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Multimodal Educative Data Feedback for Deprescribing BZD and Related Drugs in Outpatients: a Cluster RCT

R

Réseau de soins Delta

Status

Completed

Conditions

Deprescription
Benzodiazepine (BZD) and Related Drugs

Treatments

Other: Thematic quality circles - Deprescription

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

Benzodiazepine (BZD) and related drugs are sedative anxiolytics and hypnotics that should be avoided especially in people aged 65 years and older, given the high risk of falling, fracture, dependence, respiratory depression and cognitive disorders. Despite these contraindications, their consumption continues to increase in Switzerland.

Although it can be assumed that deprescribing a drug has a direct benefit, it is nevertheless necessary to determine how to implement this process effectively and safely. To change healthcare professionals' prescribing behaviours for BZD, the most common deprescribing interventions include identification of appropriate patients, education and training of GPs and patients, and gradual and appropriate reduction of the dose of BZD. Thus, the DELTA CARE NETWORK and the DELTA VAUD CARE NETWORK have set themselves the task of evaluating the effectiveness of a multimodal deprescribing intervention for Delta primary care physicians and their patients aged 65 and over, in the cantons of Geneva and Vaud. The goal is to reduce the total BZD prescription rate among this population.

This quality development project is fully in line with the Quality Federal Commission's objectives of efficiency, safety, patient-centred and in the interests of the patient.

Enrollment

300 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

  • Physician who attended a quality cercle in the cantons of Geneva and Vaud
  • Prescribed at least one prescription of Benzodiazepines during the year of analysis to patient aged 65 years and older

Trial design

Primary purpose

Other

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

300 participants in 2 patient groups

Intervention: Thematic quality circles - Deprescription
Other group
Treatment:
Other: Thematic quality circles - Deprescription
No intervention
No Intervention group

Trial contacts and locations

1

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Central trial contact

Minette-Joëlle Zeukeng, PharmD, PhD

Data sourced from clinicaltrials.gov

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