead and access appropriate management. However, most diagnoses are made by general practitioners (GPs) later in the course of the disease and are associated with management that is poorly adherent to recommended guidelines. This trial examines the effectiveness of a peer led dementia educational intervention for GPs. Methods: The study is a cluster randomised trial, conducted across three states and five sites. All GPs will complete an audit of their consenting patients aged 75 years or more at three time points - baseline, 12 and 24 months. GPs allocated to the intervention group will receive two educational sessions from a peer GP or nurse, and will administer the GPCOG to consenting patients at baseline and 12 months. The first education session will provide information about dementia and the second will provide individualised feedback on audit results. GPs in the waitlist group will receive the RACGP Guidelines by post following the 12 month audit