Deprescribing in Patients Living With Dementia With Caregiver and Provider Nudges
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Alzheimer Disease
- Sponsor
- Brigham and Women's Hospital
- Enrollment
- 250
- Locations
- 1
- Primary Endpoint
- Composite of the percentage of eligible PCPs or their PLWD/care partners who view or click on information
- Status
- Completed
- Last Updated
- 4 months ago
Overview
Brief Summary
The objectives of this study are to demonstrate the feasibility of implementing a deprescribing nudge intervention using pragmatic methods, confirm that outcomes can be feasibly measured and evaluated at scale in a subsequent embedded pragmatic clinical trial (ePCT), and explore representativeness of persons living with dementia and care partners identified.
Detailed Description
The PCP nudge will consist of: a 'pre-commitment' EHR nudge triggered when a PCP opens a patient encounter (i.e., prompt to first have a discussion and then later deprescribe) and a brief message within the in-basket prior to upcoming visits including information about their patient. The patient living with dementia (PLWD)/care partner nudge will include an electronic message delivered prior to upcoming visits (in their primary language recorded in the EHR) that includes a recommendation for the PLWD (and care partner, if available) to discuss medications with the PCP at the visit.
Investigators
Julie Lauffenburger
Associate Professor
Brigham and Women's Hospital
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Composite of the percentage of eligible PCPs or their PLWD/care partners who view or click on information
Time Frame: On or before the primary care provider visit
This will be the primary progression criteria for the study and measured and evaluated separately by patient and provider.
Secondary Outcomes
- Number of nudges that fire as intended: Fidelity(On the primary care provider visit)
- Discontinuation or prescribed reduction in medication(Within 60 days after the primary care provider visit)