Deprescribing to Reduce Injurious Falls Among Older Adults With Dementia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Dementia
- Sponsor
- University of Washington
- Enrollment
- 123
- Locations
- 1
- Primary Endpoint
- Number of Participants With Dementia With Medically Treated Falls
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Elizabeth Phelan
Professor: School of Medicine
University of Washington
Eligibility Criteria
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
Outcomes
Primary Outcomes
Number of Participants With Dementia With Medically Treated Falls
Time Frame: Through study completion, up to 6 months
Number of older adult participants with dementia with a fall-related healthcare visit
Secondary Outcomes
- Number of Participants With Dementia With All-cause Emergency Department Visits or Hospitalizations(Through study completion, up to 6 months)
- Number of Participants With Dementia With Skilled Nursing Facility Placement(Through study completion, up to 6 months)