Deprescribing for Older Adults After Hospital Discharge in Home Health Care - A Pilot Feasibility Study of the HomeMed Deprescribing Intervention
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Polypharmacy
- Sponsor
- University of Rochester
- Enrollment
- 5
- Locations
- 1
- Primary Endpoint
- mean time spent on intervention
- Status
- Completed
- Last Updated
- 9 months ago
Overview
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.
Investigators
Thomas Caprio
Professor - Department of Medicine, Geriatrics/Aging (SMD)
University of Rochester
Eligibility Criteria
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
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
Outcomes
Primary Outcomes
mean time spent on intervention
Time Frame: 3 months
Total number of medications used per participant
Time Frame: 3 months
Percentage of participants undergoing deprescribing
Time Frame: 3 months
Percentage of patients who improve in ability to do things that are important before and after intervention
Time Frame: 3 months
Percentage of patients who report a reduction in medication burden
Time Frame: 3 months
Medication burden will be reported by phone or survey.
Percentage of participants who report a reduction in medication side effect
Time Frame: 3 months
Side effects will be collected by phone.
number of participants who complete a post intervention survey about feasibility
Time Frame: 3 months
Percentage of intervention adherence indicators checked
Time Frame: 3 months