Nursing Home Team-Care Deprescribing Study

Tan Tock Seng Hospital295 enrolled

Overview

This is a multi-centre study in Singapore nursing homes, investigating the factors that affecting deprescribing, and if a team-care based deprescribing standard practice gives superior health and pharmacoeconomic outcomes over current medication review practice.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

295

Conditions

Fall in Nursing Home Medication Therapy Management

Interventions

Team-care deprescribing with deprescribing guideOTHER

Beers criteria 2015, STOPP criteria 2014, drug interaction

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

For interview questionnaire: Inclusion criteria are: 1. Accepted informed consent, 2. The healthcare professional is practicing in the involved nursing homes. Exclusion criteria are: 1\) Decline/unable to provide consent. For team-care deprescribing study: Inclusion criteria are: 1. Accepted informed consent (unless cognitive-impaired, with no or un-contactable next-of-kin), 2. Adult aged 65 years and above, 3. Currently on five or more medications. Exclusion criteria are: 1. Below the age of 65 years of age, 2. Life expectancy of less than 6 months or respite care.

Locations (1)

Nursing homes

Singapore, Singapore

Outcomes

Primary Outcomes

Change from baseline in Fall Risk Assessment Tool (FRAT) score

Time frame: Change from baseline in FRAT score at 3 months

Change from baseline in Fall Risk Assessment Tool (FRAT) score

Time frame: Change from baseline in FRAT score at 6 months

Change from baseline in Fall Risk Assessment Tool (FRAT) score

Time frame: Change from baseline in FRAT score at 12 months

Change from baseline in fall rate

Time frame: Change from baseline in fall rate at 3 months

Change from baseline in fall rate

Time frame: Change from baseline in fall rate at 6 months

Change from baseline in fall rate

Time frame: Change from baseline in fall rate at 12 months

Secondary Outcomes

Factors affecting deprescribing

Interview questionnaire

Time frame: 0 month

Change from baseline in mean number of medications per subject

Time frame: Change from baseline in mean number of medications per subject at 3 months

Change from baseline in mean number of medications per subject

Time frame: Change from baseline in mean number of medications per subject at 6 months

Change from baseline in mean number of medications per subject

Time frame: Change from baseline in mean number of medications per subject at 12 months

Data from ClinicalTrials.gov

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