Deprescribing for Older Adults After Hospital Discharge in Home Health Care

University of Rochester

Status

Completed

Conditions

Polypharmacy

Treatments

Behavioral: HomeMed

Study type

Interventional

Funder types

Other

NIH

Identifiers

NCT05630144

R24AG064025 (U.S. NIH Grant/Contract)

STUDY00007846

Details and patient eligibility

About

The purpose of this study is to examine the feasibility of providing a medication optimization program to improve patient health outcomes during the transition from hospital to home. This is because the period after hospital discharge is critical to long-term recovery, overall quality of life, and prevention of future hospitalizations.

Enrollment

5 patients

Sex

All

Ages

65+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Patient Inclusion Criteria:

65 years of age and older
currently hospitalized or having been hospitalized in the previous 2 weeks
having a discharge disposition of home with a referral to receive HHC services from URMHC, or currently receiving HHC services from URMHC
taking more than 10 regular medications daily
having a primary care provider who is in the URMC system
Ability to self-consent
English-speaking

Patient Exclusion Criteria:

end-of-life prognosis in the following 6 months
currently receiving hospice care, end-of-life care, or palliative care
conditions that impact the receipt of the intervention, such as severe cognitive impairment that interferes with the subject's ability to communicate with interventionists;
substantial difficulties in hearing, vision, and verbal expression that disable the participant from communicating effectively while receiving the HomeMed intervention