scholarly journals Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness: A Randomized Controlled Trial in Primary Care

2017 ◽  
Vol 15 (3) ◽  
pp. 209-216 ◽  
Author(s):  
Adam W. A. Geraghty ◽  
Rosie Essery ◽  
Sarah Kirby ◽  
Beth Stuart ◽  
David Turner ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Vestibular Rehabilitation ◽  
Randomized Controlled ◽  
Chronic Dizziness

scholarly journals Team approach to polypharmacy evaluation and reduction: study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Dee Mangin ◽  
Larkin Lamarche ◽  
Gina Agarwal ◽  
Hoan Linh Banh ◽  
Naomi Dore Brown ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Randomized Controlled Trial ◽  
Clinical Pathway ◽  
Controlled Trial ◽  
Primary Objective ◽  
Control Group ◽  
Team Approach ◽  
Potentially Inappropriate Medications ◽  
Randomized Controlled

Abstract Background Polypharmacy in older adults can be associated with negative outcomes including falls, impaired cognition, reduced quality of life, and general and functional decline. It is not clear to what extent these are reversible if the number of medications is reduced. Primary care does not have a systematic approach for reducing inappropriate polypharmacy, and there are few, if any, approaches that account for the patient’s priorities and preferences. The primary objective of this study is to test the effect of TAPER (Team Approach to Polypharmacy Evaluation and Reduction), a structured operationalized clinical pathway focused on reducing inappropriate polypharmacy. TAPER integrates evidence tools for identifying potentially inappropriate medications, tapering, and monitoring guidance and explicit elicitation of patient priorities and preferences. We aim to determine the effect of TAPER on the number of medications (primary outcome) and health-related outcomes associated with polypharmacy in older adults. Methods We designed a multi-center randomized controlled trial, with the lead implementation site in Hamilton, Ontario. Older adults aged 70 years or older who are on five or more medications will be eligible to participate. A total of 360 participants will be recruited. Participants will be assigned to either the control or intervention arm. The intervention involves a comprehensive multidisciplinary medication review by pharmacists and physicians in partnership with patients. This review will be focused on reducing medication burden, with the assumption that this will reduce the risks and harms of polypharmacy. The control group is a wait list, and control patients will be given appointments for the TAPER intervention at a date after the final outcome assessment. All patients will be followed up and outcomes measured in both groups at baseline and 6 months. Discussion Our trial is unique in its design in that it aims to introduce an operationalized structured clinical pathway aimed to reduce polypharmacy in a primary care setting while at the same time recording patient’s goals and priorities for treatment. Trial registration Clinical Trials.gov NCT02942927. First registered on October 24, 2016.

Should Care Managers for Older Adults Be Located in Primary Care? A Randomized Controlled Trial

2012 ◽  
Vol 60 (1) ◽  
pp. 86-92 ◽  
Author(s):  
Matthew Parsons ◽  
Hugh Senior ◽  
Ngaire Kerse ◽  
Mei-hua Chen ◽  
Stephen Jacobs ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Care Managers

scholarly journals Primary care-based intervention to reduce at-risk drinking in older adults: a randomized controlled trial

Addiction ◽  
2010 ◽  
Vol 106 (1) ◽  
pp. 111-120 ◽  
Author(s):  
Alison A. Moore ◽  
Fred C. Blow ◽  
Marc Hoffing ◽  
Sandra Welgreen ◽  
James W. Davis ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
At Risk ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Randomized Controlled

Effects of a simple home-based exercise program on fall prevention in older adults: A 12-month primary care setting, randomized controlled trial

2017 ◽  
Vol 17 (11) ◽  
pp. 2157-2163 ◽  
Author(s):  
Chitima Boongird ◽  
Prasit Keesukphan ◽  
Soontraporn Phiphadthakusolkul ◽  
Sasivimol Rattanasiri ◽  
Ammarin Thakkinstian
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Randomized Controlled Trial ◽  
Fall Prevention ◽  
Care Setting ◽  
Primary Care Setting ◽  
Controlled Trial ◽  
Exercise Program ◽  
Randomized Controlled ◽  
Home Based
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