Richter 2019 / NCT02295462 / EPCentCare

Study ID(s) and Acronym(s)
NCT02295462 / EPCentCare
Current Status of Trial
Completed
Study Aim
Other
Study Design
RCT
Blinding
No blinding
Intervention type
Non-pharmacological
Intervention
Person-centred care on antipsychotic drug use
Dosage and Duration
All prescribing physicians from both study arms received medication reviews for individual patients and were offered access to 2 h of continuing medical education. Nursing homes in the intervention group received educational interventions on person-centred care and a continuous supervision programme
Absolute Number of Participants
1153
Health Status/Diagnosis
Nursing home resident
Country or Countries of Recruitment
Germany
Primary outcomes
Proportion of residents receiving at least one antipsychotic prescription after 12 months of follow-up
Other outcomes
quality of life, agitated behaviour, falls and fall-related medical attention, a health economics evaluation and a process evaluation
Key Points
"The study was conducted in 37 nursing homes with n = 1,153 residents (intervention group: n = 493; control group: n = 660). The proportion of residents with at least one antipsychotic medication changed after 12 months from 44.6% to 44.8% in the intervention group and from 39.8 to 33.3% in the control group. After 12 months, the difference in the prevalence was 11.4% between the intervention and control groups (95% confidence interval: 0.9-21.9; P = 0.033); odds ratio: 1.621 (95% confidence interval: 1.038-2.532). CONCLUSIONS: the implementation of a proven person-centred care approach adapted to national conditions did not reduce antipsychotic prescriptions in German nursing homes" Richter 2019