Impact of programs to reduce antipsychotic and anticholinergic use in nursing homes.

ABSTRACT:

Introduction

Antipsychotics are used for managing behavioral and psychological symptoms of dementia (BPSD) but have risks. Anticholinergics can worsen outcomes in dementia. The Improving Antipsychotic Appropriateness in Dementia Patients educational program (IA-ADAPT) and Centers for Medicare and Medicaid Services Partnership to Improve Dementia Care (CMS Partnership) promote improved care for BPSD. The purpose of this study was to evaluate the impact of these programs on medication use and BPSD among nursing home residents.

Methods

This quasi-experimental longitudinal study used Medicare and assessment data for Iowa nursing home residents from April 2011 to December 2012. Residents were required to be eligible for six continuous months for inclusion. Antipsychotic use and a

SUBMITTER: Carnahan RM 

PROVIDER: S-EPMC5671632 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature