AQUEDUCT Intervention for Crisis Team Quality and Effectiveness in Dementia: Protocol for a Feasibility Study.
BACKGROUND
Specialist community teams often support people with dementia who experience crisis. These teams may vary in composition and models of practice, which presents challenges when evaluating their effectiveness. A best practice model for dementia crisis services could be used by teams to improve the quality and effectiveness of the care they deliver.


OBJECTIVE
The aim of this study is to examine the feasibility of conducting a large-scale randomized controlled trial comparing the AQUEDUCT (Achieving Quality and Effectiveness in Dementia Using Crisis Teams) Resource Kit intervention to treatment as usual.


METHODS
This is a multisite feasibility study in preparation for a future randomized controlled trial. Up to 54 people with dementia (and their carers) and 40 practitioners will be recruited from 4 geographically widespread teams managing crisis in dementia. Quantitative outcomes will be recorded at baseline and at discharge. This study will also involve a nested health economic substudy and qualitative research to examine participant experiences of the intervention and acceptability of research procedures.


RESULTS
Ethical approval for this study was granted in July 2019. Participant recruitment began in September 2019, and as of September 2020, all data collection has been completed. Results of this study will establish the acceptability of the intervention, recruitment rates, and will assess the feasibility and appropriateness of the outcome measures in preparation for a large-scale randomized controlled trial.


CONCLUSIONS
There is a need to evaluate the effectiveness of crisis intervention teams for older people with dementia. This is the first study to test the feasibility of an evidence-based best practice model for teams managing crisis in dementia. The results of this study will assist in the planning and delivery of a large-scale randomized controlled trial.


INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)
DERR1-10.2196/18971.
['Broome|Emma Elizabeth|EE|https://orcid.org/0000-0002-1607-0594', 'Coleston-Shields|Donna Maria|DM|https://orcid.org/0000-0002-6381-8518', 'Dening|Tom|T|https://orcid.org/0000-0003-3387-4241', 'Moniz-Cook|Esme|E|https://orcid.org/0000-0002-7232-4632', 'Poland|Fiona|F|https://orcid.org/0000-0003-0003-6911', 'Stanyon|Miriam|M|https://orcid.org/0000-0003-4326-0286', 'Orrell|Martin|M|https://orcid.org/0000-0002-1169-3530']
crisis dementia feasibility study community services mental health