This study aims to compare two strategies performed by GPs to help patients taking benzodiazepines on a daily basis for at least six months to discontinue their use. The first strategy consists of the usual or standard support provided by the GP, which often starts with a discontinuation advice or letter, the second is blended support where face-to-face consultations with the GP are alternated with web-based self-learning by the patient.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
924
An interactive e-learning programme delivered through a secured web-based platform for patients and general practitioners (GPs), blended with face-to-face contacts between the involved GP and patient.
General practitioners offering usual care are expected to follow the Belgian guidelines as described in the most recent online version of "Anxiety, stress and sleeping problems A toolbox for general practitioners." or "Sleeping pills and sedatives. How to assist your patients in the search for other solutions?" which are both available in French and Dutch.
Proportion of patients that discontinued (z-)BZD use at 12 months assessed by toxicological screening
Long-term effect of a blended care approach versus usual care on the discontinuation of (z-)BZD
Time frame: 12 months
Proportion of patients that discontinued (z-)BZD use at 6 months assessed by toxicological screening
Short-term effect of a blended care approach versus usual care on the discontinuation of (z-)BZD
Time frame: 6 months
EQ-5D-3L assessed at week 6, 12, 26 and 52
Effect of a blended care approach versus usual care on the quality of life. The EQ-5D-3L is the three-level version of the EuroQol five dimension scale measuring quality of life.
Time frame: 12 months
Proportion of patients with self-reported discontinuation of (z-)BZD use assessed at week 6, 12, 26 and 52
Effect of a blended care approach versus usual care on self-reported discontinuation of (z-)BZD use
Time frame: 12 months
The number of defined daily doses (DDD) of (z-)BZD prescribed in the preceding interval assessed at week 6, 12, 26 and 52
Effect of a blended care approach versus usual care on the number of DDD of benzodiazepines prescribed
Time frame: 12 months
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