Nursing Home Team-Care Deprescribing Study

Tan Tock Seng Hospital

Status: Completed

Conditions: Medication Therapy Management; Fall in Nursing Home

Treatments: Other: Team-care deprescribing with deprescribing guide

Study type: Interventional

Funder types: Other

Identifiers

NCT02863341

2016/00422

Details and patient eligibility

About

This is a multi-centre study in Singapore nursing homes, investigating the factors that affecting deprescribing, and if a team-care based deprescribing standard practice gives superior health and pharmacoeconomic outcomes over current medication review practice.

Enrollment: 295 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

For interview questionnaire:

Inclusion criteria are:

1. Accepted informed consent,
2. The healthcare professional is practicing in the involved nursing homes.

Exclusion criteria are:

1. Decline/unable to provide consent.

For team-care deprescribing study:

Inclusion criteria are:

1. Accepted informed consent (unless cognitive-impaired, with no or un-contactable next-of-kin),
2. Adult aged 65 years and above,
3. Currently on five or more medications.

Exclusion criteria are:

1. Below the age of 65 years of age,
2. Life expectancy of less than 6 months or respite care.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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295 participants in 4 patient groups

naive Deprescribing arm

Experimental group

Description:

Team-based deprescribing practice, Deprescribing Guide

Treatment:

Other: Team-care deprescribing with deprescribing guide

naive Wait-list Control arm

No Intervention group

non-naive Deprescribing arm

Experimental group

Description:

Team-based deprescribing practice, Deprescribing Guide

Treatment:

Other: Team-care deprescribing with deprescribing guide

non-naive Wait-list Control arm

No Intervention group