Patient-centred Deprescribing of Psychotropic, Sedative and Anticholinergic Medication in Elderly Patients With Polypharmacy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorLudwig-Maximilians - University of Munich

About this trial

The PARTNER study is a multicentre, two-arm, pragmatic cluster-randomised trial evaluating the impact of a focused and patient-centred cooperation between general practitioners (GPs) and community pharmacists (PARTNER intervention) on reductions in the use of psychotropic, sedative and anticholinergic potentially inappropriate medication (PSA-PIM) compared to a control intervention. The PARTNER intervention comprises (1) education for health care professionals, (2) an interprofessional workshop and case conference, (3) a pharmacy visit with brown bag/medication review and patient empowerment, (4) GP practice visit with shared decision making. The control intervention only comprises a pharmacy visit with brown bag review.

Eligibility criteria

Qualifiers

Aged 65 years or older

Patient is capable of giving consent

GP contact in the quarter prior to inclusion

Current use of ≥ 5 drugs, including ≥ 1 PSA-PIM (hypnotics, opioids, gabapentinoids, antipsychotics, antidepressants, anticholinergic urospasmolytics) with a treatment duration of ≥ 6 months

Disqualifiers

Terminal illness (life expectancy < 6 months)

Current treatment of pain associated with cancer

Other serious physical illness or mental distress (e.g. bereavement) that makes participation in the study impossible (according to the GP's assessment)

Psychiatric illness or addiction that makes participation in the study impossible (according to the GP's assessment)

Trial design

Treatments tested in this trial

  • PARTNER intervention
  • Control intervention

Treatment groups

352 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Ludwig-Maximilians - University of Munich

Lead sponsor

Bielefeld University

Collaborator

University of Witten/Herdecke

Collaborator

University Hospital Heidelberg

Collaborator

University Hospital Regensburg

Collaborator

Institute for Applied Quality Improvement and Research in Health Care

Collaborator

Techniker Krankenkasse

Collaborator

Federal Joint Committee

Collaborator