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Table 1 Overview of the intervention content, training, and support prior to the study

From: The short-term effect of a modified comprehensive geriatric assessment and regularly case conferencing on neuropsychiatric symptoms in nursing homes: a cluster randomized trial

Element of intervention Content Training and support
Modified Comprehensive Geriatric Assessment (m-CGA) tool- box  The Physical Self-Maintenance Scale (PSMS)
 Cornell Scale for Depression in Dementia (CSDD)
 Clinical Dementia Rating (CDR) scale
 Neuropsychiatric Inventory-Questionnaire (NPI-Q, 12-ITEMS)
 The quality of life in late-stage dementia (QUALID)
 The Brief Agitation Rating Scale (BARS) a subscale of the Cohen-Mansfield Agitation Inventory (CMAI)
 The 24-h registration of behaviour form
A 30 min’ lecture on how to use assessments for case conferencing
Written educational material
Case conference meeting Four structured steps:  
1) Evaluate effects of previous nursing interventions based on updated assessment
2) Create a common understanding of the problem or area for improvement
3) Determination of concrete and realistic goal of care
4) Discuss, decide and define nursing interventions and appropriate method for evaluation
A 45 min’ lecture on symptoms, causes and explanations of neuropsychiatric symptoms
A 45 min’ lecture on why and how to perform a case conference
A 30 min’ practical training session in performing a case conference (using a resident case from the actual nursing home as example)
Written educational material and a manual for structuring the case conference
Documentation and reporting (using Electronic Patient Record) Care plan should be updated after each case conference by updating the electronic record (nursing module) A 45 min’ lecture on the nursing care process including demonstration of resident example
Additional assessments (when the resident’s symptoms/needs, or situation requires it) The brief agitation rating scale (BARS), 24-h registration of behaviour form A 30 min’ lecture on how to use assessments for case conferencing
Written educational material