Journal article
Educating Nursing Home Staff in Dementia Sensitive Communication: Impact on Antipsychotic Medication Use
Journal of the American Medical Directors Association, Vol.19(12), pp.1129-1132
12/01/2018
DOI: 10.1016/j.jamda.2018.09.030
PMCID: PMC6261475
PMID: 30471803
Abstract
Objectives: An educational program to enhance communication in nursing home dementia care increased person-centered communication by staff and resulted in reduced resident behavioral symptoms measured as resistiveness to care. The purpose of this analysis was to evaluate effects on resident antipsychotic medication use in participating nursing homes. The National Partnership to Improve Dementia Care set a goal of reducing antipsychotic medications in nursing homes by 15% during the study period.
Design: A post hoc analysis of Nursing Home Compare data was used to evaluate change in antipsychotic medication rates in nursing homes receiving the communication education versus the corresponding statewide average change.
Setting and Participants: Eleven nursing homes participated in a cluster-randomized controlled trial from 2011 to 2013 in one Midwestern state.
Measures: Antipsychotic medication rates were abstracted from Nursing Home Compare data sets. Antipsychotic medication rates were compared for each participating nursing home for the 2 quarters before and the 2 quarters after the communication intervention. To control for other factors supporting reduction in antipsychotic use, changes in the participating nursing homes were compared to the state average change for the corresponding quarters using a 1-sample t test.
Results: Antipsychotic medication use decreased on average by 4.88 percentage points (22.9%) in participating nursing homes compared to the state average decrease of 0.68 percentage points (2.7%) during the same period (P=.06).
Conclusions: A clinically meaningful reduction in antipsychotic medication usage occurred in the nursing homes that received communication education. Measurable changes in communication and behavioral symptoms were reflected in reductions in antipsychotic medication usage. Improving staff communication has the potential to reduce inappropriate antipsychotic medication use in long-term care. (C) 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
Details
- Title: Subtitle
- Educating Nursing Home Staff in Dementia Sensitive Communication: Impact on Antipsychotic Medication Use
- Creators
- Clarissa Shaw - University of IowaKristine N. Williams - University of KansasYelena Perkhounkova - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of the American Medical Directors Association, Vol.19(12), pp.1129-1132
- Publisher
- Elsevier
- DOI
- 10.1016/j.jamda.2018.09.030
- PMID
- 30471803
- PMCID
- PMC6261475
- ISSN
- 1525-8610
- eISSN
- 1538-9375
- Number of pages
- 4
- Grant note
- R01NR011455-01A1 / National Institute of Nursing Research of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR) R01NR011455 / NATIONAL INSTITUTE OF NURSING RESEARCH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR)
- Language
- English
- Date published
- 12/01/2018
- Academic Unit
- Nursing
- Record Identifier
- 9984370641702771
Metrics
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