Optimizing medication regimes for seniors by FORTA: a prospective, randomized multi-center study in primary care (Fit FOR The Aged)
Not Applicable
- Conditions
- Medication quality: overuse, underuseR54R29.6SenilityTendency to fall, not elsewhere classified
- Registration Number
- DRKS00009236
- Lead Sponsor
- Institut für Allgemeinmedizin, Universitätsklinikum Essen, Universität Duisburg-Essen
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Pending
- Sex
- All
- Target Recruitment
- 484
Inclusion Criteria
= 5 long-term medication that was prescriped by the primary care physician in charge, sufficient language skills and cognitive abilities to answer a questionnaire and to participate in the clinical examination. Subjects were patients of the respective primary care practice during the previous three months.
Exclusion Criteria
Patients with malignant disease (chemotherapy and/or radiation), HIV/AIDS, dialysis-dependent kidney diseases, transplanted patients, dementia, life expectancy of less than 12 months according to medical opinion
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Difference in medication quality between intervention and control arm, measured with the FORTA-score, 9 months after the intervention
- Secondary Outcome Measures
Name Time Method 1) FORTA-sub-scores for under use and over use <br>2) Geriatric assessment (mobility/risk of falling, cognitive abilities, activities of daily living) (clinical examination at baseline & follow-up)<br>3) Blood pressure (sitting and standing) (clinical examination at baseline & follow-up)<br>4) Physicians' assessment of medication adherence (questionnaire at baseline)<br>5) Subjective well-being (questionnaire at baseline & follow-up)<br>6) Pain (questionnaire at baseline & follow-up)<br>7) Incident diagnosis (case record form at follow-up)<br>8) Incident adverse drug events (case record form at follow-up)<br>9) Incident falls, related health outcomes including hospital admissions (case record form at follow-up)<br>10) Hospital admissions, any cause; Number of days in hospital (case record form at follow-up)<br>11) Admission to nursing homes (case record form at follow-up)<br>10) All cause death (case record form at follow-up)