Literature DB >> 2889382

Reducing antipsychotic drug prescribing for nursing home patients: a controlled trial of the effect of an educational visit.

W A Ray1, D G Blazer, W Schaffner, C F Federspiel.   

Abstract

We conducted a statewide, controlled trial of the efficacy of an educational visit in reducing antipsychotic drug prescribing for nursing home patients. Frequent antipsychotic drug prescribers were visited by a trained physician counselor who stressed known drug risks for elderly patients and suggested techniques for reducing antipsychotic drug use. Although well-received, the visit did not reduce antipsychotic drug prescribing. This negative finding suggests that future interventions address factors within the nursing home which encourage antipsychotic drug use.

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Year:  1987        PMID: 2889382      PMCID: PMC1647107          DOI: 10.2105/ajph.77.11.1448

Source DB:  PubMed          Journal:  Am J Public Health        ISSN: 0090-0036            Impact factor:   9.308


  17 in total

1.  Accidents and drug treatment in a psychiatric hospital.

Authors:  B R Ballinger; A C Ramsay
Journal:  Br J Psychiatry       Date:  1975-05       Impact factor: 9.319

2.  Psychotropic usage in long-term care facility geriatric patients.

Authors:  J W Cooper; G E Francisco
Journal:  Hosp Formul       Date:  1981-04

3.  Neuroleptic drugs: how to reduce the risk of tardive dyskinesia.

Authors:  J DeVeaugh-Geiss
Journal:  Geriatrics       Date:  1979-07

4.  Drug prescribing for the elderly.

Authors:  D E Everitt; J Avorn
Journal:  Arch Intern Med       Date:  1986-12

5.  The risk of anticholinergic toxicity in the elderly: a study of prescribing practices in two populations.

Authors:  D G Blazer; C F Federspiel; W A Ray; W Schaffner
Journal:  J Gerontol       Date:  1983-01

6.  Is good nursing-home care feasible?

Authors:  R L Kane; L A Jorgensen; B Teteberg; J Kuwahara
Journal:  JAMA       Date:  1976-02-02       Impact factor: 56.272

7.  Medicaid records as a valid data source: the Tennessee experience.

Authors:  C F Federspiel; W A Ray; W Schaffner
Journal:  Med Care       Date:  1976-02       Impact factor: 2.983

8.  The use of mechanical and chemical restraints in nursing homes.

Authors:  A B Covert; T Rodrigues; K Solomon
Journal:  J Am Geriatr Soc       Date:  1977-02       Impact factor: 5.562

9.  A model of risk of falling for psychogeriatric patients.

Authors:  J W Davie; M D Blumenthal; S Robinson-Hawkins
Journal:  Arch Gen Psychiatry       Date:  1981-04

10.  A study of antipsychotic drug use in nursing homes: epidemiologic evidence suggesting misuse.

Authors:  W A Ray; C F Federspiel; W Schaffner
Journal:  Am J Public Health       Date:  1980-05       Impact factor: 9.308

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  13 in total

Review 1.  Administrative initiatives for reducing inappropriate prescribing of psychotropic drugs in nursing homes: how successful have they been?

Authors:  Carmel M Hughes; Kate L Lapane
Journal:  Drugs Aging       Date:  2005       Impact factor: 3.923

2.  The science of perpetual change.

Authors:  A Haines
Journal:  Br J Gen Pract       Date:  1996-02       Impact factor: 5.386

3.  Association of a Communication Training Program With Use of Antipsychotics in Nursing Homes.

Authors:  Jennifer Tjia; Jacob N Hunnicutt; Laurie Herndon; Carolyn R Blanks; Kate L Lapane; Susan Wehry
Journal:  JAMA Intern Med       Date:  2017-06-01       Impact factor: 21.873

4.  Knowledge translation in mental health: a scoping review.

Authors:  Elliot M Goldner; Victoria Jeffries; Dan Bilsker; Emily Jenkins; Matthew Menear; Lisa Petermann
Journal:  Healthc Policy       Date:  2011-11

Review 5.  A practical guide to prescribing in nursing homes. Avoiding the pitfalls.

Authors:  M Seppälä; L Sourander
Journal:  Drugs Aging       Date:  1995-06       Impact factor: 3.923

Review 6.  Psychosocial interventions for reducing antipsychotic medication in care home residents.

Authors:  Tanja Richter; Gabriele Meyer; Ralph Möhler; Sascha Köpke
Journal:  Cochrane Database Syst Rev       Date:  2012-12-12

Review 7.  Clinical and Economic Outcomes of Interventions to Reduce Antipsychotic and Benzodiazepine Use Within Nursing Homes: A Systematic Review.

Authors:  Daniel J Hoyle; Ivan K Bindoff; Lisa M Clinnick; Gregory M Peterson; Juanita L Westbury
Journal:  Drugs Aging       Date:  2018-02       Impact factor: 3.923

8.  Use of antipsychotics among older residents in VA nursing homes.

Authors:  Walid F Gellad; Sherrie L Aspinall; Steven M Handler; Roslyn A Stone; Nicholas Castle; Todd P Semla; Chester B Good; Michael J Fine; Maurice Dysken; Joseph T Hanlon
Journal:  Med Care       Date:  2012-11       Impact factor: 2.983

Review 9.  Mental health in nursing homes. Perspectives on the use of medication.

Authors:  J Snowdon
Journal:  Drugs Aging       Date:  1993 Mar-Apr       Impact factor: 3.923

Review 10.  Educational outreach visits: effects on professional practice and health care outcomes.

Authors:  M A O'Brien; S Rogers; G Jamtvedt; A D Oxman; J Odgaard-Jensen; D T Kristoffersen; L Forsetlund; D Bainbridge; N Freemantle; D A Davis; R B Haynes; E L Harvey
Journal:  Cochrane Database Syst Rev       Date:  2007-10-17
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