Multi-PAP: Improving Prescription in Primary Care Patients With Multimorbidity and Polypharmacy

Summary

This study assesses the effectiveness of a complex intervention in young-old patients with multimorbidity and polypharmacy aimed at improving physician drug prescription in primary care, measured by means of the Medication Appropriateness Index (MAI)-score at six 6 (T1) and 12 (T2) months from baseline compared to usual care.

Conditions

• Multimorbidity
• Polypharmacy
• Other Diagnoses, Comorbidities, and Complications

Interventions

OTHER

Multi-PAP

Complex intervention based on the ARIADNE principles with two main components: 1) Training of general practitioners and 2) Patient centered clinical interview.

OTHER

Usual care

Patients will receive the usual clinical care based on current clinical practice guidelines.

Sponsors & Collaborators

• Gerencia de Atención Primaria, Madrid

  collaborator OTHER_GOV

• Aragon Institute for Health Research (IIS Aragón)

  collaborator UNKNOWN

• Andaluz Health Service

  collaborator OTHER_GOV

• Red de Investigación en Servicios de Salud en Enfermedades Crónicas

  collaborator OTHER

• Instituto de Salud Carlos III

  collaborator OTHER_GOV

• Instituto Aragones de Ciencias de la Salud

  lead OTHER_GOV

Principal Investigators

• Alexandra Prados-Torres, MD, PhD · Instituto Aragonés de Ciencias de la Salud (IACS)

• Daniel Prados-Torres, MD, PhD · Servicio Andaluz de Salud (Andaluz Health Service)

• Isabel Del Cura-González, MD, PhD · Gerencia de Atención Primaria, Madrid

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

65 Years

Max Age

74 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2016-11-30

Primary Completion

2018-02-28

Completion

2018-02-28

Countries

• Spain

Study Locations