Nursing Home Team-Care Deprescribing Study

NCT ID: NCT02863341

Last Updated: 2018-04-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

295 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-30

Study Completion Date

2018-04-30

Brief Summary

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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.

Detailed Description

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Conditions

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Fall in Nursing Home Medication Therapy Management

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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naive Deprescribing arm

Team-based deprescribing practice, Deprescribing Guide

Group Type EXPERIMENTAL

Team-care deprescribing with deprescribing guide

Intervention Type OTHER

Beers criteria 2015, STOPP criteria 2014, drug interaction

naive Wait-list Control arm

Group Type NO_INTERVENTION

No interventions assigned to this group

non-naive Deprescribing arm

Team-based deprescribing practice, Deprescribing Guide

Group Type EXPERIMENTAL

Team-care deprescribing with deprescribing guide

Intervention Type OTHER

Beers criteria 2015, STOPP criteria 2014, drug interaction

non-naive Wait-list Control arm

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Team-care deprescribing with deprescribing guide

Beers criteria 2015, STOPP criteria 2014, drug interaction

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

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


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

1\) Decline/unable to provide consent.

For team-care deprescribing study:


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

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Monash University

OTHER

Sponsor Role collaborator

National Healthcare Group, Singapore

OTHER_GOV

Sponsor Role collaborator

Tan Tock Seng Hospital

OTHER

Sponsor Role lead

Responsible Party

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Kua Chong Han

PhD Intern

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chong Han Kua

Role: PRINCIPAL_INVESTIGATOR

Monash University/Tan Tock Seng Hospital

Locations

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Nursing homes

Singapore, , Singapore

Site Status

Countries

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Singapore

References

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Kua CH, Yeo CYY, Char CWT, Tan CWY, Tan PC, Mak VS, Lee SWH, Leong IY. Nursing home team-care deprescribing study: a stepped-wedge randomised controlled trial protocol. BMJ Open. 2017 May 9;7(5):e015293. doi: 10.1136/bmjopen-2016-015293.

Reference Type DERIVED
PMID: 28490560 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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2016/00422

Identifier Type: -

Identifier Source: org_study_id

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