Multi-professional clinical medication reviews in care homes for the elderly
| ISRCTN | ISRCTN90761620 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN90761620 |
| Protocol serial number | 8221 |
| Sponsor | University of East Anglia (UK) |
| Funder | National Institute for Health Research (NIHR) (UK) - Research for Patient Benefit (RfPB) programme (ref: PB-PG-0808-16065) |
- Submission date
- 21/10/2010
- Registration date
- 21/10/2010
- Last edited
- 01/10/2018
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Ms Julie Houghton
Scientific
Scientific
University of East Anglia
School of Pharmacy
Earlham Road
Norwich
NR4 7TJ
United Kingdom
| J.Houghton@uea.ac.uk |
Study information
| Primary study design | Interventional |
|---|---|
| Study design | Single centre randomised interventional trial |
| Secondary study design | Randomised controlled trial |
| Study type | Participant information sheet |
| Scientific title | Multi-professional clinical medication reviews in care homes for the elderly: a randomised controlled trial with cost effectiveness study |
| Study acronym | CARE MED |
| Study objectives | To determine whether a multi-professional clinical medication review leads to a reduction in falls and potentially inappropriate prescribing in care homes for the elderly. Thirty care homes will be recruited and randomised into two groups: the control group will receive usual care and the intervention group will receive two multi-professional clinical medication reviews. |
| Ethics approval(s) | Norfolk Research Ethics Committee approved on the 22nd February 2010 (ref: 09/H0310/96). Approval of amendment #1 given on the 4th October 2010. |
| Health condition(s) or problem(s) studied | Topic: Primary Care Research Network for England; Subtopic: Not Assigned; Disease: All Diseases |
| Intervention | The intervention group will receive two multi-professional clinical medication reviews at baseline and 6 months, with follow-up for a further 6 months. Residents' medications will be reviewed by pharmacist, pharmacy technician, GP and care home staff. Agreed action plan will be implemented by the medicines management team. The control group (15 care homes) will receive usual care (support they currently receive from the NHS), with data collection at baseline and 12 months. Both control and intervention homes are in the study for a total of 12 months. |
| Intervention type | Other |
| Primary outcome measure(s) |
Number of falls, measured at 6 months prior to baseline (T0), T0 to 6 months (T1) and T1 to 6 months (T2) |
| Key secondary outcome measure(s) |
Potentially inappropriate prescribing, measured at baseline, 6 months and 12 months |
| Completion date | 31/07/2011 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Senior |
| Sex | All |
| Target sample size at registration | 824 |
| Key inclusion criteria | 1. Care homes for older people (average age greater than 65 years) 2. Care homes which have been registered for at least 6 months |
| Key exclusion criteria | 1. Care homes specifically for people with dementia 2. Care homes specifically for people with learning difficulties 3. Care homes specifically for people with sensory impairment 4. Care homes specifically for people with mental health problems 5. Care homes specifically for people with physical disabilities 6. Care homes specifically for people with alcohol dependence 7. Care homes which have received a medication review service from the PCT in the last six months 8. Residents who self-medicate |
| Date of first enrolment | 01/11/2010 |
| Date of final enrolment | 31/07/2011 |
Locations
Countries of recruitment
- United Kingdom
- England
Study participating centre
University of East Anglia
Norwich
NR4 7TJ
United Kingdom
NR4 7TJ
United Kingdom
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol article | study protocol | 05/10/2011 | Yes | No | |
| Abstract results | results presented at British Geriatrics Society Spring Meeting | 01/10/2014 | No | No | |
| Participant information sheet | Participant information sheet | 11/11/2025 | 11/11/2025 | No | Yes |
Editorial Notes
01/10/2018: Publication reference added.
