A Multidisciplinary Intervention Including a Clinical Decision Support System and an App for Drug Therapy Management in Older Patients

Applicabilità ed Efficacia di un Approccio Multi-Disciplinare Comprendente un Sistema Informatico di Supporto Per la Decisione Della Terapia di Pazienti Anziani Polipatologici

"La Casa nel Parco" (CANP) Project is a European Union and Regione Piemonte funded multidisciplinary project aimed to explore innovative technology application in older subject care. In this context, FARMA-CANP is a randomized open-label clinical trial evaluating a multidisciplinary intervention in older patients hospitalized at home. The intervention involves physicians, pharmacists, nurses and includes a Clinical Decision Support System to help the processes of therapeutic review and reconciliation, and an end-user App to support patients and/or caregivers in the daily management of drug therapy.

The main objectives of the study are to evaluate the impact of the intervention on 1) medication adherence after discharge 2) medication appropriateness.

Inclusion Criteria:

• Patient age ≥ 65 years
• Hospital at Home admission
• Presence of a caregiver
• Written informed consent signed by both the patient and the caregiver

Exclusion Criteria:

• Unavailable internet access and/or portable device to install the App on
• Severe cognitive impairment with behavioural symptoms
• Estimated life expectancy less than 3 months
• Death during Hospital at Home stay
• Hospital at Home discharge to an other healthcare facility (i.e. Emergency Department, Nursing Home)
• No regular medications precribed at Hospital at Home discharge.