Opportunities and Limits to Deprescribing in Nursing Homes:Quality Circle Deprescribing Module

NCT ID: NCT03688542

Last Updated: 2021-04-21

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-25

Study Completion Date

2020-07-01

Brief Summary

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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.

Detailed Description

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Conditions

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Polypharmacy Inappropriate Prescribing

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Intervention

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

Group Type EXPERIMENTAL

Quality Circle Deprescribing Module

Intervention Type OTHER

The Quality Circle Deprescribing Module consist of a discussion bringing together nurses, physicians and responsible pharmacist to create a local deprescribing consensus for frequently used drug classes, as well as implementation strategies for the consensus..

Control

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

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Quality Circle Deprescribing Module

The Quality Circle Deprescribing Module consist of a discussion bringing together nurses, physicians and responsible pharmacist to create a local deprescribing consensus for frequently used drug classes, as well as implementation strategies for the consensus..

Intervention Type OTHER

Eligibility Criteria

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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
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Anne Niquille

OTHER

Sponsor Role lead

Responsible Party

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Anne Niquille

Dr

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Olivier Bugnon, Prof

Role: STUDY_DIRECTOR

University of Geneva

Locations

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Centre de Pharamacie Communautaire

Lausanne, Canton of Vaud, Switzerland

Site Status

Countries

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Switzerland

References

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Mena S, Moullin JC, Schneider M, Niquille A. Implementation of interprofessional quality circles on deprescribing in Swiss nursing homes: an observational study. BMC Geriatr. 2023 Oct 3;23(1):620. doi: 10.1186/s12877-023-04335-w.

Reference Type DERIVED
PMID: 37789286 (View on PubMed)

Cateau D, Ballabeni P, Niquille A. Effects of an interprofessional deprescribing intervention in Swiss nursing homes: the Individual Deprescribing Intervention (IDeI) randomised controlled trial. BMC Geriatr. 2021 Nov 19;21(1):655. doi: 10.1186/s12877-021-02465-7.

Reference Type DERIVED
PMID: 34798826 (View on PubMed)

Cateau D, Ballabeni P, Niquille A. Effects of an interprofessional Quality Circle-Deprescribing Module (QC-DeMo) in Swiss nursing homes: a randomised controlled trial. BMC Geriatr. 2021 May 1;21(1):289. doi: 10.1186/s12877-021-02220-y.

Reference Type DERIVED
PMID: 33933030 (View on PubMed)

Cateau D, Ballabeni P, Mena S, Bugnon O, Niquille A. Deprescribing in nursing homes: Protocol for nested, randomised controlled hybrid trials of deprescribing interventions. Res Social Adm Pharm. 2021 Apr;17(4):786-794. doi: 10.1016/j.sapharm.2020.05.026. Epub 2020 May 27.

Reference Type DERIVED
PMID: 32622774 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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OLD-NH-QC-DeMo-2017

Identifier Type: -

Identifier Source: org_study_id

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