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An effective approach to decrease antipsychotic and benzodiazepine use in nursing homes: The RedUSe project

Citation

Westbury, JL, An effective approach to decrease antipsychotic and benzodiazepine use in nursing homes: The RedUSe project, International Psychogeriatric Association: Path to Prevention :14th International Congress , 1-5 September 2009, Montreal, Canada, pp. 38. (2009) [Refereed Conference Paper]


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Copyright Statement

C International Psychogeriatric Association 2009

Official URL: http://journals.cambridge.org

DOI: doi:10.1017/S1041610209991128

Abstract

Background: This study evaluated a multi-faceted, interdisciplinary intervention to reduce the use of benzodiazepines and antipsychotics in nursing homes – the "RedUSe" (Reducing Use of Sedatives) project. Methods: The RedUSe project was a controlled trial conducted in 25 nursing homes in Tasmania, with 13 intervention and 12 control homes. A series of pharmacist-led strategies were provided to intervention homes including two medication audit and feedback cycles, educational sessions for staff and an interdisciplinary sedative review. Data on psychotropic drug use at each nursing home were collected utilizing a customized computer program at baseline, 12 and 26 weeks. The RedUSe project was registered as a controlled trial at the Australian New Zealand Clinical Trials Registry, registration number: ACTRN12608000221358. Results: For each measure, an average of 1591 residents were audited. Over the six-month trial, there was a significant reduction in the percentage of intervention home residents regularly taking benzodiazepines (31.8% to 26.9%, p < 0.005) and antipsychotics (20.3% to 18.6%, p < 0.05), whereas control home psychotropic use did not alter significantly. For residents taking benzodiazepines and antipsychotics at baseline, there were significantly more dose reductions/cessations in intervention homes than in control homes (benzodiazepines: 39.6% vs. 17.6%, p < 0.0001; antipsychotics: 36.9% vs. 20.9%, p < 0.01). Conclusions: RedUSe led to a significant reduction in the proportion of residents in nursing homes taking benzodiazepines and antipsychotics, and a significant increase in the number of dose reductions of these agents. Our findings suggest that a multi-faceted program, coordinated through a community pharmacy, can offer an effective approach in reducing psychotropic use in nursing homes.

Item Details

Item Type:Refereed Conference Paper
Keywords:antipsychotic, benzodiazepine, nursing homes, decrease,RedUSe project
Research Division:Medical and Health Sciences
Research Group:Pharmacology and Pharmaceutical Sciences
Research Field:Pharmacology and Pharmaceutical Sciences not elsewhere classified
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Clinical Health (Organs, Diseases and Abnormal Conditions) not elsewhere classified
Author:Westbury, JL (Dr Juanita Westbury)
ID Code:58869
Year Published:2009
Web of Science® Times Cited:32
Deposited By:Pharmacy
Deposited On:2009-11-03
Last Modified:2015-03-24
Downloads:4 View Download Statistics

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