Dissemination of Evidence-based Atypical Antipsychotic Information to Nursing Homes
Authors
Lemay, Celeste A.Tjia, Jennifer
Mazor, Kathleen M.
Field, Terry S.
Kanaan, Abir O.
Donovan, Jennifer L.
Gurwitz, Jerry H.
Document Type
Poster AbstractPublication Date
2013-05-08Keywords
GeriatricsHealth Services Administration
Pharmacy and Pharmaceutical Sciences
Psychiatry and Psychology
Translational Medical Research
Metadata
Show full item recordAbstract
Background: Accumulating evidence demonstrates minimal benefit and increased risk of off-label use of atypical antipsychotic medications for dementia-related behaviors. Optimal strategy for disseminating evidence-based guides to nursing home (NH) stakeholders is unclear. Our objective is to describe the impact of differing dissemination efforts in Connecticut NHs. Methods: Forty-three Connecticut NHs were randomized to one of 3 arms receiving incrementally intensive dissemination strategies of the Agency for Healthcare Research and Quality Comparative Effectiveness Review Summary Guide on the off-label use of atypical antipsychotic drugs, which was included in a toolkit informed by a needs assessment of NHs. All NHs received the paper-based toolkit and notifications regarding the online toolkit. Additionally, Arm 2 received individualized quarterly audit and feedback reports with atypical antipsychotic prescribing rates; Arm 3 received in-person educational visits and audit and feedback reports. Toolkit reach was assessed using interviews with NH leadership and staff. Online toolkit use was assessed using Google analytics. Results: Eighty leaders and 222 direct care staff were interviewed. Leadership and direct care staff in Arm 3 NHs were more likely to be familiar with the toolkit that those in Arm 1 (p=0.008) and Arm 2 (p Conclusions: Intensive dissemination, using multi-pronged approach including academic detailing and direct care staff trainings, appeared to be associated with higher familiarity with paper-based toolkit, but not Internet-based use of the toolkit in the NH setting.DOI
10.13028/t4v3-6b60Permanent Link to this Item
http://hdl.handle.net/20.500.14038/27815Rights
Copyright the Author(s)Distribution License
http://creativecommons.org/licenses/by-nc-sa/3.0/ae974a485f413a2113503eed53cd6c53
10.13028/t4v3-6b60