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

CHU de Quebec-Universite Laval44 enrolled

Overview

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

A quasi-experimental study in three long-term care facilities. The intervention comprises an information leaflet for families of residents, a 90-minute knowledge exchange session for general practitioners, pharmacists and nurses and a list of "generally", "sometimes", and "exceptionally" appropriate medications for severe dementia residents

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

Conditions

Dementia Inappropriate Prescribing

Interventions

Knowledge exchangeBEHAVIORAL

OptimaMed

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * diagnosis of dementia of any etiology * severe dementia Exclusion Criteria: * admission less than 2 months before intervention

Locations (1)

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

Québec, Canada

Outcomes

Primary Outcomes

Medication regimen

Active prescriptions

Time frame: Four months post intervention

Secondary Outcomes

Level of pain

Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC). The French version of the PACSLAC tool is a validated observational scale in use in Quebec to assess discomfort / pain. One point is added to the score for each PACSLAC item (n=60) observed over a 15-minute observation period; the sum of the four 15-minute observation periods gives the total score. The total score ranges from zero to sixty where zero represents no discomfort or pain and sixty a very high level of discomfort or pain.

Time frame: Four months post intervention

Level of agitation

Cohen-Mansfield Agitation Inventory () measures level of agitation. Sum of the number of times the Cohen-Mansfield Agitation Inventory items were observed during the four 15-minute observation periods.. The total score ranges from zero to one hundred where zero represents no agitation and one hundred a very high level of agitation.

Time frame: Four months post intervention

Data from ClinicalTrials.gov

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