Protocol for a Multi-site Pilot Study of the OptiMed Clinical Trial
NCT06688591 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2024-11-14
Summary
Background: Optimal medication management is one of the essential preconditions for polymedicated home-dwelling older adults with multiple chronic conditions to remain at home and preserve their quality of life and autonomy. This study aims to explore the feasibility and acceptability of an evidence-based, multi-component, interprofessional intervention programme supported by informal caregivers to decrease medication related problems (MRPs) among polymedicated, home-dwelling older adults with multiple chronic conditions.
Methods: The pragmatic multi-site OptiMed pilot study will use an open-label design, where participants know what they are signing up for and will take place in primary healthcare settings in Portugal and Switzerland. The research population will comprise polymedicated home-dwelling adults aged 65 years old or more, at risk of MRPs and receiving community-based healthcare.
Discussion: This pilot study will focus on the recruitment and collaboration of study participants and piloting the feasibility of the evidence-based, multi-component, interprofessional intervention programme. The full-scale study, following on from the OptiMed pilot study, will support the development of a standardised, evidence-based, multi-component, interprofessional intervention programme to reduce MRPs. It will also be an essential part of follow-up research programmes on the multiple roles of informal caregivers, as it will put their coordination tasks into perspective with their own needs.
Conditions
- Polypharmacy
- Multiple Chronic Conditions
Interventions
- OTHER
-
Intervention programme to optimise medication management and prevent MRPs
The intervention is based on a four-step patient empowerment process: 1) the patient understands their role; 2) the patient acquires sufficient knowledge to be able to engage with their healthcare professionals; 3) the patient improves their skills; and 4) there is a facilitating environment (30). Each older adult participant's plan will be unique and consider their preferences, medication literacy and treatment adherence.
Sponsors & Collaborators
-
Polytechnic of Leiria
collaborator UNKNOWN -
Institute for Primary Health Care BIHAM, University of Bern
collaborator UNKNOWN -
HES-SO Valais-Wallis
lead OTHER
Principal Investigators
-
Henk Verloo, PhD · HES-SO Valais-Wallis
Study Design
- Allocation
- NA
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2021-12-06
- Primary Completion
- 2022-12-06
- Completion
- 2023-06-30
More Related Trials
-
OPTIM-EHPAD Optimization of Drug Prescription for Each Resident Entering in Nursing Home (EHPAD).
NCT05179642 ·Status: UNKNOWN
-
Older Adults' Readiness to Stop Prescribed Medications
NCT05996237 ·Status: COMPLETED
-
Optimizing Prescribing Decisions for Hospitalized Older Adults With Chronic Conditions
NCT06605807 ·Status: RECRUITING ·Phase: NA
-
OPTImization of Medication by Transdisciplinary Assessment of Drug Treatment in Elderly Hospitalized Patients
NCT05387096 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Team Approach to Polypharmacy Reduction to Improve Mobility Long-Term Care
NCT03202264 ·Status: TERMINATED
-
Multidisciplinary Program "Optimization of Drug Prescription" : Impact on the Quality of Drug Prescription in Hospitalized Elderly Patients
NCT01947270 ·Status: COMPLETED
-
Comprehensive Management of Drug Prescriptions Throughout the Elderly Person's Hospital Care
NCT03666793 ·Status: COMPLETED ·Phase: NA
-
Optimizing Medication Therapy for Patients Recently Discharged From Hospital
NCT02888782 ·Status: TERMINATED ·Phase: NA
-
Optimizing PharmacoTherapy In the Multimorbid Elderly in Primary CAre: the OPTICA Trial
NCT03724539 ·Status: COMPLETED ·Phase: NA
-
Pilot Study to Improve Medication Management in Older Adults
NCT04709640 ·Status: COMPLETED ·Phase: NA
-
Decreasing Polypharmacy in Older Adults With Curable Cancers Trial
NCT05046171 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Polypharmacy Outpatient Clinic
NCT03911934 ·Status: COMPLETED ·Phase: NA
-
Pharmacological Optimization by a Specialized Outpatient Consultation Team
NCT05408598 ·Status: UNKNOWN
-
Discontinuation of Long-term Medications in Older People Entering Nursing Home Care
NCT03501108 ·Status: UNKNOWN ·Phase: NA
-
Psychological and Clinical Factors That Predict Intent to Deprescribe Medications Among Older Adults
NCT04676282 ·Status: COMPLETED
-
Compliance Of Medication After Discharge From the Hospital in the Elderly
NCT01017432 ·Status: COMPLETED
-
Iatrogenic Drug Risk in People Over 75, With or Without Cognitive Disorders, From an Inventory of Their Family Pharmacy
NCT03686943 ·Status: WITHDRAWN
-
Efficacy of a Intervention to Reduce Medication Errors and Improve Adherence
NCT01291966 ·Status: COMPLETED ·Phase: NA
-
General Practitioner (GP) Practice Based Pharmacist Input to Medicines Optimisation
NCT03241498 ·Status: COMPLETED ·Phase: NA
-
OPtimising thERapy to Prevent Avoidable Hospital Admissions in the Multimorbid Older People
NCT02986425 ·Status: COMPLETED ·Phase: NA
-
Deprescribing in a Long Term Care Facility
NCT03091153 ·Status: COMPLETED ·Phase: NA
-
Medication Reconciliation Using Electronic Pharmaceutical Record: A Multicenter Study in the Hospitalized Elderly
NCT02906657 ·Status: COMPLETED ·Phase: NA
-
Effect of a trAnSitional Pharmacist Intervention in geRiatric Inpatients on Hospitals Visits After dischargE
NCT04617340 ·Status: COMPLETED ·Phase: NA
-
A Randomised Pilot Study of the REVISiT Intervention
NCT04586595 ·Status: COMPLETED ·Phase: NA
-
Effect of Pharmacist Initiated Recommendations On Prescribing For Participants In the Senior MEDS Personalized Medication Review
NCT00205140 ·Status: TERMINATED