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

https://doi.org/10.1136/ebn.9.4.122

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    Fossey J, Ballard C, Juszczak E, et al. Effect of enhanced psychosocial care on antipsychotic use in nursing home residents with severe dementia: cluster randomised trial. BMJ 2006;332:756–61.OpenUrlAbstract/FREE Full Text

    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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    Footnotes

    • For correspondence: Professor R Howard, King’s College, London, UK. r.howard{at}iop.kcl.ac.uk

    • Source of funding: Alzheimer’s Society.