Evidence map›Paper›PMID 36277309›Full record

ArticleExploratory research in clinical and social pharmacy2022

Rationalising Antipsychotic Prescribing in Dementia (RAPID) complex intervention: A mixed-methods feasibility intervention study.

Kieran A Walsh, Stephen Byrne, Alex O'Riordan, Jenny McSharry, John Browne, Kate Irving, Eimir Hurley, Suzanne Timmons

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Exploratory research in clinical and social pharmacy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% of its field
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 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
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

8 authors at 4 institutions in 1 country.

Kieran A WalshCentre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork, Ireland.
Stephen ByrnePharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cork, Ireland.
Alex O'RiordanPharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cork, Ireland.
Jenny McSharryHealth Behaviour Change Research Group, School of Psychology, National University of Ireland, Galway, Ireland.
John BrowneSchool of Public Health, University College Cork, Cork, Ireland.
Kate IrvingSchool of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland.
Eimir HurleyCentre for Health Policy and Management, Trinity College Dublin, Dublin, Ireland.
Suzanne TimmonsCentre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork, Ireland.
University College Cork · IEDublin City University · IEOllscoil na Gaillimhe – University of Galway · IETrinity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To help address the issue of inappropriate antipsychotic prescribing to nursing home residents with dementia, the 'Rationalising Antipsychotic Prescribing in Dementia' (RAPID) complex intervention was developed, comprising staff education and training, academic detailing and a novel resident assessment tool. Objectives: The primary objective was to assess the feasibility and acceptability of the RAPID complex intervention in a nursing home setting. The secondary objective was to describe associated trends in psychotropic prescribing, falls, and behavioural symptoms. Methods: A mixed-methods feasibility intervention study in one large nursing home in Ireland was undertaken between 07/2017 and 01/2018. Focus groups and semi-structured interviews were conducted with nursing home staff and GPs at the end of the 3-month follow up period to assess participants' experience of the intervention. Quantitative measurements included pre- and post-course evaluation and psychotropic prescribing rates. Results: Sixteen nursing home staff members attended the two education and training days (21% attendance rate), and four GPs participated in the academic detailing sessions (100% attendance rate). Participants of the focus groups and interviews ( Conclusion: The RAPID complex intervention was broadly feasible to conduct and may be acceptable to stakeholders. However, before it can be evaluated in larger scale studies, certain protocol modifications and further exploratory work are required to improve implementation.

Indexed as

ABC, Antecedent-Behaviour-ConsequenceAntipsychoticsBCW, behaviour change wheelBPSD, behavioural and psychological symptoms of dementiaCNM, clinical nurse managerCOS, core outcome setCPZ, chlorpromazineDementiaFeasibility studyGP, general practitionerGRAMMS, Good Reporting of A Mixed-Methods StudyHCA, healthcare assistantInappropriate prescribingLong term care facilityMRC, Medical Research CouncilNIHR, National Institute for Health ResearchNPI-NH, neuropsychiatric inventory - nursing home versionNursing homeOD, occupational disruptivenessPINCH-ME, Pain, Infection, Nutrition, Constipation, Hydration, Medication and EnvironmentPRN, pro re nataQUM-D, quality use of medicines in dementiaRAPID, Rationalising Antipsychotic Prescribing in DementiaWHO-ATC, World Health Organization Anatomical Therapeutic Chemical

Identifiers

PMID36277309
PMCPMC9579044
OpenAlexW4304091798

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.