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| Name | Class |
|---|---|
| McGill University | OTHER |
| Université de Montréal | OTHER |
| Université de Sherbrooke | OTHER |
| Fonds de la Recherche en Santé du Québec |
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An education intervention to promote medication reviews and interdisciplinary discussions within long-term care facilities with the aim of improving medication regimen among residents with severe dementia
A quasi-experimental study in three long-term care facilities. The intervention comprises an information leaflet for families of residents, a 90-minute knowledge exchange session for general practitioners, pharmacists and nurses and a list of "generally", "sometimes", and "exceptionally" appropriate medications for severe dementia residents
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pre-intervention | No Intervention | Usual care | |
| Post-intervention | Experimental | One 90-minute interdisciplinary knowledge exchange including the provision of a validated list of appropriate and inappropriate medications for severe dementia long-term care residents. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Knowledge exchange | Behavioral | OptimaMed |
|
| Measure | Description | Time Frame |
|---|---|---|
| Medication regimen | Active prescriptions | Four months post intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Level of pain | Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC). The French version of the PACSLAC tool is a validated observational scale in use in Quebec to assess discomfort / pain. One point is added to the score for each PACSLAC item (n=60) observed over a 15-minute observation period; the sum of the four 15-minute observation periods gives the total score. The total score ranges from zero to sixty where zero represents no discomfort or pain and sixty a very high level of discomfort or pain. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Edeltraut Kröger, Ph.D. | Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale | Québec | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25979776 | Background | Kroger E, Wilchesky M, Marcotte M, Voyer P, Morin M, Champoux N, Monette J, Aubin M, Durand PJ, Verreault R, Arcand M. Medication Use Among Nursing Home Residents With Severe Dementia: Identifying Categories of Appropriateness and Elements of a Successful Intervention. J Am Med Dir Assoc. 2015 Jul 1;16(7):629.e1-17. doi: 10.1016/j.jamda.2015.04.002. Epub 2015 May 13. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Nov 7, 2018 | |
| Reset | Mar 1, 2019 | |
| Release | Mar 7, 2022 | |
| Reset | Jun 2, 2022 | |
| Release | Jun 14, 2024 | |
| Reset | Oct 1, 2024 | |
| Release | Aug 25, 2025 | |
| Reset | Sep 11, 2025 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Nov 7, 2018 | Mar 1, 2019 | |||
| Mar 7, 2022 |
| ID | Term |
|---|---|
| D003704 | Dementia |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D019965 | Neurocognitive Disorders |
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| OTHER_GOV |
Pre-post study
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It was unlikely that participants could foresee whether or when their medications have been reviewed or modified.
| Four months post intervention |
| Level of agitation | Cohen-Mansfield Agitation Inventory () measures level of agitation. Sum of the number of times the Cohen-Mansfield Agitation Inventory items were observed during the four 15-minute observation periods.. The total score ranges from zero to one hundred where zero represents no agitation and one hundred a very high level of agitation. | Four months post intervention |
| Jun 2, 2022 |
| Jun 14, 2024 | Oct 1, 2024 |
| Aug 25, 2025 | Sep 11, 2025 |
| D001523 | Mental Disorders |