Benzodiazepines Deprescribing in Nursing Homes: Intervention Feasibility
- Conditions
- Benzodiazepines Deprescribing
- Interventions
- Other: END-IT intervention for nursing homes
- Registration Number
- NCT05929443
- Lead Sponsor
- Université Catholique de Louvain
- Brief Summary
The goal of this feasibility study is to evaluate the feasibility of a complex intervention towards benzodiazepines and Z-drugs deprescribing in older adults living in the Belgian nursing home setting.
The main questions it aims to answer are:
* Is the intervention we developped feasible
* To what extent will the intervention be implemented in nursing homes
* To what extent is the design of the recruitment and data collection process feasible and acceptable for all participants
Participants will benefit from a complex intervention implemented at the level of the nursing home, encompassing process and goals setting, healthcare providers education, environmental adaptations, audit and feedback on benzodiazepines use, use of educational leaflet with residents and relatives, and multidisciplinary work.
Researchers will compare this intervention to usual care, to see if the intervention is feasible, and to gather first data on intervention effectiveness in benzodiazepines deprescriping.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 80
- 65 years old and older
- Taking at least one benzodiazepine or Z-drug for 4 weeks or more
- Unability to communicate in French
- Palliative care
- Ongoing benzodiazepine withdrawal
- Ongoing alcohol withdrawal
- Severe anxiety
- Severe depression
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description END-IT intervention for nursing homes END-IT intervention for nursing homes This complex intervention, implemented at the level of the nursing home, encompasses process and goals setting, education for healthcare providers, environmental adaptations, audit and feedback on benzodiazepine use, use of an educational leaflet for residents and relatives, and multidisciplinary work.
- Primary Outcome Measures
Name Time Method Feasibility of the data collection process At 6 months Data collection process will be assessed through the quality of collected data (rate of missing data)
Nursing homes' adherence to the intervention Assessed at 6 months has the intervention been implemented as intended, e.g. global number of implemented intervention components
nursing home residents' responsiveness to the intervention Assessed at 6 months has far did they respond to the intervention, and how far have them been engaged by the intervention
Feasibility of the recruitment process At 6 months The feasibility of the recruitment will be assessed through the ratio between included residents and residents contacted for participation.
Healthcare providers responsiveness to the intervention Assessed at 6 months has far did they respond to the intervention, and how far have them been engaged by the intervention, e.g level of attendance to education session for healthcare providers
- Secondary Outcome Measures
Name Time Method Intervention mechanisms of impact At 6 months Use of a questionnaire to assess intervention mechanisms of impact, in relation with how the intervention is supposed to have its impact.
Contextual factors at the level of of the nursing home Baseline Use of a questionnaire to assess factors that could explain potential differences in intervention implementation between nursing homes
Contextual factors at the level of the nursing home resident Baseline Use of a questionnaire to assess factors that could explain potential differences in intervention implementation between nursing home residents
Exploratory benzodiazepine deprescribing rate analysis At 6 months Defined as either a complete benzodiazepine/Z-drug cessation, or a dose reduction
Trial Locations
- Locations (1)
UCLouvain
🇧🇪Woluwe-Saint-Lambert, Belgium