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ID
Source
Brief title
Health condition
Inappropriate psychotropic drug use, neuropsychiatric symptoms and Quality of Life of nursing home residents with dementia.
Onjuist psychofarmaca gebruik, neuropsychiatrische symptomen en kwaliteit van leven bij mensen met dementie in verpleeghuizen.
Sponsors and support
s.u.zuidema@umcg.nl
Intervention
Outcome measures
Primary outcome
Reduction of inappropriate psychotropic drugs (APID)
Secondary outcome
Quality of life (VAS + RISE)
Problem behavior / neuro=psychiatric symptoms (NPI-NH + CMAI)
Background summary
Despite guidelines recommending psychosocial interventions as first choice in dealing with problem behavior, psychotropic drugs are still too often and too long being prescibed, while they are limited effective and potentially have severe side effects. Aim is to reduce the inappropriate use of psychotropic drugs by identifying local problems in nursing homes in dealing with problem behavior and by facilitating the implementation of a tailored intervention programme.
Study objective
Implementation of complex interventions could be improved by acknowledging the local (nursing home) problems in the care process. The implementation of a facility tailored intervention will lead to a decrease in psychotropic drug use throughout the nursing homes .
Study design
baseline, 8 months, 16 months.
Intervention
The implementation of a facility tailored intervention: meaning that interventions vary depending on local problems of nursing homes in dealing with problem behavior. Possible interventions: systematic medication review, increasing knowledge and skills in dealing with problem behavior, training program for enhancing multi-disciplinary working. All interventions target the department level/health care professionals.
The study consists of 2 tranches, both of 8 months. The interventions group had 16 months to identify local problems and to start an intervention - implemenatation.
The 'controle group' delivers the first 8 months care as usual en starts in the last 8 months with the problem analysis + intervention (deferred treatment condition).
Inclusion criteria
Person with dementia: diagnosis dementia (DSM-IV criteria), informed consent of legal representative.
Exclusion criteria
Terminal patients (life expectancy < 3 months).
Acquired brain injury departments, regular somatic departments, Down's syndrome and Korsakov.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL5719 |
| NTR-old | NTR5872 |
| Other | : 201600160 METc UMCG |