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Developing a complex intervention targeting antipsychotic prescribing to nursing home residents with dementia.
Byrne, Stephen McSharry, Jenny Browne, John Irving, Kate Hurley, Eimir Rochford-Brennan, Helen Geoghegan, Carmel Presseau, Justin Timmons, Suzanne
Byrne, Stephen
McSharry, Jenny
Browne, John
Irving, Kate
Hurley, Eimir
Rochford-Brennan, Helen
Geoghegan, Carmel
Presseau, Justin
Timmons, Suzanne
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Other Contributors
Date
19/02/2021
Date Submitted
Keywords
GUIDED
Intervention development
MRC framework
ANTIPSYCHOTICS
Behaviour change
complex interventions
dementia
Nursing homes
Patient and public involvement
Intervention development
MRC framework
ANTIPSYCHOTICS
Behaviour change
complex interventions
dementia
Nursing homes
Patient and public involvement
Other Subjects
Access Awards 2021 Submission
Community and Social Care
Community and Social Care
Subject Mesh
Planned Date
Start Date
Collaborators
Principal Investigators
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hrbopenres-4-14386.pdf
Adobe PDF, 1003.91 KB
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Abstract
Background: Antipsychotics are commonly prescribed to people living with dementia in nursing home settings, despite strong guideline recommendations against their use except in limited circumstances. We aimed to transparently describe the development process for a complex intervention targeting appropriate requesting and prescribing of antipsychotics to nursing home residents with dementia in Ireland, by nurses and general practitioners (GPs) respectively. Methods: We report the development process for the 'Rationalising Antipsychotic Prescribing in Dementia' (RAPID) complex intervention, in accordance with the 'Guidance for reporting intervention development studies in health research' (GUIDED) checklist. The UK Medical Research Council framework for developing and evaluating complex interventions guided our overall approach, incorporating evidence and theory into the intervention development process. To unpack the intervention development process in greater detail, we followed the Behaviour Change Wheel approach. Guided by our stakeholders, we conducted three sequential studies (systematic review and qualitative evidence synthesis, primary qualitative study and expert consensus study), to inform the intervention development. Results: The RAPID complex intervention was developed in collaboration with a broad range of stakeholders, including people living with dementia and family carers, between 2015 and 2017. The finalised RAPID complex intervention was comprised of the following three components; 1) Education and training sessions with nursing home staff; 2) Academic detailing with GPs; 3) Introduction of an assessment tool to the nursing home. Conclusions: This paper describes the steps used by the researchers to develop a complex intervention targeting antipsychotic prescribing to nursing home residents with dementia in Ireland, according to the GUIDED checklist. We found that the GUIDED checklist provided a useful way of reporting all elements in a cohesive manner and complemented the other tools and frameworks used. Transparency in the intervention development processes can help in the translation of evidence into practice.
Language
en
Citation
ISSN
eISSN
2515-4826
ISBN
DOI
10.12688/hrbopenres.13228.1
PMID
34136749