An Intervention to Reduce Inappropriate Medications in Long-term Care Residents With Severe Dementia

NCT03539276 | Completed

• 1 other identifier: OptimaMed-1
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

An education intervention to promote medication reviews and interdisciplinary discussions within long-term care facilities with the aim of improving medication regimen among residents with severe dementia

Conditions

Dementia; Inappropriate Prescribing

Keywords

quality improvement; long term care; polypharmacy

Outcome Measures

Primary Outcomes (1)

• Medication regimen

  Active prescriptions

  Four months post intervention

Secondary Outcomes (2)

• Level of pain

  Four months post intervention

• Level of agitation

  Four months post intervention

Study Arms (2)

Pre-intervention

NO INTERVENTION

Usual care

Post-intervention

EXPERIMENTAL

One 90-minute interdisciplinary knowledge exchange including the provision of a validated list of appropriate and inappropriate medications for severe dementia long-term care residents.

Behavioral: Knowledge exchange

Interventions

Knowledge exchange BEHAVIORAL

OptimaMed

Post-intervention

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• diagnosis of dementia of any etiology
• severe dementia

You may not qualify if:

• admission less than 2 months before intervention

Sponsors & Collaborators

• CHU de Quebec-Universite Laval: lead
• McGill University: collaborator
• Université de Montréal: collaborator
• Université de Sherbrooke: collaborator
• Fonds de la Recherche en Santé du Québec: collaborator

Study Sites (1)

Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale

Québec, Canada

Location

Related Publications (1)

• Kroger E, Wilchesky M, Marcotte M, Voyer P, Morin M, Champoux N, Monette J, Aubin M, Durand PJ, Verreault R, Arcand M. Medication Use Among Nursing Home Residents With Severe Dementia: Identifying Categories of Appropriateness and Elements of a Successful Intervention. J Am Med Dir Assoc. 2015 Jul 1;16(7):629.e1-17. doi: 10.1016/j.jamda.2015.04.002. Epub 2015 May 13.

  PMID: 25979776 BACKGROUND

MeSH Terms

Conditions

Dementia

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Study Officials

• Edeltraut Kröger, Ph.D.

  Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: It was unlikely that participants could foresee whether or when their medications have been reviewed or modified.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Adjunct professor

Model Details: Pre-post study

Study Record Dates

• First Submitted: May 16, 2018
• First Posted: May 29, 2018
• Study Start: March 1, 2014
• Primary Completion: October 1, 2014
• Study Completion: December 1, 2015
• Last Updated: June 1, 2018

Record last verified: 2018-05

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)