A Multidisciplinary Intervention Including a Clinical Decision Support System and an App for Drug Therapy Management in Older Patients (FARMA-CANP)

Azienda Ospedaliera Città della Salute e della Scienza di Torino

Status: Unknown

Conditions: Polypharmacy; Multimorbidity; Aged

Treatments: Other: Multidisciplinary Approach Group

Study type: Interventional

Funder types: Other

Identifiers

NCT04391218

FARMA-CANP

Details and patient eligibility

About

"La Casa nel Parco" (CANP) Project is a European Union and Regione Piemonte funded multidisciplinary project aimed to explore innovative technology application in older subject care. In this context, FARMA-CANP is a randomized open-label clinical trial evaluating a multidisciplinary intervention in older patients hospitalized at home. The intervention involves physicians, pharmacists, nurses and includes a Clinical Decision Support System to help the processes of therapeutic review and reconciliation, and an end-user App to support patients and/or caregivers in the daily management of drug therapy.

The main objectives of the study are to evaluate the impact of the intervention on 1) medication adherence after discharge 2) medication appropriateness.

Enrollment: 89 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient age ≥ 65 years
• Hospital at Home admission
• Presence of a caregiver
• Written informed consent signed by both the patient and the caregiver

Exclusion criteria

• Unavailable internet access and/or portable device to install the App on
• Severe cognitive impairment with behavioural symptoms
• Estimated life expectancy less than 3 months
• Death during Hospital at Home stay
• Hospital at Home discharge to an other healthcare facility (i.e. Emergency Department, Nursing Home)
• No regular medications precribed at Hospital at Home discharge.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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89 participants in 2 patient groups

Multidisciplinary Approach Group

Experimental group

Description:

Multidisciplinary medication review and reconciliation during hospitalization involving geriatricians, nurses, pharmacists and supported by a Clinical Decision Support System, followed by an end-user App to support patients/caregivers in the correct drug intake after discharge.

Treatment:

Other: Multidisciplinary Approach Group

Control Group

No Intervention group

Description:

Medication review and reconciliation will be performed by geriatricians according to Good Clinical Practice and usual habits, that might also include digital and printed supports for medication appropriateness and drug interaction. Drug therapy will be listed and explained to the patient/caregiver at discharge. Patients/caregivers will be allowed to use any tools to support medication adherence, according to their habits and preferences (i.e. calendars, alarms, pill boxes).