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Brief Cognitive Behavioral Therapy to Enhance Benzodiazepine Deprescribing

Beth Israel Lahey Health logo

Beth Israel Lahey Health

Status

Completed

Conditions

Benzodiazepine Use
Insomnia
Anxiety

Treatments

Other: Benzodiazepine Medication Taper with Cognitive Behavioral Therapy

Study type

Interventional

Funder types

Other

Identifiers

NCT06119308
2023P000382

Details and patient eligibility

About

The goal of this clinical trial is to conduct a single-arm pilot trial of a brief cognitive-behavioral therapy-enhanced benzodiazepine deprescribing intervention in 20 older adults (aged ≥55 years) prescribed chronic benzodiazepines by their primary care clinicians.

Full description

Nearly 10% of Americans aged 55 years and older fill benzodiazepine (BZD) prescriptions annually. Chronic use of BZD place older adults at an increased risk of falls, cognitive impairment, functional decline, preventable hospitalizations, and mortality.

Research study investigators will conduct a single-arm pilot trial of the intervention in 20 adults aged 55 and older currently taking chronic BZDs. The aim is to evaluate feasibility/acceptability of the refined deprescribing intervention using mixed methods. At intervention end, research study investigators will conduct surveys and qualitative interviews with participants to obtain feedback on participant experience and intervention components (e.g., acceptability, usefulness, relevance, satisfaction) as well as views on future format options. Using these data and the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework, research study investigators will further refine the intervention in preparation for larger scale testing and implementation.

Enrollment

17 patients

Sex

All

Ages

55+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Prescribed chronic benzodiazepines by their primary care clinicians at a Beth Israel Deaconess Medical Center (BIDMC) Primary Care Clinic.

Exclusion criteria

  • Primary Care Practitioner (PCP) opt out
  • Severe anxiety or depression symptoms

Trial design

Primary purpose

Treatment

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

17 participants in 1 patient group

Benzodiazepine Medication Taper with Cognitive Behavioral Therapy
Experimental group
Description:
Brief Cognitive Behavioral Therapy to Enhance Benzodiazepine Deprescribing
Treatment:
Other: Benzodiazepine Medication Taper with Cognitive Behavioral Therapy

Trial contacts and locations

1

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Central trial contact

Brianna Wang

Data sourced from clinicaltrials.gov

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