Deprescribing to Reduce Injurious Falls Among Older Adults With Dementia

University of Washington123 enrolled

Overview

STOP-FALLS-D is an educational intervention to inform and activate patients, their care partner(s), and their primary care providers to work together to reduce use of central nervous system (CNS) active medications and prevent adverse outcomes (falls and injuries) associated with their use.

The study design is a pragmatic, one-arm pilot trial to test the feasibility and acceptability of implementing a deprescribing intervention with older people with dementia and their care partners in primary care. The intervention consists of patient-facing educational brochures on CNS-active medications and decision support for the primary care provider. Ethnic/minority groups will be over-sampled to ensure a diverse study sample.

Study Type

INTERVENTIONAL

Allocation

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

123

Conditions

Dementia

Interventions

STOP Falls D Educational InterventionBEHAVIORAL

This is one-arm, health-system embedded pragmatic pilot trial

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Older Adult Sample Inclusion Criteria: * Diagnosed dementia (dementia diagnosis code or prescription for dementia medication) * Receiving primary care at a Kaiser Permanente Washington integrated group practice outpatient clinic * Prescribed at least one CNS-active medication on a chronic (3 months or more) basis Exclusion Criteria: * Skilled nursing facility resident * Current cancer diagnosis * On hospice or palliative care Care Partner Sample Inclusion Criteria: * Aged 18 years or older * Self-identify as a care partner for the older adult with dementia

Locations (1)

Kaiser Permanente Health Research Institute

Seattle, Washington, United States

Outcomes

Primary Outcomes

Number of Participants With Dementia With Medically Treated Falls

Number of older adult participants with dementia with a fall-related healthcare visit

Time frame: Through study completion, up to 6 months

Secondary Outcomes

Number of Participants With Dementia With All-cause Emergency Department Visits or Hospitalizations

Number of older adult participants with dementia with an emergency department visit or hospitalization for any reason

Time frame: Through study completion, up to 6 months

Number of Participants With Dementia With Skilled Nursing Facility Placement

Number of older adult participants with dementia admitted to a skilled nursing facility

Time frame: Through study completion, up to 6 months

Data from ClinicalTrials.gov

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