{"id":711217,"date":"2020-12-08T12:42:15","date_gmt":"2020-12-08T20:42:15","guid":{"rendered":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/?post_type=msr-research-item&#038;p=711217"},"modified":"2025-07-31T11:21:27","modified_gmt":"2025-07-31T18:21:27","slug":"reducing-psychotropic-use-in-older-non-demented-spanish-care-home-residents-a-before-after-comparison-of-three-methods","status":"publish","type":"msr-research-item","link":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/publication\/reducing-psychotropic-use-in-older-non-demented-spanish-care-home-residents-a-before-after-comparison-of-three-methods\/","title":{"rendered":"Reducing Psychotropic Use in Older Non-demented Spanish Care Home Residents: a Before-After Comparison of Three Methods"},"content":{"rendered":"<p>Recognizing that Spain has the highest rate of antipsychotic prescribing in Western Europe,<sup><a class=\"msr-external-link glyph-append glyph-append-open-in-new-tab glyph-append-xsmall\" rel=\"noopener noreferrer\" target=\"_blank\" id=\"ref-link-section-d179622020e356\" title=\"Janus SIM, van Manen JG, Ijzerman MJ, Zuidema SU. Psychotropic drug prescriptions in Western European nursing homes. Int Psychogeriatr. 2016;28(11):1775-90.\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s11606-019-05517-2#ref-CR1\" data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 1\">1<span class=\"sr-only\"> (opens in new tab)<\/span><\/a><\/sup>\u00a0the Spanish Geriatrics and Gerontology Society has encouraged reducing psychotropic medication use in long-term settings.<sup><a class=\"msr-external-link glyph-append glyph-append-open-in-new-tab glyph-append-xsmall\" rel=\"noopener noreferrer\" target=\"_blank\" id=\"ref-link-section-d179622020e360\" title=\"Ramos Cordero P, Lopez Trigo JA, Maillo Pedraz H, Paz Rubio JM. [Physical and pharmacological restraints in geriatric and gerontology services and centers]. Revista espanola de geriatria y gerontologia. 2015;50(1):35-8. Epub 2014\/12\/03. doi: \nhttps:\/\/doi.org\/10.1016\/j.regg.2014.09.006\n\n.\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s11606-019-05517-2#ref-CR2\" data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 2\">2<span class=\"sr-only\"> (opens in new tab)<\/span><\/a><\/sup>\u00a0In a quality improvement effort designed to do that, we found that administration of any of 3 interventions\u2014application of STOPP\/START criteria, medication-focused team rounds (TR), or a decision aid (DA)\u2014effectively reduced psychotropic use among older Spanish nursing home residents with dementia, though STOPP\/START criteria application was most effective.<sup><a class=\"msr-external-link glyph-append glyph-append-open-in-new-tab glyph-append-xsmall\" rel=\"noopener noreferrer\" target=\"_blank\" id=\"ref-link-section-d179622020e364\" title=\"Weeks WB, Mishra MK, Curto D, Petersen CL, Cano P, Hswen Y, Serra SV, Elwyn G, Godfrey MM, Soro PS, Tom\u00e1s JF. Comparing three methods for reducing psychotropic use in older demented spanish care home residents. J Am Geriatr Soc 2019;67:1444\u201353. \nhttps:\/\/doi.org\/10.1111\/jgs.15855\n\n.\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s11606-019-05517-2#ref-CR3\" data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 3\">3<span class=\"sr-only\"> (opens in new tab)<\/span><\/a><\/sup><\/p>\n<p>While care home residents with dementia are at risk for psychotropic overuse and their sequelae, so might be those without dementia.<sup><a class=\"msr-external-link glyph-append glyph-append-open-in-new-tab glyph-append-xsmall\" rel=\"noopener noreferrer\" target=\"_blank\" id=\"ref-link-section-d179622020e370\" title=\"Wills P, Claesson CB, Fratiglioni L, Fastbom J, Thorslund M, Winblad B. Drug use by demented and non-demented elderly people. Age and ageing. 1997;26(5):383-91. Epub 1997\/11\/14.