Promoting activity, independence and stability in early dementia and mild cognitive impairment (PrAISED): development of an intervention for people with mild cognitive impairment and dementia.

No completed randomised trial of PrAISED is reported, so its effect on falls, activity or independence is unknown. The development evidence includes small component studies, such as a modelling study of 10 people and case studies of 2 people, so feasibility findings are limited. The paper describes intervention development for mild dementia and mild cognitive impairment, so it does not show what should be done for more advanced dementia. The authors say the development process is hard to document fully because clinical knowledge, experience and intuition are mixed with formal evidence. The authors note possible publication bias, group decision-making complexity and loss of nuance when qualitative findings are summarised.

The authors declared no potential conflicts of interest. Funding came from the United Kingdom National Institute for Health Research, Nottingham University Hospitals NHS Trust Charity, Nottingham University Hospitals NHS Trust Research and Innovation directorate Research Capability Funding, and Alzheimer's Society UK with the Healthcare Management Trust through a Clinical Training Fellowship for lead author V.B. The paper also states it is part of an ongoing NIHR-funded Programme Grant and that the views expressed are the authors' own, not necessarily those of the National Health Service, the National Institute for Health Research or the Department of Health.

Do not read PrAISED as a proven falls-prevention treatment. The paper describes intervention development and states that the intervention is not yet suitable for clinical implementation because efficacy has not been determined and provider training needs evaluation.