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Educational workshops and decision support software increase detection of dementia in the elderly in primary care settings

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 Q Does educating primary care workers in investigating and managing dementia in the elderly increase detection rates and adherence to diagnosis and management guidelines?

METHODS

Embedded ImageDesign:

Cluster randomised controlled trial (by general practice).

Embedded ImageAllocation:

Concealed.

Embedded ImageBlinding:

Unblinded (once baseline data were collected).

Embedded ImageFollow up period:

Nine months.

Embedded ImageSetting:

Thirty six UK general practices; 1999 to 2002.

Embedded ImagePatients:

450 people aged 75 and over registered at 36 general practices who were diagnosed with dementia or probable dementia.

Embedded ImageIntervention:

Three educational interventions for primary care workers: tutorial on a CD-ROM (8 practices); decision support software built into the electronic medical records prompting investigation and management of dementia (8 practices); educational workshops (10 practices). The control group was contacted for data collection only (10 practices).

Embedded ImageOutcomes:

Dementia detection rates; …

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