Abstract:
OBJECTIVE:To assess the effect of an interdisciplinary educational program in reducing the use of antipsychotics in nursing home residents with dementia. METHODS:We conducted a longitudinal pilot study to test the implementation of a 7-month interdisciplinary educational program in a fixed cohort of residents with dementia receiving antipsychotics. The program included consciousness-raising, educational sessions, and clinical follow-up. Administrators, physicians, pharmacists, nursing staff, and personal care attendants were involved. The effect of the program was assessed over a 6-month period, in terms of the proportion of discontinuations and dose reductions of antipsychotics. Repeated measures for use of other psychotropics and restraints, frequency of disruptive behaviors, and stressful events experienced by nursing staff and personal care attendants were simultaneously assessed. RESULTS:Among the 81 residents still present at the end of the program, there were 40 (49.4%) discontinuations and 11 (13.6%) dose reductions. No significant changes were found in the use of other psychotropics, the use of restraints, or in the number of stressful events experienced by nursing staff and personal care attendants. The frequency of disruptive behaviors decreased significantly over the 6-month period (p<0.001). CONCLUSIONS:Our interdisciplinary educational program led to a substantial reduction in the number of residents receiving antipsychotics and to a decrease in the frequency of disruptive behaviors. Our findings suggest that implementation of recognized practice guidelines could be an effective way to target residents who might not benefit from antipsychotics or who may tolerate a dose reduction.
journal_name
Int J Geriatr Psychiatryjournal_title
International journal of geriatric psychiatryauthors
Monette J,Champoux N,Monette M,Fournier L,Wolfson C,du Fort GG,Sourial N,Le Cruguel JP,Gore Bdoi
10.1002/gps.1934subject
Has Abstractpub_date
2008-06-01 00:00:00pages
574-9issue
6eissn
0885-6230issn
1099-1166journal_volume
23pub_type
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更新日期:2011-09-01 00:00:00
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更新日期:2016-08-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章,随机对照试验
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更新日期:2020-05-18 00:00:00
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2003-09-01 00:00:00
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journal_title:International journal of geriatric psychiatry
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更新日期:1997-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-06-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2007-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2014-07-01 00:00:00
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更新日期:2017-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-09-01 00:00:00