Inappropriate Prescribing Clinical Trial
Official title:
Development and Evaluation of the Use of a Mobile Application as a Support at the Prescription of Appropriate Medications for Elderly
Verified date | October 2019 |
Source | Federal University of Bahia |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Objective: To develop and evaluate the effectiveness of a mobile application to support decision making for prescription drugs to elderly patients. Method: Firstly, there will be a two-tier content validation of potentially inappropriate medicines (PIM) for the elderly based on Beers Criteria and STOPP. For the validation, a modified Delphi consensus technique will be applied. Twelve national experts will be invited. For each statement contained in the Beers criteria and STOPP a proposition will be prepared in order to allow each participant to issue an opinion on each of the propositions by assigning a value according to their agreement to the statement. Therefore, the Likert scale with established score of 1 to 5 (completely disagree - strongly agree) will be used. Statements with average scores above 4.0 will be considered consensus. All information regarding PIMs will be made available through an application for tablets. The information on risks and recommendations about the drugs will be available whenever the users enter the medicines name. The application will be developed for the Android platform, which is based on the Java programming language. To evaluate the use of this application 30 doctors working in basic health units and health units of the family in a municipality from Bahia will be asked to join the study. Upon acceptance, the proportion of PIMs' prescription by these professionals for a minimum period of two months will be analyzed. Later, 15 doctors will be randomized into the intervention group and will receive a tablet with the application installed. They will be trained to use it as well as to access to the Evidence Based Health Portal of the Ministry of Health. The control group of 15 other physicians will receive the tablet and will be trained to access the Evidence Based Health Portal. The study will be blind to the participants and to the main investigator. To continue, the information will be analyzed by sampling the PIMs' prescription in both groups. To access this information the prescriptions' duplicate original, filed in pharmacies, patient files or home visit will be required. The PIMs prescription ratios before and after the intervention will be compared.
Status | Completed |
Enrollment | 30 |
Est. completion date | March 20, 2019 |
Est. primary completion date | March 20, 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion criteria: -Doctors who meet elderly people in basic health units, family health units or primary care polyclinics. Exclusion criteria: -Doctors with residency in medicine-geriatrics or specialization recognized by the Brazilian Society of Geriatrics. |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Federal University of Bahia | Conselho Nacional de Desenvolvimento Científico e Tecnológico, Fundação de Apoio à Pesquisa do Estado da Bahia |
American Geriatrics Society 2012 Beers Criteria Update Expert Panel. American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2012 Apr;60(4):616-31. doi: 10.1111/j.1532-5415.2012.03923.x. Epub 2012 Feb 29. Review. — View Citation
Dimitrow MS, Airaksinen MS, Kivelä SL, Lyles A, Leikola SN. Comparison of prescribing criteria to evaluate the appropriateness of drug treatment in individuals aged 65 and older: a systematic review. J Am Geriatr Soc. 2011 Aug;59(8):1521-30. doi: 10.1111/j.1532-5415.2011.03497.x. Epub 2011 Jul 28. Review. — View Citation
Oliveira MG, Amorim WW, de Jesus SR, Rodrigues VA, Passos LC. Factors associated with potentially inappropriate medication use by the elderly in the Brazilian primary care setting. Int J Clin Pharm. 2012 Aug;34(4):626-32. doi: 10.1007/s11096-012-9656-9. Epub 2012 Jun 13. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Prescription frequency of potentially inappropriate medications for elderly after intervention | Two months after the intervention |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT03688542 -
Opportunities and Limits to Deprescribing in Nursing Homes:Quality Circle Deprescribing Module
|
N/A | |
Completed |
NCT02545257 -
Development of a Coordinated, Community-Based Medication Management Model for Home-Dwelling Aged in Primary Care
|
N/A | |
Completed |
NCT03655405 -
Randomised, Controlled Trial of an Individual Deprescribing Intervention for Nursing Homes Residents
|
N/A | |
Completed |
NCT02052505 -
Reducing Inappropriate Prescribing for Psychiatric Patients Using Nurse-led Medication Reviews
|
N/A | |
Recruiting |
NCT06437444 -
Asthma Crisis in Paediatrics: Impact of a Care Pathway in Primary and Hospital Care
|
N/A | |
Active, not recruiting |
NCT04022850 -
De-implementation of Low-value Pharmacological Prescriptions
|
N/A | |
Completed |
NCT04294901 -
Engaging Patients to Promote Deprescribing
|
N/A | |
Recruiting |
NCT03501108 -
Discontinuation of Long-term Medications in Older People Entering Nursing Home Care
|
N/A | |
Enrolling by invitation |
NCT03689049 -
SPIDER: A Research & QI Collaboration Supporting Practices in Improving Care for Complex Elderly Patients
|
N/A | |
Completed |
NCT03539276 -
An Intervention to Reduce Inappropriate Medications in Long-term Care Residents With Severe Dementia
|
N/A | |
Completed |
NCT02435290 -
Enhancement of the Prediction of Chemotherapy Prescribing Errors for Oncology Patients
|
N/A | |
Active, not recruiting |
NCT02744963 -
Carefully seLected and Easily Accessible at No Charge Medications
|
N/A | |
Recruiting |
NCT05875623 -
Impact of Medications Review on Potentially Inappropriate Medications and Clinical Outcomes Among Hospitalized Older Adults
|
N/A | |
Completed |
NCT04586595 -
A Randomised Pilot Study of the REVISiT Intervention
|
N/A | |
Completed |
NCT03245879 -
Antibiotic Stewardship in Small Hospitals
|
N/A | |
Not yet recruiting |
NCT06129474 -
Deprescribing Inappropriate Proton Pump Inhibitors
|
N/A | |
Completed |
NCT06209827 -
Effectiveness of a Community Intervention in the Chronic Use of Benzodiazepines: (BENZOSTOPJUNTOS)
|
N/A | |
Recruiting |
NCT04028583 -
Tool for Inappropriate Prescription Evaluation: The TaIPE Study
|
N/A | |
Completed |
NCT03254472 -
Big Data Analysis of the Use of bIomarkers Concentration
|
N/A | |
Completed |
NCT05454644 -
Effectiveness of a Person-centred Prescription Model at the End of Life
|
N/A |