MultiPAP Plus: 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 hospitalization-mortality at six 6 (T1), 12 (T2) and 18 (T3) months from baseline compared to usual care.

Conditions

• Multimorbidity
• Polypharmacy
• Comorbidities and Coexisting Conditions
• Clinical Decision-Support Systems

Interventions

OTHER

MultiPAP Plus

Complex intervention incorporating previous MultiPAP intervention (based on the ARIADNE principles with two main components: 1) Training of general practitioners and 2) Patient-centered clinical interview) And it adds a clinical-decision support system to help structured treatment-plan review.

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

• Fundación de Investigación e Innovación Biomédica Atención Primaria (FIIBAP)

  collaborator UNKNOWN

• 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 Asistencial 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

2020-02-18

Primary Completion

2023-12-26

Completion

2023-12-26

Countries

• Spain

Study Locations