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Neuroleptic and benzodiazepine use in long-term care in urban and rural Alberta: Characteristics and results of an education intervention to ensure appropriate use

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dc.contributor.author Hagen, Brad F.
dc.contributor.author Armstrong-Esther, Chris
dc.contributor.author Quail, Paddy
dc.contributor.author Williams, Robert J.
dc.contributor.author Norton, Peter
dc.contributor.author Le Navenec, Carole-Lynn
dc.contributor.author Ikuta, Roland
dc.contributor.author Osis, Maureen
dc.contributor.author Congdon, Val
dc.contributor.author Zieb, Roxane
dc.date.accessioned 2007-07-18T20:53:21Z
dc.date.available 2007-07-18T20:53:21Z
dc.date.issued 2005
dc.identifier.citation Hagen, B. F. et al. (2005). Neuroleptic and benzodiazepine use in long-term care in urban and rural Alberta: Characteristics and results of an education intervention to ensure appropriate use. International Psychogeriatrics, 17, 631-652. en
dc.identifier.issn 1041-6102
dc.identifier.uri http://hdl.handle.net/10133/376
dc.description Online edition of journal available from http://journals.cambridge.org/ en
dc.description.abstract Objectives: To examine the use of psychotropic drugs in 24 rural and urban longterm care (LTC) facilities, and compare the effect of an education intervention for LTC staff and family members on the use of psychotropic drugs in intervention versus control facilities. Methods: Interrupted time series with a non-equivalent no-treatment control group time series. Data on drug use were collected in 24 Western Canadian LTC facilities (10 urban, 14 rural) for three 2-month time periods before and after the intervention. Pharmacy records were used to collect data on drug, class of drug, dose, administration, and start/stop dates. Chart reviews provided demographics, pro re nata (prn) use, and indications for drug use. Subjects comprised 2443 residents living in the 24 LTC facilities during the 1-year study. An average of 796.33 residents (32.7%) received a psychotropic drug. An education intervention on psychotropic drug use in LTC was offered to intervention physicians, nursing staff, pharmacists and family members. Results: Approximately one-third of residents received a psychotropic drug during the study, often for considerable lengths of time. A minority of psychotropic drug prescriptions had a documented reason for their use, and 69.5% of the reasons would be inappropriate under Omnibus Budget Reconciliation Act (OBRA) legislation. Few psychotropic drug prescriptions were discontinued or reduced during the study. More urban LTC residents received neuroleptics and benzodiazepines than their rural counterparts (26.1% vs. 15.7%, and 18.0% vs. 7.6%, respectively). The education intervention did not result in any significant decline in the use of these drugs in intervention facilities. Conclusion: The results suggest substantial use of psychotropic drugs in LTC, although rural LTC residents received approximately half the number of psychotropic drugs compared with urban residents. A resource-intensive intervention did not significantly decrease the use of psychotropics. There is a need for better monitoring of psychotropic drugs in LTC, particularly given that voluntary educational efforts alone may be ineffective agents of change. en
dc.description.sponsorship Alberta Heritage Foundation for Medical Research (AHFMR) en
dc.language.iso en en
dc.publisher Cambridge University Press en
dc.subject benzodiazepines en
dc.subject antipsychotic en
dc.subject agents en
dc.subject nursing homes en
dc.subject continuing medical education en
dc.subject aged en
dc.title Neuroleptic and benzodiazepine use in long-term care in urban and rural Alberta: Characteristics and results of an education intervention to ensure appropriate use en
dc.type Article en
dc.publisher.faculty School of Health Sciences en
dc.description.peer-review Yes en
dc.publisher.institution University of Lethbridge en

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