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| Name | Class |
|---|---|
| Monash University | OTHER |
| National Healthcare Group, Singapore | OTHER_GOV |
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| naive Deprescribing arm | Experimental | Team-based deprescribing practice, Deprescribing Guide |
|
| naive Wait-list Control arm | No Intervention | ||
| non-naive Deprescribing arm | Experimental | Team-based deprescribing practice, Deprescribing Guide |
|
| non-naive Wait-list Control arm | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Team-care deprescribing with deprescribing guide | Other | Beers criteria 2015, STOPP criteria 2014, drug interaction |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in Fall Risk Assessment Tool (FRAT) score | Change from baseline in FRAT score at 3 months | |
| Change from baseline in Fall Risk Assessment Tool (FRAT) score | Change from baseline in FRAT score at 6 months | |
| Change from baseline in Fall Risk Assessment Tool (FRAT) score | Change from baseline in FRAT score at 12 months | |
| Change from baseline in fall rate | Change from baseline in fall rate at 3 months | |
| Change from baseline in fall rate | Change from baseline in fall rate at 6 months | |
| Change from baseline in fall rate | Change from baseline in fall rate at 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Factors affecting deprescribing | Interview questionnaire | 0 month |
| Change from baseline in mean number of medications per subject | Change from baseline in mean number of medications per subject at 3 months |
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For interview questionnaire:
Inclusion criteria are:
Exclusion criteria are:
1) Decline/unable to provide consent.
For team-care deprescribing study:
Inclusion criteria are:
Exclusion criteria are:
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| Name | Affiliation | Role |
|---|---|---|
| Chong Han Kua | Monash University/Tan Tock Seng Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nursing homes | Singapore | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28490560 | Derived | 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. |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Mar 17, 2017 | Apr 3, 2018 | Prot_000.pdf |
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| Change from baseline in mean number of medications per subject | Change from baseline in mean number of medications per subject at 6 months |
| Change from baseline in mean number of medications per subject | Change from baseline in mean number of medications per subject at 12 months |
| Change from baseline in mean medication cost per subject | Change from baseline in mean medication cost at 3 months |
| Change from baseline in mean medication cost per subject | Change from baseline in mean medication cost at 6 months |
| Change from baseline in mean medication cost per subject | Change from baseline in mean medication cost at 12 months |
| Change from baseline in deprescribing intervention acceptance rate | Change from baseline in deprescribing intervention acceptance rate at 3 months |
| Change from baseline in deprescribing intervention acceptance rate | Change from baseline in deprescribing intervention acceptance rate at 6 months |
| Change from baseline in deprescribing intervention acceptance rate | Change from baseline in deprescribing intervention acceptance rate at 12 months |
| Change from baseline in percentage of drug-related problems (DRPs) | Medication review form (Hepler/Strand DRP classification system) | Change from baseline in percentage of DRPs at 3 months |
| Change from baseline in percentage of drug-related problems (DRPs) | Medication review form (Hepler/Strand DRP classification system) | Change from baseline in percentage of DRPs at 6 months |
| Change from baseline in percentage of drug-related problems (DRPs) | Medication review form (Hepler/Strand DRP classification system) | Change from baseline in percentage of DRPs at 12 months |