Trial reportJournal of the American Medical Directors Association2018
Educating Nursing Home Staff in Dementia Sensitive Communication: Impact on Antipsychotic Medication Use.
Trial report in Journal of the American Medical Directors Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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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.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Psychosocial interventions for reducing antipsychotic medication in care home residents.The Cochrane database of systematic reviews · 2023Pooled it
- Trial
- Implementing antipsychotic reduction in long-term care: interdisciplinary and lived-experience insights into system-level barriers and facilitators.The Gerontologist · 2026Article
- Barriers and facilitators to implementing strategies for reducing inappropriate antipsychotic use in long-term care: a scoping review.BMC geriatrics · 2026Article
- The two faces of elderspeak.NPJ dementia · 2026Review
- The Impact of Training in Multimodal Communication Skills on Psychotropic Medication Use in Dementia Care.Cureus · 2024Article
- Determining Evidence for Family Caregiver Communication: Associating Communication Behaviors With Breakdown and Repair.The Gerontologist · 2023Article
- Communication-related experiences of individuals in the early phase of semantic dementia and their families: an interview study.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2023Article
- Did the COVID-19 Pandemic Affect the Use of Antipsychotics Among Nursing Home Residents With ADRD?The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023Observational
- Elderspeak communication and pain severity as modifiable factors to rejection of care in hospital dementia care.Journal of the American Geriatrics Society · 2022Article
- Characteristics of elderspeak communication in hospital dementia care: Findings from The Nurse Talk observational study.International journal of nursing studies · 2022Observational
- Developing Behavioral Coding to Understand Family Communication Breakdown in Dementia Care.Western journal of nursing research · 2022Article
- Changing Talk Online: Protocol for a cluster pragmatic trial testing communication education to reduce behavioral and psychological symptoms of dementia in nursing home care.Contemporary clinical trials · 2021Article
- Understanding Elderspeak: An Evolutionary Concept Analysis.Innovation in aging · 2021Review
- Developing and validating an intervention-specific knowledge assessment for person-centered communication in nursing home continuing education.Gerontology & geriatrics educationArticle
- Developing education to confront challenges with dyadic communication while wearing facemasks in long-term care.Geriatric nursing (New York, N.Y.)Article
- Development of Professional Care Program for Nurses in Dementia Wards and Its Educational Effects.American journal of Alzheimer's disease and other dementiasArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectivesAn educational program to enhance communication in nursing home dementia care increased person-centered communication by staff and resulted in reduced resident behavioral symptoms measured as resistiveness to care. The purpose of this analysis was to evaluate effects on resident antipsychotic medication use in participating nursing homes. The National Partnership to Improve Dementia Care set a goal of reducing antipsychotic medications in nursing homes by 15% during the study period.
designA post hoc analysis of Nursing Home Compare data was used to evaluate change in antipsychotic medication rates in nursing homes receiving the communication education versus the corresponding statewide average change. SETTING AND
participantsEleven nursing homes participated in a cluster-randomized controlled trial from 2011 to 2013 in one Midwestern state. MEASURES: Antipsychotic medication rates were abstracted from Nursing Home Compare data sets. Antipsychotic medication rates were compared for each participating nursing home for the 2 quarters before and the 2 quarters after the communication intervention. To control for other factors supporting reduction in antipsychotic use, changes in the participating nursing homes were compared to the state average change for the corresponding quarters using a 1-sample t test.
resultsAntipsychotic medication use decreased on average by 4.88 percentage points (22.9%) in participating nursing homes compared to the state average decrease of 0.68 percentage points (2.7%) during the same period (P = .06).
conclusionsA clinically meaningful reduction in antipsychotic medication usage occurred in the nursing homes that received communication education. Measurable changes in communication and behavioral symptoms were reflected in reductions in antipsychotic medication usage. Improving staff communication has the potential to reduce inappropriate antipsychotic medication use in long-term care.
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