Evid Based Nurs 9:122 doi:10.1136/ebn.9.4.122
  • Quality improvement

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

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



cluster randomised controlled trial.




blinded (outcome assessor).

GraphicFollow up period:

12 months.


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


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


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 months and drug discontinuation when behavioural symptoms had resolved. 6 nursing homes (181 residents) were allocated to training and support delivered to nursing home staff by a psychologist, occupational …

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