Impact of an interdisciplinary intervention for distress behaviors in dementia on psychotropic drug use in Veterans Health Administration Community Living Centers

被引：4

作者：

McConeghy, Kevin W. ^{[1
,2
]}

Curyto, Kim ^{[3
]}

Jedele, Jenefer ^{[4
]}

Intrator, Orna ^{[5
,6
,7
]}

Mohr, David C. ^{[8
,9
]}

Wiechers, Ilse R. ^{[10
,11
,12
]}

Karel, Michele J. ^{[10
]}

机构：

[1] Providence VA Med Ctr, Ctr Innovat Long Term Serv & Supports, Providence, RI 02908 USA

[2] Brown Univ, Sch Publ Hlth, Dept Hlth Serv Policy & Practice, Providence, RI 02912 USA

[3] Dept Vet Affairs, VA Western NY Healthcare Syst, Ctr Integrated Healthcare, Buffalo, NY USA

[4] Dept Vet Affairs, Serious Mental Illness Treatment Resource Evaluat, Off Mental Hlth & Suicide Prevent, Ann Arbor, MI USA

[5] US Dept Vet Affairs, Geriatr & Extended Care Data Anal Ctr, Off Geriatr & Extended Care, Washington, DC USA

[6] Canandaigua Vet Affairs Med Ctr, Canandaigua, NY USA

[7] Univ Rochester, Dept Publ Hlth Sci, Rochester, NY USA

[8] VA Boston Healthcare Syst, Ctr Healthcare Org & Implementat Res CHOIR, Boston, MA USA

[9] Boston Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA USA

[10] Dept Vet Affairs, Off Mental Hlth & Suicide Prevent, Lansing, MI USA

[11] Univ Calif San Francisco, Dept Psychiat & Behav Sci, San Francisco, CA 94143 USA

[12] Yale Univ, Sch Med, Dept Psychiat, New Haven, CT USA

来源：

GERIATRIC NURSING | 2021年 / 42卷 / 06期

关键词：

Dementia; Nursing home; Behavioral intervention; NURSING-HOME RESIDENTS; MINIMUM DATA SET; LONG-TERM-CARE; NEUROPSYCHIATRIC SYMPTOMS; OLDER-ADULTS; STAR-VA; IMPLEMENTATION; MANAGEMENT; GUIDELINE;

D O I：

10.1016/j.gerinurse.2021.10.009

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

STAR-VA is an interdisciplinary behavioral approach for managing distress behaviors in residents with dementia, implemented at Veterans Health Administration nursing homes. This study evaluated the impact of STAR-VA implementation on psychotropic drug use. The study design is a retrospective, quasi -experimental cohort analysis of residents enrolled as STAR-VA training cases compared with eligible residents at untrained sites to evaluate treatment effects on psychotropic medication use. We matched 229 STAR-VA cases with 1,163 comparisons. STAR-VA cases experienced an average reduction of 0.92 "as-needed" doses per month (95% confidence interval [CI]-1.82,-0.02) compared with controls. No significant effect on non STAR-VA cases in trained facilities was detected. STAR-VA programs are an important option for reducing potentially inappropriate psychotropic use. (c) 2021 Published by Elsevier Inc.

引用

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页码：1533 / 1540

页数：8

共 22 条

[21] If substance use disorder treatment more than offsets its costs, why don't more medical centers want to provide it? A budget impact analysis in the Veterans Health Administration
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[22] Impact of Antipsychotic Review and Nonpharmacological Intervention on Antipsychotic Use, Neuropsychiatric Symptoms, and Mortality in People With Dementia Living in Nursing Homes: A Factorial Cluster-Randomized Controlled Trial by the Well-Being and Health for People With Dementia (WHELD) Program
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