Can clinician champions reduce potentially inappropriate medications in people living with dementia? Study protocol for a cluster randomized trial.

ABSTRACT:

Background

For people living with dementia (PLWD) the overuse of potentially inappropriate medications (PIMs) remains a persistent problem. De-prescribing trials in the elderly have mixed results. Clinician champions may be uniquely suited to lead efforts to address this challenge. Here we describe the study protocol for a 24-month embedded pragmatic cluster-randomized clinical trial within two accountable care organizations (ACOs) of such a clinician champion intervention. The specific aims are to (1) assess the effectiveness of a clinician champion on de-implementing PIMs in PLWD, (2) determine if the intervention is associated with a reduction in emergency department (ED) visits and hospitalizations attributed to a fall, and (3) examine five implementation outcomes: appropriaten

SUBMITTER: Parchman ML 

PROVIDER: S-EPMC9513870 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature