Psychotropic drug prescription for nursing home residents with dementia: prevalence and associations with non-resident-related factors.

Abstract:

OBJECTIVES:To determine psychotropic drug prescription rates in nursing home residents with dementia and to identify associations with the so far understudied psychosocial non-resident-related factors. METHOD:A cross-sectional, observational, exploratory design as part of PROPER I (PRescription Optimization of Psychotropic drugs in Elderly nuRsing home patients with dementia). Participants were 559 nursing home residents with dementia, 25 physicians, and 112 nurses in the Netherlands. Psychotropic drug prescription, non-resident-related and known resident-related variables were measured to operationalize the themes of our previous qualitative analysis. RESULTS:Fifty-six percent of residents were prescribed any psychotropic drug, 25% antipsychotics, 29% antidepressants, 15% anxiolytics, and 13% hypnotics, with large differences between the units. Multivariate multilevel regression analyses revealed that antipsychotic prescription was less likely with higher physicians' availability (odds ratio 0.96, 95% confidence interval 0.93-1.00) and that antidepressant prescription was more likely with higher satisfaction of nurses on resident contact (odds ratio 1.50, 95% confidence interval 1.00-2.25). Resident-related factors explained 6%-15% of the variance, resident- and non-resident-related factors together 8%-17%. CONCLUSION:Prescription rates for antipsychotics are similar compared to other countries, and relatively low for antidepressants, anxiolytics, and hypnotics. Our findings indicate that improvement of prescribing could provisionally best be targeted at resident-related factors.

journal_name

Aging Ment Health

journal_title

Aging & mental health

authors

Smeets CHW,Gerritsen DL,Zuidema SU,Teerenstra S,van der Spek K,Smalbrugge M,Koopmans RTCM

doi

10.1080/13607863.2017.1348469

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

1239-1246

issue

9

eissn

1360-7863

issn

1364-6915

journal_volume

22

pub_type

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