EMPOWERing Hospitalized Older Adults to Deprescribe Sedative Hypnotics: A Pilot Study
Objectives To distribute the EMPOWER patient education brochure and use hospitalization as an opportunity to reduce inappropriate sedatives. Design Participants were sequentially recruited until we achieved 30‐day follow‐up telephone and pharmacy records for 50 individuals. The proportion meeting th...
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Published in | Journal of the American Geriatrics Society (JAGS) Vol. 66; no. 6; pp. 1186 - 1189 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Wiley Subscription Services, Inc
01.06.2018
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Abstract | Objectives
To distribute the EMPOWER patient education brochure and use hospitalization as an opportunity to reduce inappropriate sedatives.
Design
Participants were sequentially recruited until we achieved 30‐day follow‐up telephone and pharmacy records for 50 individuals. The proportion meeting the primary outcome was compared with that of a control cohort and with rates of cessation achieved in the community.
Setting
Fifty‐two‐bed medical clinical teaching unit in Montréal, Canada.
Participants
Inpatients aged 65 and older who were chronic, regular sedative users.
Measurements
The primary outcome was short‐term sustained cessation 30‐days after discharge. As a secondary outcome, we compared self‐reported sleep disturbance before and after the intervention.
Results
Sedatives were deprescribed in 32 of 50 (64%) participants who received the EMPOWER brochure, which was significantly higher than our historical rate of 21% (p<.001). Participants did not report significant worsening in their quality of sleep after sedative cessation.
Conclusion
Hospitalized individuals are willing to deprescribe, and contact with the healthcare system provides the opportunity to initiate the process with educational brochures. This type of intervention requires few resources and is feasible and inexpensive. |
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AbstractList | ObjectivesTo distribute the EMPOWER patient education brochure and use hospitalization as an opportunity to reduce inappropriate sedatives.DesignParticipants were sequentially recruited until we achieved 30‐day follow‐up telephone and pharmacy records for 50 individuals. The proportion meeting the primary outcome was compared with that of a control cohort and with rates of cessation achieved in the community.SettingFifty‐two‐bed medical clinical teaching unit in Montréal, Canada.ParticipantsInpatients aged 65 and older who were chronic, regular sedative users.MeasurementsThe primary outcome was short‐term sustained cessation 30‐days after discharge. As a secondary outcome, we compared self‐reported sleep disturbance before and after the intervention.ResultsSedatives were deprescribed in 32 of 50 (64%) participants who received the EMPOWER brochure, which was significantly higher than our historical rate of 21% (p<.001). Participants did not report significant worsening in their quality of sleep after sedative cessation.ConclusionHospitalized individuals are willing to deprescribe, and contact with the healthcare system provides the opportunity to initiate the process with educational brochures. This type of intervention requires few resources and is feasible and inexpensive. Objectives To distribute the EMPOWER patient education brochure and use hospitalization as an opportunity to reduce inappropriate sedatives. Design Participants were sequentially recruited until we achieved 30‐day follow‐up telephone and pharmacy records for 50 individuals. The proportion meeting the primary outcome was compared with that of a control cohort and with rates of cessation achieved in the community. Setting Fifty‐two‐bed medical clinical teaching unit in Montréal, Canada. Participants Inpatients aged 65 and older who were chronic, regular sedative users. Measurements The primary outcome was short‐term sustained cessation 30‐days after discharge. As a secondary outcome, we compared self‐reported sleep disturbance before and after the intervention. Results Sedatives were deprescribed in 32 of 50 (64%) participants who received the EMPOWER brochure, which was significantly higher than our historical rate of 21% (p<.001). Participants did not report significant worsening in their quality of sleep after sedative cessation. Conclusion Hospitalized individuals are willing to deprescribe, and contact with the healthcare system provides the opportunity to initiate the process with educational brochures. This type of intervention requires few resources and is feasible and inexpensive. To distribute the EMPOWER patient education brochure and use hospitalization as an opportunity to reduce inappropriate sedatives. Participants were sequentially recruited until we achieved 30-day follow-up telephone and pharmacy records for 50 individuals. The proportion meeting the primary outcome was compared with that of a control cohort and with rates of cessation achieved in the community. Fifty-two-bed medical clinical teaching unit in Montréal, Canada. Inpatients aged 65 and older who were chronic, regular sedative users. The primary outcome was short-term sustained cessation 30-days after discharge. As a secondary outcome, we compared self-reported sleep disturbance before and after the intervention. Sedatives were deprescribed in 32 of 50 (64%) participants who received the EMPOWER brochure, which was significantly higher than our historical rate of 21% (p<.001). Participants did not report significant worsening in their quality of sleep after sedative cessation. Hospitalized individuals are willing to deprescribe, and contact with the healthcare system provides the opportunity to initiate the process with educational brochures. This type of intervention requires few resources and is feasible and inexpensive. |
Author | McDonald, Emily G. Wilson, Marnie Goodwin Tannenbaum, Cara Lee, Todd C. Hass, Aaron |
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Cites_doi | 10.1503/cmaj.050051 10.1136/bmjopen-2017-015959 10.1111/jgs.15079 10.1093/ageing/afp255 10.1186/s40360-017-0183-0 10.1001/jamainternmed.2016.3309 10.1002/jhm.2330 10.1111/j.1532-5415.1999.tb04576.x 10.1186/s12877-017-0432-5 10.1001/jamainternmed.2014.949 10.1080/15402002.2012.636266 10.1017/S0033291703008213 10.1007/BF03324897 10.1007/s00228-017-2257-8 |
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To distribute the EMPOWER patient education brochure and use hospitalization as an opportunity to reduce inappropriate sedatives.
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SubjectTerms | Anesthesia Benzodiazepines Brochures deprescribing Empowerment Hypnotics Older people patient education polypharmacy Sedatives Sleep |
Title | EMPOWERing Hospitalized Older Adults to Deprescribe Sedative Hypnotics: A Pilot Study |
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