\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s11606-019-05517-2#ref-CR4\" data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 4\">4<span class=\"sr-only\"> (opens in new tab)<\/span><\/a><\/sup>\u00a0Therefore, we sought to analyze patients without dementia who obtained any of the 3 interventions we studied in Sanitas Mayores (Spain), a Bupa-affiliated aged care network.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Recognizing that Spain has the highest rate of antipsychotic prescribing in Western Europe,1\u00a0the Spanish Geriatrics and Gerontology Society has encouraged reducing psychotropic medication use in long-term settings.2\u00a0In a quality improvement effort designed to do that, we found that administration of any of 3 interventions\u2014application of STOPP\/START criteria, medication-focused team rounds (TR), or a decision aid [&hellip;]<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"msr-url-field":"","msr-podcast-episode":"","msrModifiedDate":"","msrModifiedDateEnabled":false,"ep_exclude_from_search":false,"_classifai_error":"","msr-author-ordering":null,"msr_publishername":"","msr_publisher_other":"","msr_booktitle":"","msr_chapter":"","msr_edition":"","msr_editors":"","msr_how_published":"","msr_isbn":"","msr_issue":"1","msr_journal":"Journal of General Internal Medicine","msr_number":"","msr_organization":"","msr_pages_string":"","msr_page_range_start":"383","msr_page_range_end":"385","msr_series":"","msr_volume":"35","msr_copyright":"","msr_conference_name":"","msr_doi":"","msr_arxiv_id":"","msr_s2_paper_id":"","msr_mag_id":"","msr_pubmed_id":"","msr_other_authors":"","msr_other_contributors":"","msr_speaker":"","msr_award":"","msr_affiliation":"","msr_institution":"","msr_host":"","msr_version":"","msr_duration":"","msr_original_fields_of_study":"","msr_release_tracker_id":"","msr_s2_match_type":"","msr_citation_count_updated":"","msr_published_date":"2019-12-31","msr_highlight_text":"","msr_notes":"","msr_longbiography":"","msr_publicationurl":"","msr_external_url":"","msr_secondary_video_url":"","msr_conference_url":"","msr_journal_url":"","msr_s2_pdf_url":"","msr_year":0,"msr_citation_count":0,"msr_influential_citations":0,"msr_reference_count":0,"msr_s2_match_confidence":0,"msr_microsoftintellectualproperty":false,"msr_s2_open_access":false,"msr_s2_author_ids":[],"msr_pub_ids":[],"msr_hide_image_in_river":null,"footnotes":""},"msr-research-highlight":[],"research-area":[13553],"msr-publication-type":[193715],"msr-publisher":[],"msr-focus-area":[],"msr-locale":[268875],"msr-post-option":[],"msr-field-of-study":[247237,246985],"msr-conference":[],"msr-journal":[],"msr-impact-theme":[],"msr-pillar":[],"class_list":["post-711217","msr-research-item","type-msr-research-item","status-publish","hentry","msr-research-area-medical-health-genomics","msr-locale-en_us","msr-field-of-study-gerontology","msr-field-of-study-medicine"],"msr_publishername":"","msr_edition":"","msr_affiliation":"","msr_published_date":"2019-12-31","msr_host":"","msr_duration":"","msr_version":"","msr_speaker":"","msr_other_contributors":"","msr_booktitle":"","msr_pages_string":"","msr_chapter":"","msr_isbn":"","msr_journal":"Journal of General Internal Medicine","msr_volume":"35","msr_number":"","msr_editors":"","msr_series":"","msr_issue":"1","msr_organization":"","msr_how_published":"","msr_notes":"","msr_highlight_text":"","msr_release_tracker_id":"","msr_original_fields_of_study":"","msr_download_urls":"","msr_external_url":"","msr_secondary_video_url":"","msr_longbiography":"","msr_microsoftintellectualproperty":0,"msr_main_download":"","msr_publicationurl":"","msr_doi":"","msr_publication_uploader":[{"type":"doi","viewUrl":"false","id":"false","title":"10.1007\/S11606-019-05517-2","label_id":"243106","label":0},{"type":"url","viewUrl":"false","id":"false","title":"https:\/\/link.springer.com\/article\/10.1007\/s11606-019-05517-2","label_id":"243109","label":0},{"type":"url","viewUrl":"false","id":"false","title":"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/31713039","label_id":"243109","label":0},{"type":"file","viewUrl":