DIAMOND-Lewy Work Package 2: Embedded qualitative studies

  • Research type

    Research Study

  • Full title

    Improving the diagnosis and management of neurodegenerative dementia of Lewy body type in the NHS (DIAMOND-Lewy): Work package 2: Exploring and understanding barriers to improving the diagnosis and management of Lewy body dementias

  • IRAS ID

    133959

  • Contact name

    John O'Brien

  • Contact email

    john.obrien@medschl.cam.ac.uk

  • Sponsor organisation

    Northumberland Tyne & Wear NHS Foundation Trust

  • Research summary

    This programme grant is funded by the National Institute for Health Research (NIHR) and focuses on Lewy body dementia (LBD) which includes two related disorders: dementia with Lewy bodies (DLB) and Parkinson’s disease dementia (PDD). The signs and symptoms of LBD are often hard to detect and currently only about one in three cases are diagnosed; as a result many patients with LBD do not receive the best possible management. The programme has two main aims:

    (i) To improve the recognition and prompt diagnosis of LBD through the introduction of a simple assessment tool.

    (ii) To improve patient management and outcomes through the development and introduction of an evidence-based toolkit for clinicians.

    The programme will involve memory/dementia assessment services and movement disorder services from NHS Trusts in North-East England and East Anglia. It consists of 5 interlinked work packages (WP) which will:

    WP1: Examine the proportion of LBD cases currently diagnosed and compare the management pathways of LBD and non-LBD patients.

    WP2: Explore and understand barriers to improving the diagnosis and management of Lewy body dementias.

    WP3: Develop an evidence-based practical management toolkit to guide clinicians in the management of LBD. This will involve a systematic review of existing evidence and input from expert clinical and PPI panels

    WP4: Pilot the assessment tool and management toolkit to ensure that they can be integrated into current NHS services.

    WP5: Implement the assessment tool and conduct a cluster randomised trial of the management toolkit, to assess its impact on patient management and health outcomes.

    This application is concerned with WP2 only.

  • REC name

    North East - Newcastle & North Tyneside 1 Research Ethics Committee

  • REC reference

    13/NE/0322

  • Date of REC Opinion

    25 Nov 2013

  • REC opinion

    Favourable Opinion