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Recruiting of family doctors below our goal
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This study is a cluster randomized control trial aimed to measure the effectiveness of an educational knowledge transfer intervention to prescribers on the discontinuation of two targeted classes: Benzodiazepines andNon-benzodiazepine hypnotics.
The investigators intend to develop an electronic decision support tool based on the best evidence available. This electronic deprescribing tool provides the rationale on the indications of prescribing or deprescribing Benzodiazepines or/and Non-benzodiazepine hypnotics and also provides interactive tapering suggestion integrated on a calendar. It is designed to help family doctors with the goal of improving health outcomes for the elderly.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Electronic Deprescribing tool | Experimental | GPs of enrolled patients with access to the electronic Deprescribing tool |
|
| Usual Care | No Intervention | Usual care By GP´s |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electronic Deprescribing tool | Other | Each GP of the intervention group will have exclusive access to an electronic tool that will guide them on deprescribing. The innovative electronic tool created by the researchers provide the rationale on indications for prescribing or deprescribing Benzodiazepines or/and Non-benzodiazepine hypnotics and also provides an interactive tapering suggestion integrated on a calendar. The tool emphasizes that any decision to continue or discontinue a drug remains a shared decision between GP and the patient. The electronic Deprescribing tool is designed to support clinical decisions |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline of benzodiazepine and Non-benzodiazepine hypnotics consumption at 3 months | The effectiveness of a new deprescribing electronic knowledge transfer tool for GP´s (rate of benzodiazepine and Non-benzodiazepine hypnotics discontinuation | 3 months |
| Change from baseline of benzodiazepine and Non-benzodiazepine hypnotics consumption at 6 months | The effectiveness of a new deprescribing electronic knowledge transfer tool for GP´s (rate of benzodiazepine and Non-benzodiazepine hypnotics discontinuation | 6 months |
| Change from baseline of benzodiazepine and Non-benzodiazepine hypnotics consumption at 12 months | The effectiveness of a new deprescribing electronic knowledge transfer tool for GP´s (rate of benzodiazepine and Non-benzodiazepine hypnotics discontinuation | 12 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Health-related quality of life of patients | EQ-5D is a self-report questionnaire for measuring health-related quality of life | At baseline, 3 months, 6 months, 12 months |
| number of falls of patients |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Luís Monteiro | Aveiro | 3810 | Portugal |
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Randomization
|
Number of falls
| At baseline, 3 months, 6 months, 12 months |
| motor vehicle crashes of patients | Accidents recorded | At baseline, 3 months, 6 months, 12 months |
| Adverse drug withdrawal effects | Any clinical effect | At baseline, 3 months, 6 months, 12 months |
| GPs level satisfaction regarding deprescribing | Questionnaire with multiple choice, and open text format questions | At baseline, 12 months |
| Patients Beliefs about Medicines | Beliefs about Medicines Questionnaire (BMQ) | At baseline, 3 months, 6 months, 12 months |