The effect of educational intervention on use of psychotropics in defined daily doses and related costs – a randomized controlled trial.

To investigate the effect of an educational intervention of nursing staff on change in psychotropic use and related costs among older long-term care residents. A secondary analysis of a randomized controlled intervention study with 12 months of follow-up. Assisted living facilities in Helsinki, Finl...

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Publicado en:Scandinavian Journal of Primary Health Care Vol. 40; no. 2; pp. 246 - 253
Autores principales: Ulla L, Aalto, Mervi, Rantsi, Anna-Liisa, Juola, Hannu, Kautiainen, Kaisu H, Pitkälä
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Taylor & Francis Ltd Jun2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2022
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/02813432.2022.2074055
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        atl: The effect of educational intervention on use of psychotropics in defined daily doses and related costs – a randomized controlled trial.
      aug:
        au:
          Ulla L, Aalto
          Mervi, Rantsi
          Anna-Liisa, Juola
          Hannu, Kautiainen
          Kaisu H, Pitkälä
        affil: Department of Social Services and Health Care, City of Helsinki, Helsinki, Finland
      sug:
        subj:
          Psychotropic Drugs Administration and Dosage
          Health Care Costs
          Treatment Outcomes Evaluation
          Nursing Interventions
          Long Term Care In Old Age
          Nursing Home Residents
          Outcomes of Education Evaluation
          Human
          Randomized Controlled Trials
          Random Sample
          Comparative Studies
          Pretest-Posttest Design
          Aged
          Secondary Analysis
          Assisted Living
          Finland
          Descriptive Statistics
          Hospital Units
          World Health Organization
          Professional Development
          Aged: 65+ years
      ab: To investigate the effect of an educational intervention of nursing staff on change in psychotropic use and related costs among older long-term care residents. A secondary analysis of a randomized controlled intervention study with 12 months of follow-up. Assisted living facilities in Helsinki, Finland. Older (≥65 years) residents (N = 227) living in assisted living facility wards (N = 20) in Helsinki in 2011. The wards were randomized into two groups. In one group, the nursing staff received training on appropriate medication therapy and guidance to recognize potentially harmful medications and adverse effects (intervention group); in the other group, the nursing staff did not receive any additional training (control group). Change of psychotropic use counted as relative proportions of WHO ATC-defined daily doses (rDDDs) among older long-term care residents. In addition, the change in drug costs was considered. Comparable assessments were performed at 0, 6, and 12 months. A significant decrease in both rDDDs and the cost of psychotropics was observed in the intervention group at 6 months follow-up. However, at 12 months, the difference between the intervention and control group had diminished. Educational training can be effective in reducing the doses and costs of psychotropics. Further studies are warranted to investigate whether long-term effects can also be achieved by various educational interventions. ACTRN 12611001078943 We explored the effect of staff training on psychotropic use and associated costs among older long-term care residents. Educational training of nursing staff was beneficial as regards the actual drug doses of psychotropics, and cost savings in psychotropic medication were achieved. Educational training was efficient in the short-term, but further research is warranted to achieve long-term effects.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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