Evidence map›Paper›PMID 42031000›Full record

Trial reportScandinavian journal of primary health care2026

Brief intervention for inappropriate z-hypnotics use in older adults: a before and after intervention study in primary care.

Tahreem Ghazal Siddiqui, Tone Helene Breines Simonsen, Maria Lie Selle, Christofer Lundqvist

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scandinavian journal of primary health care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06032715 (Brief Intervention for Reducing Prolonged Use of Sleep Medication Among Elderly), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT06032715 narecruitingnot on this map

Brief Intervention for Reducing Prolonged Use of Sleep Medication Among Elderly

TypeinterventionalSponsorUniversity Hospital, AkershusRan2023 to 2025Enrolled120ConditionsHarmful Use of HypnoticArmsBI (Brief Intervention)
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Tahreem Ghazal SiddiquiHealth Services Research Unit (HØKH), Akershus University Hospital, Lørenskog, Norway.ORCID 0000-0002-8404-0610
Tone Helene Breines SimonsenHealth Services Research Unit (HØKH), Akershus University Hospital, Lørenskog, Norway.
Maria Lie SelleHealth Services Research Unit (HØKH), Akershus University Hospital, Lørenskog, Norway.
Christofer LundqvistHealth Services Research Unit (HØKH), Akershus University Hospital, Lørenskog, Norway.ORCID 0000-0002-2596-9876

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundZ-hypnotics are commonly prescribed for insomnia, but their use in older adults is associated with an increased risk of adverse events.

aimWe examined the long-term effect of brief intervention (BI) for inappropriate z-hypnotic use, where the control group crossed over to receive the BI 6 months after baseline. DESIGN AND

settingA before-and-after intervention study was conducted in general practice. Older patients received the BI from trained general practitioners.

methodThe BI group and the business-as-usual (BAU) group received the intervention with a six-month delay. The primary outcome: proportion of participants without inappropriate z-hypnotic use (≥4 weeks of use, ≥3 times per week). Secondary outcomes: the Global Sleep Assessment Questionnaire (GSAQ), pain visual analogue scale (VAS), Montreal Cognitive Assessment (MOCA), and Hospital Anxiety and Depression Scale (HADS). Patients were assessed at baseline, 6 weeks, 6 months, and 12 months.

resultsWe included 45 patients (31 female, mean age 69.4 years) and 21 GPs in the study. We found a significant reduction in inappropriate z-hypnotic use from baseline (68.9%) to post-treatment (27.78%), OR = 0.16, 95% CI: 0.04, 0.65,

conclusionThe proportion of patients with inappropriate z-hypnotic use decreased after BI without negatively affecting sleep, mood, pain, or cognitive function..

trial registrationclinicaltrials.gov (NCT06032715).

Indexed as

Hypnotics and SedativesSleep Initiation and Maintenance DisordersAdherence InterventionsAgedAged, 80 and overAnxietyCross-Over StudiesDepressionFemaleHumansMaleMiddle AgedPrimary Health CareSurveys and QuestionnairesHypnotics and Sedativesbrief interventioncognitionHypnoticsolder adultspainrandomised controlled trialsleep

Identifiers

PMID42031000
PMCPMC13112860

What OpenQuestion holds

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Registered trials

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.