Deprescribing to Reduce Injurious Falls Among Older Adults With Dementia

Not Applicable

Completed

• Conditions: Dementia
• Interventions: Behavioral: STOP Falls D Educational Intervention

• Registration Number: NCT05777772
• Lead Sponsor: University of Washington

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.

Study Timeline

• Study First Submitted: 2023-02-03
• Study Start: 2023-02-22
• Study First Submitted QC: 2023-03-08
• Study First Posted: 2023-03-21
• Primary Completion: 2023-05-31
• Study Completion: 2023-12-15
• Results First Submitted: 2024-03-05
• Status Verified: 2024-05
• Results First Submitted QC: 2024-05-06
• Last Update Submitted: 2024-05-06
• Results First Posted: 2024-05-07
• Last Update Posted: 2024-05-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 123

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

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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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Educational Intervention	STOP Falls D Educational Intervention	Educational Intervention

Primary Outcome Measures

Name	Time	Method
Number of Participants With Dementia With Medically Treated Falls	Through study completion, up to 6 months	Number of older adult participants with dementia with a fall-related healthcare visit

Secondary Outcome Measures

Name	Time	Method
Number of Participants With Dementia With All-cause Emergency Department Visits or Hospitalizations	Through study completion, up to 6 months	Number of older adult participants with dementia with an emergency department visit or hospitalization for any reason
Number of Participants With Dementia With Skilled Nursing Facility Placement	Through study completion, up to 6 months	Number of older adult participants with dementia admitted to a skilled nursing facility

Trial Locations

Locations (1)

Kaiser Permanente Health Research Institute; 🇺🇸 Seattle, Washington, United States