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To offer good support to people with dementia and their carers in an aging and Internet society the deployment of hand-held touch screen devices, better known as tablets, and its applications (apps) can be viable and desirable. However, at the moment it is not clear which apps are usable for supporting people with dementia in daily life. Also, little is known about how people with dementia can be coached to learn to use a tablet and its apps.
A person-centered program, with tools and training, will be developed that aims to support people with mild dementia and their (in)formal carers in how to use the tablet for self-management and meaningful activities. The program will be developed in accordance with the Medical Research Council's (MRC) framework for developing and evaluating complex interventions and the study will cover the following phases: a preclinical or theoretical (0) phase; a modeling phase (I) and the exploratory trial phase (II). The users (people with dementia and their carers) will be involved intensively during all these phases, by means of individual interviews, workshops, focus groups, and case studies.
The iterative process inherent to this framework makes it possible to develop a user-oriented intervention, in this case a person-centered program, for the use of tablets in dementia care. Preparatory work will be done to perform a methodologically sound randomized controlled trial (RCT) in the near future, which aims to investigate the contribution of this person-centered program for tablet use to the quality of life of people with dementia and their carers.
Randomised studies examining the effect on patients of training
professionals in adherence to suicide guidelines are scarce.
To assess whether patients benefited from the training of professionals
in adherence to suicide guidelines.
In total 45 psychiatric departments were randomised (Dutch trial
register: NTR3092). In the intervention condition, all staff in the
departments were trained with an e-learning supported train-the-trainer
programme. After the intervention, patients were assessed at admission
and at 3-month follow-up. Primary outcome was change in suicide ideation,
assessed with the Beck Scale for Suicide Ideation.
For the total group of 566 patients with a positive score on the Beck
Scale for Suicide Ideation at baseline, intention-to-treat analysis
showed no effects of the intervention on patient outcomes at 3-month
follow-up. Patients who were suicidal with a DSM-IV diagnosis of
depression (n = 154) showed a significant decrease in
suicide ideation when treated in the intervention group. Patients in the
intervention group more often reported that suicidality was discussed
Overall, no effect of our intervention on patients was found. However, we
did find a beneficial effect of the training of professionals on patients
It is unclear whether there is a direct link between economic crises and changes in suicide rates.
The Lopez-Ibor Foundation launched an initiative to study the possible impact of the economic crisis on European suicide rates.
Data was gathered and analysed from 29 European countries and included the number of deaths by suicide in men and women, the unemployment rate, the gross domestic product (GDP) per capita, the annual economic growth rate and inflation.
There was a strong correlation between suicide rates and all economic indices except GPD per capita in men but only a correlation with unemployment in women. However, the increase in suicide rates occurred several months before the economic crisis emerged.
Overall, this study confirms a general relationship between the economic environment and suicide rates; however, it does not support there being a clear causal relationship between the current economic crisis and an increase in the suicide rate.
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