A Collaborative approach to Optimise MEdication use for Older people in Nursing homes (the COME-ON study): a cluster controlled trial

KU Leuven0 sites1,804 target enrollmentNovember 18, 2015

Overview

2016 Protocol article in https://www.ncbi.nlm.nih.gov/pubmed/26968520 protocol 2019 Results article in https://www.ncbi.nlm.nih.gov/pubmed/31402136 results (added 14/08/2019) 2019 Other publications in https://www.ncbi.nlm.nih.gov/pubmed/31829252 process evaluation (added 13/12/2019) 2023 Results article in https://pubmed.ncbi.nlm.nih.gov/36633299/ Drug–drug interaction results (added 09/01/2024)

Registry

who.int

Start Date

November 18, 2015

End Date

June 30, 2016

Last Updated

2 years ago

Study Type

Interventional

Sex

All

Sponsor

•1\. Participating nursing homes:
•The National Institute for Health and Disability Insurance (NIHDI) of Belgium launched a call in July 2013 to all Belgian nursing homes to apply for participation to the Come\-On study. In total, 72 nursing homes were considered as eligible candidates. After the exclusion of duplicates (in case of the same coordinating physician, the same pharmacist or the same board of directions), 63 submission files were restrained.
•In agreement with NIHDI we decided to use the resulting 63 files to generate an intervention group of 30 NHs (as stipulated in the call launched by NIHDI in July 2013\) and a control group of 33 NHs.
•Because of political reasons, it was decided on beforehand that each ‘entity’ in Belgium (12 in total: five Flemish provinces, five Walloon provinces, German\-speaking community and Brussels\-Capital Region) would have at least one NH in the intervention group.
•The number of NHs to be selected from each of the eight remaining entities was calculated on the number of inhabitants. We further stratified, within these entities, for experience with case conferencing and type of delivering pharmacy (hospital pharmacy versus community pharmacy). This resulted in 17 groups.
•Randomization within the groups was performed with SPSS.
•2\. Participating nursing home residents:
•2\.1\. Resident of participating nursing home
•2\.2\. Participating GP
•2\.3\. 65 years and older