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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?

METHODS

GraphicDesign:

cluster randomised controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

blinded (outcome assessor).

GraphicFollow up period:

12 months.

GraphicSetting:

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

GraphicPatients:

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

GraphicIntervention:

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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