Deprescribing to Reduce Injurious Falls Among Older Adults With Dementia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 123
- 试验地点
- 2
- 主要终点
- Number of Participants With Dementia With Medically Treated Falls
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Number of Participants With Dementia With Medically Treated Falls
时间窗: Through study completion, up to 6 months
Number of older adult participants with dementia with a fall-related healthcare visit
次要结局
- 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)
研究者
Elizabeth Phelan
Professor: School of Medicine
University of Washington