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RecruitingNCT05929443END-IT NHUpdated Jul 3, 2023

Benzodiazepines Deprescribing in Nursing Homes: Intervention Feasibility

An interventional study of END-IT intervention for nursing homes in Benzodiazepines Deprescribing, sponsored by Université Catholique de Louvain. Recruiting at 1 site in Belgium. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2023-07-03.

Sponsored by Université Catholique de Louvain · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was expected by Jan 2024, 2 years 9 months ago, but the record still lists the study as recruiting.
  • Started Jun 2023; still recruiting 3 years 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Study summary

The goal of this feasibility study is to evaluate the feasibility of a complex intervention towards benzodiazepines and Z-drugs deprescribing in older adults living in the Belgian nursing home setting.

The main questions it aims to answer are:

  • Is the intervention we developped feasible
  • To what extent will the intervention be implemented in nursing homes
  • To what extent is the design of the recruitment and data collection process feasible and acceptable for all participants

Participants will benefit from a complex intervention implemented at the level of the nursing home, encompassing process and goals setting, healthcare providers education, environmental adaptations, audit and feedback on benzodiazepines use, use of educational leaflet with residents and relatives, and multidisciplinary work.

Researchers will compare this intervention to usual care, to see if the intervention is feasible, and to gather first data on intervention effectiveness in benzodiazepines deprescriping.

02

Conditions studied

  • Benzodiazepines Deprescribing

Keywords

  • Benzodiazepines
  • Deprescribing
  • Long-term care
  • Older adults
03

In context

Lead sponsor

Université Catholique de Louvain is the lead sponsor of 144 studies on the registry; 57 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 65 years old and older
  • Taking at least one benzodiazepine or Z-drug for 4 weeks or more

Exclusion criteria

Exclusion Criteria:

  • Unability to communicate in French
  • Palliative care
  • Ongoing benzodiazepine withdrawal
  • Ongoing alcohol withdrawal
  • Severe anxiety
  • Severe depression
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    END-IT intervention for nursing homes

    This complex intervention, implemented at the level of the nursing home, encompasses process and goals setting, education for healthcare providers, environmental adaptations, audit and feedback on benzodiazepine use, use of an educational leaflet for residents and relatives, and multidisciplinary work.

    Other: END-IT intervention for nursing homes

  • No intervention
    Control

    Usual care. Nursing homes allocated to this study arm will access intervention material at the end of the study.

Interventions

  • OtherEND-IT intervention for nursing homes

    Complex intervention, as described in the arm/group descriptions

06

What researchers measure

Primary outcomes

  1. Nursing homes' adherence to the intervention

    has the intervention been implemented as intended, e.g. global number of implemented intervention components

    Time frame: Assessed at 6 months

  2. Healthcare providers responsiveness to the intervention

    has far did they respond to the intervention, and how far have them been engaged by the intervention, e.g level of attendance to education session for healthcare providers

    Time frame: Assessed at 6 months

  3. nursing home residents' responsiveness to the intervention

    has far did they respond to the intervention, and how far have them been engaged by the intervention

    Time frame: Assessed at 6 months

  4. Feasibility of the recruitment process

    The feasibility of the recruitment will be assessed through the ratio between included residents and residents contacted for participation.

    Time frame: At 6 months

  5. Feasibility of the data collection process

    Data collection process will be assessed through the quality of collected data (rate of missing data)

    Time frame: At 6 months

Secondary outcomes

  1. Contextual factors at the level of of the nursing home

    Use of a questionnaire to assess factors that could explain potential differences in intervention implementation between nursing homes

    Time frame: Baseline

  2. Contextual factors at the level of the nursing home resident

    Use of a questionnaire to assess factors that could explain potential differences in intervention implementation between nursing home residents

    Time frame: Baseline

  3. Intervention mechanisms of impact

    Use of a questionnaire to assess intervention mechanisms of impact, in relation with how the intervention is supposed to have its impact

    Time frame: At baseline

  4. Intervention mechanisms of impact

    Use of a questionnaire to assess intervention mechanisms of impact, in relation with how the intervention is supposed to have its impact.

    Time frame: At 3 months

  5. Intervention mechanisms of impact

    Use of a questionnaire to assess intervention mechanisms of impact, in relation with how the intervention is supposed to have its impact.

    Time frame: At 6 months

  6. Exploratory benzodiazepine deprescribing rate analysis

    Defined as either a complete benzodiazepine/Z-drug cessation, or a dose reduction

    Time frame: At 3 months

  7. Exploratory benzodiazepine deprescribing rate analysis

    Defined as either a complete benzodiazepine/Z-drug cessation, or a dose reduction

    Time frame: At 6 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No — Only publishable project data relating to the main analysis and research output will be shared on a data repository after an embargo period of two years after June 2024. All relevant documentation necessary to facilitate data re-use will be shared along with the datasets.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 3, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05929443
Lead sponsor
Université Catholique de Louvain
Collaborators
EBPracticenet, Fonds National de la Recherche scientifique (FNRS)
Responsible party
Sponsor
First posted
Jul 3, 2023
Start date
Jun 22, 2023
Primary completion
Jan 2024 (estimated)
Completion
Jun 2024 (estimated)
Last update
Jul 3, 2023

Study contacts

Perrine Evrard, MPharm
Contact
perrine.evrard@uclouvain.be
+3227647236
Anne Spinewine, PhD
principal investigator · UCLouvain / Louvain Drug Research Institute / Clinical pharmacy research group

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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