Deprescribing for Older Adults After Hospital Discharge in Home Health Care
Not Applicable
Active, not recruiting
- Conditions
- Polypharmacy
- Interventions
- Behavioral: HomeMed
- Registration Number
- NCT05630144
- Lead Sponsor
- University of Rochester
- Brief Summary
The purpose of this study is to examine the feasibility of providing a medication optimization program to improve patient health outcomes during the transition from hospital to home. This is because the period after hospital discharge is critical to long-term recovery, overall quality of life, and prevention of future hospitalizations.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 5
Inclusion Criteria
- 65 years of age and older
- currently hospitalized or having been hospitalized in the previous 2 weeks
- having a discharge disposition of home with a referral to receive HHC services from URMHC, or currently receiving HHC services from URMHC
- taking more than 10 regular medications daily
- having a primary care provider who is in the URMC system
- Ability to self-consent
- English-speaking
Patient
Exclusion Criteria
- end-of-life prognosis in the following 6 months
- currently receiving hospice care, end-of-life care, or palliative care
- conditions that impact the receipt of the intervention, such as severe cognitive impairment that interferes with the subject's ability to communicate with interventionists;
- substantial difficulties in hearing, vision, and verbal expression that disable the participant from communicating effectively while receiving the HomeMed intervention
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description All Participants HomeMed -
- Primary Outcome Measures
Name Time Method mean time spent on intervention 3 months Total number of medications used per participant 3 months Percentage of intervention adherence indicators checked 3 months Percentage of participants undergoing deprescribing 3 months Percentage of patients who improve in ability to do things that are important before and after intervention 3 months Percentage of patients who report a reduction in medication burden 3 months Medication burden will be reported by phone or survey.
Percentage of participants who report a reduction in medication side effect 3 months Side effects will be collected by phone.
number of participants who complete a post intervention survey about feasibility 3 months
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
University of Rochester Medical Center
🇺🇸Rochester, New York, United States