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A support programme for patients with dementia and their caregivers lowered institutionalisation rates initially

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QUESTION: In patients with dementia, does a 2 year support programme based on nurse case management prolong care in the community?


Randomised {allocation concealed}*, {unblinded}*, controlled trial with 2 years of follow up.


5 municipalities in Finland.


100 patients who were ≥ 65 years of age (mean age 79 y, 53% women), entitled to payments from the Social Insurance Institution for community care because they had dementia, and lived at home with primary support from an informal caregiver (mean age 64 y, 69% women). Exclusion criteria were other severe diseases that might lead to institutionalisation or inability of patients and caregivers to participate in annual training courses. Follow up …

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  • Sources of funding: Social Insurance Institution, Finland, and the Alzheimer Foundation of Finland.

  • For correspondence: U Eloniemi-Sulkava, University of Kuopio, Kuopio, Finland. Ulla.Eloniemi{at}

  • A modified version of this abstract appears in ACP Journal Club.

  • * Information provided by author.