Testing the SNOWDROP Intervention: Using a Clinical Decision Support System and Patient Portal for Falls Prevention Among Older Patients in Primary Care

University of Amsterdam

Status: Completed

Conditions: Deprescribing; Fall Injury; Accidental Fall; Fall Patients; Fall

Treatments: Device: Patient Portal; Device: CDSS

Study type: Interventional

Funder types: Other

Identifiers

NCT05611008

2022-PC-15274

Details and patient eligibility

About

Falls are a leading cause of injuries among older patients. Medication use is a major risk factor for falls. Because we lack tools to assess individualized risks, general practitioners (GPs) struggle with fall-related medication management for older patients. Furthermore, these older patients are often not properly equipped to engage in the joint management of their medication. A Clinical Decision Support System (CDSS) for GPs and a patient portal for older patients may stimulate shared decision making between GPs and older patients when discussing the medication-related fall risk. The CDSS provides the GP with advice on how to alter medication in such a way that the fall risk decreases, and the patient portal helps the older patient to prepare for a consultation and to engage in the joint management of their medication.

Enrollment: 85 patients

Sex: All

Ages: 70+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Aged 70 years or older
• High fall risk
• Takes at least 1 Fall Risk Increasing Drug (FRID)

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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85 participants in 2 patient groups

Intervention condition

Experimental group

Treatment:

Device: CDSS

Device: Patient Portal

Control condition

No Intervention group