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Training and support for nursing home staff reduced neuroleptic drug use and did not increase aggression in residents with dementia

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Q Does a training and support intervention for nursing home staff reduce use of neuroleptic drugs in elderly residents with dementia?

METHODS

Embedded ImageDesign:

cluster randomised controlled trial.

Embedded ImageAllocation:

concealed.

Embedded ImageBlinding:

blinded (outcome assessor).

Embedded ImageFollow up period:

12 months.

Embedded ImageSetting:

12 nursing homes registered to accept people with dementia in London, Newcastle, and Oxford, UK.

Embedded ImagePatients:

349 residents (median age 82 y, 63% men) of nursing homes that had ⩾25% of residents with dementia who were taking neuroleptic drugs.

Embedded ImageIntervention:

drug prescriptions of residents were reviewed at baseline. The consulting psychiatrist wrote to prescribing physicians at each home, recommending cessation of psychotropic drugs prescribed for >3 …

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