A reliable and valid index was developed to measure appropriate psychotropic drug use in dementia

Spek, Klaas van der; Gerritsen, Debby L.; Smalbrugge, Martin; Nelissen-Vrancken, Marjorie; Wetzels, Roland B; Smeets, Claudia H. W.; Zuidema, Sytse U.; Koopmans, Raymond T.C.M.

doi:10.1016/j.jclinepi.2015.03.012

Cited by 17 publications

(31 citation statements)

References 36 publications

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“…This care program consisted of five steps, which were consecutive and formed a cycle, except for the evaluation of appropriateness of psychotropic drug prescription. This separate step was a tool for the evaluation of appropriateness of psychotropic drug prescription by the elderly care physician (32,33). The tool was performed for all residents (with or without NPS) in the first two months after the SCU was enrolled in the intervention condition.…”

Section: Interventionmentioning

confidence: 99%

Effects of a Multidisciplinary Intervention on the Presence of Neuropsychiatric Symptoms and Psychotropic Drug Use in Nursing Home Residents WithYoung-Onset Dementia: Behavior and Evolution of Young-Onset Dementia Part 2 (BEYOND-II) Study

Appelhof

Bakker

Vugt

et al. 2019

The American Journal of Geriatric Psychiatry

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Section: Interventionmentioning

confidence: 99%

Effects of a Multidisciplinary Intervention on the Presence of Neuropsychiatric Symptoms and Psychotropic Drug Use in Nursing Home Residents WithYoung-Onset Dementia: Behavior and Evolution of Young-Onset Dementia Part 2 (BEYOND-II) Study

Appelhof

Bakker

Vugt

et al. 2019

The American Journal of Geriatric Psychiatry

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“…4,5 Psychotropic medications are predominantly used in the management of BPSDs. 6,7 However, evidence demonstrates modest benefits of psychotropic medication for management of PWDs and a range of adverse outcomes. [8][9][10] With safety and efficacy issues surrounding the use of medications for the management of dementia symptoms, non-pharmacologic interventions are promoted in dementia care.…”

Section: Rationalementioning

confidence: 99%

Impact of individualised music listening intervention on persons with dementia: A systematic review of randomised controlled trials

et al. 2019

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Objective To summarise the evidence regarding the impact of individualised music listening on persons with dementia. Methods Six electronic databases (CINAHL, Medline, ProQuest, PsycINFO, Music Periodicals and Cochrane) were searched up to July 2018 for randomised controlled trials (RCTs) evaluating the efficacy of individualised music listening compared to other music and non–music‐based interventions. Results Four studies were included. Results showed evidence of a positive impact of individualised music listening on behavioural and psychological symptoms of dementia (BPSDs) including agitation, anxiety and depression and physiological outcomes. Evidence for other outcomes such as cognitive function and quality of life was limited. Conclusions The limited evidence suggests individualised music listening has comparable efficacy to more resource‐intensive interventions. However, there was a small number of RCTs and some outcomes were evaluated by a single study. This limits the conclusions drawn, warranting more RCTs evaluating other outcomes beyond the BPSDs.

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“…The APID index sum score showed to be reliable and is valid for measuring appropriateness of PD prescriptions for NPS in dementia in nursing homes. Using the APID, we also found that the appropriateness of PD prescriptions and the frequency of PD use are unassociated, and thus independent concepts (van der Spek et al, 2016).…”

Section: Introductionmentioning

confidence: 95%

“…Recently, we developed the Appropriate Psychotropic drug use In Dementia (APID) index, which was derived from the MAI and was validated on a sample of (Dutch) nursing home patients with dementia (van der Spek et al, 2015). The APID index measures the appropriateness of PD prescriptions for NPS in patients with dementia with a sum score that encompasses seven different domains of appropriateness: indication, evaluation, dosage, drug-drug interactions, drugdisease interactions, duplications, and therapy duration.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with appropriate psychotropic drug prescription in nursing home patients with severe dementia

Spek

Koopmans

Smalbrugge³

et al. 2017

Int. Psychogeriatr.

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The association of more pronounced NPS with more appropriate PD prescriptions implies that physicians should pay more attention to the appropriateness of PD prescriptions when NPS are less manifest. Non-patient-related factors are also associated with the appropriateness of PD prescriptions. However, especially considering that some of these findings are counter-intuitive, more research on the topic is recommended.

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A reliable and valid index was developed to measure appropriate psychotropic drug use in dementia

Cited by 17 publications

References 36 publications

Effects of a Multidisciplinary Intervention on the Presence of Neuropsychiatric Symptoms and Psychotropic Drug Use in Nursing Home Residents WithYoung-Onset Dementia: Behavior and Evolution of Young-Onset Dementia Part 2 (BEYOND-II) Study

Effects of a Multidisciplinary Intervention on the Presence of Neuropsychiatric Symptoms and Psychotropic Drug Use in Nursing Home Residents WithYoung-Onset Dementia: Behavior and Evolution of Young-Onset Dementia Part 2 (BEYOND-II) Study

Impact of individualised music listening intervention on persons with dementia: A systematic review of randomised controlled trials

Factors associated with appropriate psychotropic drug prescription in nursing home patients with severe dementia

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