Benzodiazepines Deprescribing
Conditions
Keywords
Benzodiazepines, Deprescribing, Long-term care, Older adults
Brief summary
The goal of this feasibility study is to evaluate the feasibility of a complex intervention towards benzodiazepines and Z-drugs deprescribing in older adults living in the Belgian nursing home setting. The main questions it aims to answer are: * Is the intervention we developped feasible * To what extent will the intervention be implemented in nursing homes * To what extent is the design of the recruitment and data collection process feasible and acceptable for all participants Participants will benefit from a complex intervention implemented at the level of the nursing home, encompassing process and goals setting, healthcare providers education, environmental adaptations, audit and feedback on benzodiazepines use, use of educational leaflet with residents and relatives, and multidisciplinary work. Researchers will compare this intervention to usual care, to see if the intervention is feasible, and to gather first data on intervention effectiveness in benzodiazepines deprescriping.
Interventions
OTHEREND-IT intervention for nursing homes
Complex intervention, as described in the arm/group descriptions
Sponsors
EBPracticenet
Fonds National de la Recherche scientifique (FNRS)
Université Catholique de Louvain
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 65 years old and older * Taking at least one benzodiazepine or Z-drug for 4 weeks or more
Exclusion criteria
* Unability to communicate in French * Palliative care * Ongoing benzodiazepine withdrawal * Ongoing alcohol withdrawal * Severe anxiety * Severe depression
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of the data collection process | At 6 months | Data collection process will be assessed through the quality of collected data (rate of missing data) |
| Nursing homes' adherence to the intervention | Assessed at 6 months | has the intervention been implemented as intended, e.g. global number of implemented intervention components |
| Healthcare providers responsiveness to the intervention | Assessed at 6 months | has far did they respond to the intervention, and how far have them been engaged by the intervention, e.g level of attendance to education session for healthcare providers |
| nursing home residents' responsiveness to the intervention | Assessed at 6 months | has far did they respond to the intervention, and how far have them been engaged by the intervention |
| Feasibility of the recruitment process | At 6 months | The feasibility of the recruitment will be assessed through the ratio between included residents and residents contacted for participation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Contextual factors at the level of the nursing home resident | Baseline | Use of a questionnaire to assess factors that could explain potential differences in intervention implementation between nursing home residents |
| Intervention mechanisms of impact | At baseline | Use of a questionnaire to assess intervention mechanisms of impact, in relation with how the intervention is supposed to have its impact |
| Exploratory benzodiazepine deprescribing rate analysis | At 3 months | Defined as either a complete benzodiazepine/Z-drug cessation, or a dose reduction |
| Contextual factors at the level of of the nursing home | Baseline | Use of a questionnaire to assess factors that could explain potential differences in intervention implementation between nursing homes |
Countries
Belgium
Contacts
Primary ContactPerrine Evrard, MPharm
Outcome results
None listed