Chronic Disease Clinical Trial
Official title:
Prioritising and Optimising Multiple Medications in Elderly Multimorbid Patients in General Practice. - A Pragmatic Cluster-randomised Controlled Trial.
Objective: To investigate whether the complex intervention will improve the appropriateness
of prescriptions in elderly multi-morbid patients with multi-medication in general practices.
Study hypothesis: The primary objective of the study is to determine whether the complex
intervention will improve the appropriateness of prescriptions compared to usual care. The
primary efficacy endpoint is the change in the Medication Appropriateness Index (MAI) score
from baseline (T0) to 6 months after baseline (T1), i.e. the difference MAI T1-T0.
Key elements (1 to 4) of the complex intervention:
1. Basic assessment of medicines that were actually taken (brown bag review) by a general
practice based health care assistant (HCA) and
2. Checklist-based (MediMoL - Medication-Monitoring-List) pre-consultation interview on
problems relating to medicines (technical handling, potential adverse drug reactions)
and patient's therapeutic aims by HCA provides structured information in the
Medication-Monitoring-List (MediMoL) for the general practitioner (GP) and enables
patients to discuss their problems with the GP.
3. GP uses a computerized decision support system (pharmaceutical information system, AiD+)
to optimize medication (reducing number of inappropriate prescriptions, e.g.
pharmaceutical interactions, renal dose adjustments, duplicate prescriptions) and
4. prioritizes medication in the physician-patient consultation taking into consideration
patient's preferences.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT03153644 -
Improving Contraceptive Care for Women With Medical Conditions
|
||
| Recruiting |
NCT06058754 -
Group-based [ADAPT] Versus One-to-one [Usual] Occupational Therapy (Go:OT Trial)
|
N/A | |
| Completed |
NCT04082585 -
Total Health Improvement Program Research Project
|
||
| Recruiting |
NCT05558085 -
Biomarker Cost-Benefit Analysis of EFNEP
|
N/A | |
| Completed |
NCT04037436 -
Functional Exercise and Nutrition Education Program for Older Adults
|
N/A | |
| Not yet recruiting |
NCT05622422 -
A Chronic Disease Self Care Management Pilot Study
|
N/A | |
| Not yet recruiting |
NCT06016101 -
Usefulness of the Medissimo Nurse Application for Supporting Medication Compliance in Elderly People With Chronic Polypathologies
|
||
| Not yet recruiting |
NCT04954209 -
Comparative Study in Long-term Commitment to Physical Activity After Two Different Resumption Programs
|
||
| Not yet recruiting |
NCT04090593 -
Chronic Disease Mobile Educational Experience
|
N/A | |
| Not yet recruiting |
NCT03628963 -
Optimizing Patient Usability Experience for Chronic Care
|
N/A | |
| Completed |
NCT02390570 -
Incorporating Patient Capacity Into the Clinical Landscape
|
N/A | |
| Completed |
NCT02072941 -
Preparing Spanish-speaking Older Adults for Advance Care Planning and Medical Decision Making (PREPARE)
|
N/A | |
| Terminated |
NCT02115971 -
Jumping Exercises Approach in Individuals With Chronic Ankle Instability
|
N/A | |
| Completed |
NCT02017262 -
Group Self-Management of Depression and Medical Illness
|
N/A | |
| Completed |
NCT02292940 -
Consumer Health IT Tools: Impact on Experience, Access, and Outcomes for Patients With Complex Chronic Conditions
|
||
| Completed |
NCT01933789 -
Improving Communication About Serious Illness
|
N/A | |
| Completed |
NCT02307929 -
Evaluation of Quality of Care - Nurse Allied Health Clinic Programme, HA
|
N/A | |
| Completed |
NCT01458184 -
Study of PhoneCare System to Treat Patients With Chronic Diseases
|
N/A | |
| Completed |
NCT00333710 -
Evaluating a Telehealth Treatment for Veterans With Hepatitis C and PTSD
|
N/A | |
| Completed |
NCT00380536 -
Medical Self-Management for Improving Health Behavior Among Individuals in Community Mental Health Settings
|
N/A |