title: Effect of an interdisciplinary educational program on antipsychotic prescribing among residents with dementia in two long-term care centers.
abstract: The effect of an educational program on antipsychotic prescribing was assessed in two Canadian long-term care centers (LTCC). In each center (Center A residents, n = 258 and Center B residents, n = 191, with dementia at program inception), the rate of change in the odds of using antipsychotics in residents was estimated using mixed-effects logistic regression during a 6-month program period and a 4-month postprogram period, with baseline proportions of use estimated during the 6 months prior to the program. Preprogram proportions of antipsychotic use were 41.6% and 46.2%, respectively. Antipsychotic use decreased during the program in both centers: (odds ratio with 95% CI: 0.943 per week [0.921, 0.965] and 0.969 per week [0.944, 0.994], respectively). During the postprogram period, antipsychotic use increased in Center A (1.039 per week [1.007, 1.072]) but decreased progressively in Center B. The study results suggest the need to implement an ongoing educational program in LTCC.
authors.affiliation: Jewish General Hospital, Montreal, Canada.
authors.forename: Johanne
authors.initials: J
authors.lastname: Monette
authors.forename: Michele
authors.initials: M
authors.lastname: Monette
authors.forename: Nadia
authors.initials: N
authors.lastname: Sourial
authors.forename: Alain C
authors.initials: AC
authors.lastname: Vandal
authors.forename: Christina
authors.initials: C
authors.lastname: Wolfson
authors.forename: Nathalie
authors.initials: N
authors.lastname: Champoux
authors.forename: John
authors.initials: J
authors.lastname: Fletcher
authors.forename: Maryse L
authors.initials: ML
authors.lastname: Savoie
mesh_terms: D000369:Aged, 80 and over; D014150:Antipsychotic Agents / Q000008:administration & dosage*; D003704:Dementia / Q000188:drug therapy* / Q000523:psychology; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D004496:Education, Continuing; D005260:Female; D006801:Humans; D057970:Inappropriate Prescribing / Q000517:prevention & control*; D008134:Long-Term Care; D008137:Longitudinal Studies; D008297:Male; D010348:Patient Care Team; D015397:Program Evaluation; D011792:Quebec; D012149:Restraint, Physical / Q000706:statistics & numerical data
chemical_list: D014150:Antipsychotic Agents
keywords: antipsychotic use; behavioral disturbance; dementia; education; nursing home; training