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-content\/uploads\/2020\/12\/Reducing-psychotropic-use-in-older-non-demented-Spanish-care-home-residents-a-before-after-comparison-of-three-methods..pdf","id":"711223","title":"reducing-psychotropic-use-in-older-non-demented-spanish-care-home-residents-a-before-after-comparison-of-three-methods-2","label_id":"243132","label":0}],"msr_related_uploader":"","msr_citation_count":0,"msr_citation_count_updated":"","msr_s2_paper_id":"","msr_influential_citations":0,"msr_reference_count":0,"msr_arxiv_id":"","msr_s2_author_ids":[],"msr_s2_open_access":false,"msr_s2_pdf_url":null,"msr_attachments":[{"id":711223,"url":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-content\/uploads\/2020\/12\/Reducing-psychotropic-use-in-older-non-demented-Spanish-care-home-residents-a-before-after-comparison-of-three-methods..pdf"},{"id":711220,"url":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-content\/uploads\/2020\/12\/Reducing-psychotropic-use-in-older-non-demented-Spanish-care-home-residents-a-before-after-comparison-of-three-methods..pdf"}],"msr-author-ordering":[{"type":"text","value":"Curtis L. Petersen","user_id":0,"rest_url":false},{"type":"text","value":"David Curto","user_id":0,"rest_url":false},{"type":"text","value":"Manish K. Mishra","user_id":0,"rest_url":false},{"type":"text","value":"Pedro Cano","user_id":0,"rest_url":false},{"type":"user_nicename","value":"Bill Weeks","user_id":39582,"rest_url":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/microsoft-research\/v1\/researchers?person=Bill Weeks"}],"msr_impact_theme":[],"msr_research_lab":[],"msr_event":[],"msr_group":[706978],"msr_project":[],"publication":[],"video":[],"msr-tool":[],"msr_publication_type":"article","related_content":[],"_links":{"self":[{"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-research-item\/711217","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-research-item"}],"about":[{"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/types\/msr-research-item"}],"version-history":[{"count":2,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-research-item\/711217\/revisions"}],"predecessor-version":[{"id":1146274,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-research-item\/711217\/revisions\/1146274"}],"wp:attachment":[{"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/media?parent=711217"}],"wp:term":[{"taxonomy":"msr-research-highlight","embeddable":true,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-research-highlight?post=711217"},{"taxonomy":"msr-research-area","embeddable":true,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/research-area?post=711217"},{"taxonomy":"msr-publication-type","embeddable":true,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-publication-type?post=711217"},{"taxonomy":"msr-publisher","embeddable":true,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-publisher?post=711217"},{"taxonomy":"msr-focus-area","embeddable":true,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-focus-area?post=711217"},{"taxonomy":"msr-locale","embeddable":true,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-locale?post=711217"},{"taxonomy":"msr-post-option","embeddable":true,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-post-option?post=711217"},{"taxonomy":"msr-field-of-study","embeddable":true,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-field-of-study?post=711217"},{"taxonomy":"msr-conference","embeddable":true,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-conference?post=711217"},{"taxonomy":"msr-journal","embeddable":true,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-journal?post=711217"},{"taxonomy":"msr-impact-theme","embeddable":true,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-impact-theme?post=711217"},{"taxonomy":"msr-pillar","embeddable":true,"href":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/wp-json\/wp\/v2\/msr-pillar?post=711217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}