ArticleDrugs & aging2017
Prevalence of, and Resident and Facility Characteristics Associated With Antipsychotic Use in Assisted Living vs. Long-Term Care Facilities: A Cross-Sectional Analysis from Alberta, Canada.
Article in Drugs & aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Factors associated with the variation in drug prescription of antipsychotics in long-term care facilities: a systematic review.BMC geriatrics · 2025Pooled it
- Fragmented Care, Fragmented Safety: Care Coordination and Deprescribing Strategies to Reduce Polypharmacy-Related Harm in Assisted Living-A Public Health Perspective.Geriatrics (Basel, Switzerland) · 2026Review
- Gender Matters, Age Counts: Patterns of Antipsychotic Prescribing in Canadian Long-Term Care Homes.Healthcare management forum · 2026Article
- Variation in Psychotropic and Non-Psychotropic Prescribing in Nursing Homes: A Multi-Level EMR-Based Retrospective Cohort Study.Journal of the American Geriatrics Society · 2026Article
- Associations between specialized dementia care, COVID-19 and central nervous system medication use in assisted living: a population-based repeated cross-sectional study.BMC geriatrics · 2024Article
- The (un)caring experienced by racialized and/or ethnoculturally diverse residents in supportive living: a qualitative study.BMC geriatrics · 2024Article
- New Antipsychotic Prescribing Continued into Skilled Nursing Facilities Following a Heart Failure Hospitalization: a Retrospective Cohort Study.Journal of general internal medicine · 2022Article
- Enhanced Short-Term Memory Function in Older Adults with Dementia Following Music-Feedback Physical Training: A Pilot Study.Brain sciences · 2022Article
- As-Needed Prescribing and Administration of Psychotropic Medications in Assisted Living: A 7-State Study.Journal of the American Medical Directors Association · 2022Article
- Resident loneliness, social isolation and unplanned emergency department visits from supportive living facilities: a population-based study in Alberta, Canada.BMC geriatrics · 2022Article
- Co-Locating Older Retirement Home Residents: Uncovering an Under-Researched Population via Postal Code.Healthcare policy = Politiques de sante · 2020Article
- Reducing Psychotropic Drug Use in Nursing Homes in Belgium: An Implementation Study for the Roll-Out of a Practice Improvement Initiative.Drugs & aging · 2019Article
- Falls Prevention Process in Assisted Living Communities.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2019Article
- Prevalence and persistent use of psychotropic drugs in older adults receiving domiciliary care at baseline.BMC geriatrics · 2019Article
- Reducing Off-Label Antipsychotic Use in Older Adults: Time to Look Beyond the Doors of Nursing Homes.Journal of the American Geriatrics Society · 2018Article
- Computerized Cognitive Training to Improve Mood in Senior Living Settings: Design of a Randomized Controlled Trial.Open access journal of clinical trials · 2018Article
- Use of Antipsychotic Drugs by Elderly Primary Care Patients and the Effects of Medication Reviews: A Cross-Sectional Study in Sweden.Drugs - real world outcomes · 2017Article
- Nursing Home Characteristics Associated with Antipsychotic Prescribing After Implementation of the National Antipsychotic Reduction Initiative (ARI).Clinical gerontologistArticle
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPotentially inappropriate antipsychotic use in long-term care (LTC) facilities has been the focus of significant policy and clinical attention over the past 20 years. However, most initiatives aimed at reducing the use of these medications have overlooked assisted living (AL) settings.
objectiveWe sought to compare the prevalence of antipsychotic use (including potentially inappropriate use) among older AL and LTC residents and to explore the resident and facility-level factors associated with use in these two populations.
methodsWe performed cross-sectional analyses of 1089 residents (mean age 85 years; 77% female) from 59 AL facilities and 1000 residents (mean age 85 years; 66% female) from 54 LTC facilities, in Alberta, Canada. Research nurses completed comprehensive resident assessments at baseline (2006-2007). Facility-level factors were assessed using standardized administrator interviews. Generalized linear models were used to estimate odds ratios for associations, accounting for clustering by facility.
resultsOver a quarter of residents in AL (26.4%) and LTC (31.8%) were using antipsychotics (p = 0.006). Prevalence of potentially inappropriate use was similar in AL and LTC (23.4 vs. 26.8%, p = 0.09). However, among users, the proportion of antipsychotic use deemed potentially inappropriate was significantly higher in AL than LTC (AL: 231/287 = 80.5%; LTC: 224/318 = 70.4%; p = 0.004). In both settings, comparable findings regarding associations between resident characteristics (including dementia, psychiatric disorders, frailty, behavioral symptoms, and antidepressant use) and antipsychotic use were observed. Few facility characteristics were associated with overall antipsychotic use, but having a pharmacist on staff (AL), or an affiliated physician (LTC) was associated with a lower likelihood of potentially inappropriate antipsychotic use.
conclusionOur findings illustrate the importance of including AL settings in clinical and policy initiatives aimed at reducing inappropriate antipsychotic use among older vulnerable residents.
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