Optimal Medication Management in Alzheimer's Disease and Dementia
NCT03984396 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 7398
Last updated 2024-02-01
Summary
The study objective is to conduct a pragmatic deprescribing intervention for people with Alzheimer's Disease or Related Dementia with Multiple Chronic Conditions (ADRD-MCC) so that these patients are on 'just right' medication regimens.
The intervention will be a pragmatic, cluster randomized trial of medication optimization through increased awareness of deprescribing for the ADRD-MCC population. It will be delivered in primary care at the clinic level with a wait-list control design. As a pragmatic intervention it is designed to be relatively simple, have broad inclusion/exclusion criteria, and be implemented across the Kaiser Permanente Colorado (KPCO) system. The intervention will have two components: a patient/care partner component focused on education and activation about potential deprescribing including sending out a brochure, and a clinician component focused on increasing clinician awareness through monthly Tip Sheets about options and processes for deprescribing in the ADRD-MCC population linked to upcoming visits. The intervention will take place at 18 primary care offices in the Denver-Boulder service delivery area with 9 as initial intervention sites and 9 as delayed intervention sites.
Conditions
Interventions
- OTHER
-
Educational Materials - Patient & Clinician
deprescribing information for patient \& clinician
Sponsors & Collaborators
- collaborator OTHER
- collaborator OTHER
- collaborator OTHER
-
Kaiser Permanente
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-03-06
- Primary Completion
- 2021-04-01
- Completion
- 2024-01-31
Countries
- United States
Study Locations
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