NCT02863341已完成不适用
Nursing Home Team-Care Deprescribing Study
Tan Tock Seng Hospital1 个研究点 分布在 1 个国家目标入组 295 人开始时间: 2016年11月1日最近更新:
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 295
- 试验地点
- 1
- 主要终点
- Change from baseline in Fall Risk Assessment Tool (FRAT) score
研究概览
简要总结
This is a multi-centre study in Singapore nursing homes, investigating the factors that affecting deprescribing, and if a team-care based deprescribing standard practice gives superior health and pharmacoeconomic outcomes over current medication review practice.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
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
- •For interview questionnaire:
- •Inclusion criteria are:
- •Accepted informed consent,
- •The healthcare professional is practicing in the involved nursing homes.
排除标准
- •Decline/unable to provide consent.
- •For team-care deprescribing study:
- •Inclusion criteria are:
- •Accepted informed consent (unless cognitive-impaired, with no or un-contactable next-of-kin),
- •Adult aged 65 years and above,
- •Currently on five or more medications.
- •Exclusion criteria are:
- •Below the age of 65 years of age,
- •Life expectancy of less than 6 months or respite care.
研究组 & 干预措施
non-naive Wait-list Control arm
No Intervention
naive Deprescribing arm
Experimental
Team-based deprescribing practice, Deprescribing Guide
干预措施: Team-care deprescribing with deprescribing guide (Other)
naive Wait-list Control arm
No Intervention
non-naive Deprescribing arm
Experimental
Team-based deprescribing practice, Deprescribing Guide
干预措施: Team-care deprescribing with deprescribing guide (Other)
结局指标
主要结局
Change from baseline in Fall Risk Assessment Tool (FRAT) score
时间窗: Change from baseline in FRAT score at 12 months
Change from baseline in fall rate
时间窗: Change from baseline in fall rate at 12 months
次要结局
- Change from baseline in mean medication cost per subject(Change from baseline in mean medication cost at 12 months)
- Change from baseline in percentage of drug-related problems (DRPs)(Change from baseline in percentage of DRPs at 12 months)
- Factors affecting deprescribing(0 month)
- Change from baseline in mean number of medications per subject(Change from baseline in mean number of medications per subject at 12 months)
- Change from baseline in deprescribing intervention acceptance rate(Change from baseline in deprescribing intervention acceptance rate at 12 months)
研究者
Kua Chong Han
PhD Intern
Tan Tock Seng Hospital
研究点 (1)
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