TY - JOUR AU - Iliffe, Steve AU - Wilcock, Jane AU - Griffin, Mark AU - Jain, Priya AU - Thuné-Boyle, Ingela AU - Koch, Tamar AU - Lefford, Frances PY - 2010 DA - 2010/02/10 TI - Evidence-based interventions in dementia: A pragmatic cluster-randomised trial of an educational intervention to promote earlier recognition and response to dementia in primary care (EVIDEM-ED) JO - Trials SP - 13 VL - 11 IS - 1 AB - The National Dementia Strategy seeks to enhance general practitioners' diagnostic and management skills in dementia. Early diagnosis in dementia within primary care is important as this allows those with dementia and their family care networks to engage with support services and plan for the future. There is, however, evidence that dementia remains under-detected and sub-optimally managed in general practice. An earlier unblinded, cluster randomised controlled study tested the effectiveness of educational interventions in improving detection rates and management of dementia in primary care. In this original trial, a computer decision support system and practice-based educational workshops were effective in improving rates of detecting dementia although not in changing clinical management. The challenge therefore is to find methods of changing clinical management. Our aim in this new trial is to test a customised educational intervention developed for general practice, promoting both earlier diagnosis and concordance with management guidelines. SN - 1745-6215 UR - https://doi.org/10.1186/1745-6215-11-13 DO - 10.1186/1745-6215-11-13 ID - Iliffe2010 ER -