Optimal Medication Management in Alzheimer's Disease and Dementia
Completed · Not applicable
Conditions studied: Dementia
In brief
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.
Key facts
- Study ID
- NCT03984396
- Run by
- Kaiser Permanente
- People needed
- 7398
- Starts
- 2019-03-06
- Expected to finish
- 2024-01-31
- Last updated by the study team
- 2024-02-01
Who can join
Age: 65 and older. Sex: any. Healthy volunteers: not accepted.
Where it is running
- Kaiser Permanente — Aurora, Colorado, United States
Full record on ClinicalTrials.gov
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