Opportunities and Limits to Deprescribing in Nursing Homes:Quality Circle Deprescribing Module (OLD-NH-QC-DeMo)

Anne Niquille

Status: Completed

Conditions: Polypharmacy; Inappropriate Prescribing

Treatments: Other: Quality Circle Deprescribing Module

Study type: Interventional

Funder types: Other

Identifiers

NCT03688542

OLD-NH-QC-DeMo-2017

Details and patient eligibility

About

Older people residing in nursing homes (NH) are frequently polymedicated and often prescribed potentially inappropriate medications. Deprescribing has been proposed as a way to reduce the number of drugs they receive and their exposure to harmful treatments.

The objectives of this study are 1) To evaluate the effect of a deprescribing-specific interdisciplinary quality circle module on the use of potentially inappropriate medication in nursing-home residents. 2) To determine the effective strategies to reach and implement deprescribing consensus resulting of said quality circle module.

Enrollment: 56 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Nursing homes taking part in the study must have

• a geriatric of psycho-geriatric mission;
• been part of their cantonal pharmaceutical assistance program for at least a year.

Exclusion criteria

• None

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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56 participants in 2 patient groups

Intervention

Experimental group

Description:

Nursing Homes allocated to the Intervention arm will enact the Quality Circle Deprescribing Module and create a local deprescribing consensus and implementation strategy.

Treatment:

Other: Quality Circle Deprescribing Module

Control

No Intervention group

Description:

Nursing Homes allocated to the Control arm will not enact the intervention.