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Nurse-led medication monitoring for patients with dementia and adverse events

Nurse-led medication monitoring using the West Wales Adverse Drug Reaction (WWADR) for patients with dementia in care homes in South West Wales: a feasibility study for a stepped wedge trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN48133332
Enrollment
50
Registered
2013-07-15
Start date
2013-04-01
Completion date
Unknown
Last updated
2016-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Dementia, including dementia subtypes Nervous System Diseases

Interventions

Staff in the care home, who are responsible for patient care, will use the West Wales Adverse Drug Reaction Profile for mental health between 1-5 times for each participant. Supporting scales will be

Sponsors

Swansea University (UK)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Resident at the care home 2. Diagnosed with dementia or dementia subtypes 3. Currently taking at least one of: antipsychotic or anti-epileptic or antidepressant medicine 4. Willing and be able to give informed, signed consent themselves, or if capacity is lacking, guardian or representative willing to give consent to access the patient records

Exclusion criteria

Exclusion criteria: 1. Not be well enough to participate, as screened by their nurses 2. Those aged 18 or under

Design outcomes

Primary

MeasureTime frame
Problems found and actions taken at each step in the trial. Each step is separated by one month and data will be collected using the ADR profile and case note review.

Secondary

MeasureTime frame
This project will be used to develop a feasibility study to assess: 1. Rates of recruitment, retention, compliance and cross-over 2. Feasibility of reporting changes in documentation for: 2.1. Amelioration of problems found using the profile 2.2. Problems found and actions taken using the profile 2.3. Medication review or changes 2.4. Patients with different severity of illness 3. Develop clinical endpoints for a full trial, such as measures to capture changes in patients? functioning 4. Calculate intra-cluster correlation coefficient (ICC), and any time delay to patient benefits 5. Explore the basis for cost-effectiveness analysis 6. Report views of care home staff on the WWADR profile for mental health medicines

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026