Deprescribing for Older Adults After Hospital Discharge in Home Health Care - A Pilot Feasibility Study of the HomeMed Deprescribing Intervention
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 5
- 试验地点
- 2
- 主要终点
- mean time spent on intervention
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
mean time spent on intervention
时间窗: 3 months
Total number of medications used per participant
时间窗: 3 months
Percentage of participants undergoing deprescribing
时间窗: 3 months
Percentage of patients who improve in ability to do things that are important before and after intervention
时间窗: 3 months
Percentage of patients who report a reduction in medication burden
时间窗: 3 months
Medication burden will be reported by phone or survey.
Percentage of participants who report a reduction in medication side effect
时间窗: 3 months
Side effects will be collected by phone.
number of participants who complete a post intervention survey about feasibility
时间窗: 3 months
Percentage of intervention adherence indicators checked
时间窗: 3 months
次要结局
未报告次要终点
研究者
Thomas Caprio
Professor - Department of Medicine, Geriatrics/Aging (SMD)
University of Rochester