The Effects of a Program Promoting Rational Drug Use in Older Adults with Non-communicable Diseases in the Community of Chanthaburi Province, Thailand: A Randomized Controlled Trial (RCT)

Effects of a Program Promoting Rational Drug Use in Older Adults with Chronic Diseases in Chanthaburi Province: A Randomized Controlled Trial

Status

Recruiting

Phases

Phase 1

Study type

Interventional

Source

TCTR

Registry ID

TCTR20260113006

Enrollment

Registered

2026-01-13

Start date

2025-09-01

Completion date

Unknown

Last updated

2026-08-03

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

Conditions

The rising prevalence of NCDs among older adults leads to increased long-term medication use, which subsequently elevates the risk of complications and adverse drug reactions due to polypharmacy older adults, medication use, adverse drug reactions due to polypharmacy

Interventions

Rational Drug Use Program for Older Adults in Chanthaburi Week 1: Assessment and RDU Fundamentals 1. Assessment: Evaluate Rational Drug Use (RDU) among older adults with chronic diseases in Chanthabur

Physical Activity 1. Specialized Knowledge: Provide education on antihypertensive and antidiabetic medications. 2. Exercise Session: Conduct physical activity/exercise sessions tailored for the elderl

Physical Activity 1. Medication Safety: Provide education on painkillers (analgesics), NSAIDs, and antipyretics. 2. Exercise Session: Conduct physical activity/exercise sessions tailored for the elder

Physical Activity 1. Antibiotic Stewardship: Provide education on the correct use of antibiotics (antimicrobials). 2. Exercise Session: Conduct physical activity/exercise sessions tailored for the eld

Physical Activity 1. Symptomatic Medication: Provide education on sedatives (sleeping pills), anti-emetics, anti-diarrheals, and other common medications. 2. Exercise Session: Conduct physical activit

Experimental Behavioral

Program promotion rational drug use

Eligibility

Sex/Gender

All

Age

60 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. Medication History: Older adults who have been taking medication within the past 6 months. 2. Physical Mobility: Must have normal physical mobility and be able to move independently. 3. Participation: Must be able to participate consistently in the activities of the Elderly Club. 4. Literacy: Must be able to read and write in the Thai language

Exclusion criteria

Exclusion criteria: 1. High-Risk Health Conditions: Older adults with underlying diseases that may pose a danger during participation, including: o Uncontrolled hypertension (Blood pressure higher than 140/90 mmHg). o Uncontrolled diabetes mellitus (Unable to manage blood sugar levels). o Physical impairments such as limb weakness or poor balance/stability. 2. Incomplete Attendance: Individuals unable to attend all 6 sessions of the Rational Drug Use Promotion Program. 3. Voluntary Withdrawal: Those who do not wish to volunteer or participate in the project.

Design outcomes

Primary

Measure	Time frame
Rational Drug Use (RDU) Behaviors: The medication use patterns among older adults with chronic diseases. August 2025, march 2026 Measured by standardized tools such as the Beers Criteria	—

Secondary

Measure	Time frame
Improved Overall Quality of Life August 2025, March 2026 Quality of Life Questionair,Reduction in Potentially Inappropriate Medication August 2025, March 2026 Beers Criteria	—

Countries

Thailand

Contacts

Public ContactPanun Kanokwongnuwat

Faculty of Nursing, Rambhai Barni Rajabhat University

nurse@rbru.ac.th039319111

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026