Evidence map›Paper›PMID 35546060›Full record

Trial reportScandinavian journal of primary health care2022

The effect of educational intervention on use of psychotropics in defined daily doses and related costs - a randomized controlled trial.

Aalto Ulla L, Rantsi Mervi, Juola Anna-Liisa, Kautiainen Hannu, Pitkälä Kaisu H

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scandinavian journal of primary health care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Aalto Ulla LDepartment of Social Services and Health Care, City of Helsinki, Helsinki, Finland.
Rantsi MerviDepartment of Health and Social Management, University of Eastern Finland, Kuopio, Finland.
Juola Anna-LiisaDepartment of General Practice, University of Helsinki, Helsinki, Finland.
Kautiainen HannuDepartment of General Practice, University of Helsinki, Helsinki, Finland.
Pitkälä Kaisu HDepartment of General Practice, University of Helsinki, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the effect of an educational intervention of nursing staff on change in psychotropic use and related costs among older long-term care residents.

designA secondary analysis of a randomized controlled intervention study with 12 months of follow-up.

settingAssisted living facilities in Helsinki, Finland. SUBJECTS: Older (≥65 years) residents (

interventionThe wards were randomized into two groups. In one group, the nursing staff received training on appropriate medication therapy and guidance to recognize potentially harmful medications and adverse effects (intervention group); in the other group, the nursing staff did not receive any additional training (control group).

main outcome measuresChange of psychotropic use counted as relative proportions of WHO ATC-defined daily doses (rDDDs) among older long-term care residents. In addition, the change in drug costs was considered. Comparable assessments were performed at 0, 6, and 12 months.

resultsA significant decrease in both rDDDs and the cost of psychotropics was observed in the intervention group at 6 months follow-up. However, at 12 months, the difference between the intervention and control group had diminished.

conclusionsEducational training can be effective in reducing the doses and costs of psychotropics. Further studies are warranted to investigate whether long-term effects can also be achieved by various educational interventions. REGISTRATION NUMBER: ACTRN 12611001078943 KEY POINTSWe explored the effect of staff training on psychotropic use and associated costs among older long-term care residents.Educational training of nursing staff was beneficial as regards the actual drug doses of psychotropics, and cost savings in psychotropic medication were achieved.Educational training was efficient in the short-term, but further research is warranted to achieve long-term effects.

Indexed as

Assisted Living FacilitiesFinlandHumansPsychotropic DrugsPsychotropic Drugsdefined daily dosedrug costlong-term careolder adultsPsychotropicsstaff training

Identifiers

PMID35546060
PMCPMC9397433

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.