- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04533230
Prevention of Benzodiazepine Misuse in Primary Care
Prevention of Benzodiazepine Misuse: A Randomized Trial in Primary Care
Study Overview
Status
Detailed Description
Background: Benzodiazepines and the benzodiazepine-like hypnotics, often called "z-drugs" (hereafter "benzodiazepines") are common and addictive narcotic drugs that can be obtained by prescription. Even short-term prescription can become a long-term problem, leading to tolerance and dependency, as well as adverse effects, including cognitive disturbance and decline, behavioral problems, emergency visits, accidents, suicide, and drug-related mortality. Guidelines restrict prescription of these drugs for anxiety and insomnia. The majority of benzodiazepine prescriptions are written for these disorders by physicians in primary health care. Primary health care is thus an important arena for efforts to reduce access to benzodiazepines in order to lower the number of new users and users at risk of dependency.
Aim: This randomized controlled trial tests whether a brief educational intervention in primary health care followed by 12 months of feedback on prescription data changes prescriptions of benzodiazepines and benzodiazepine-like hypnotics.
Methods: Primary health care centers will be invited to participate in the study. Centers that express interest in participating, meet the inclusion criteria, and do not meet the exclusion criteria will be randomized to the intervention or the control group. Personnel at the intervention centers will participate in a brief educational intervention followed by 12 months of regular feedback on benzodiazepine prescriptions that are written at the center. Personnel in an active control group will receive written information on treatment guidelines but will not receive the onsite educational intervention or prescription feedback. Data on characteristics of participating primary health care centers, as well as on prescriptions before the intervention and during and after the 12-month follow-up period, will be gathered from regional health care registers and databases and statistically analyzed.
Study Type
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Stockholm, Sweden, 104 31
- Region Stockholm, Academic primary health care center
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria for primary health care centers:
- Employs at least two full-time physicians
- Has at least 3000 patients
- Has a regional care agreement (contract)
Exclusion criteria for primary health care centers:
- In operation for less than 12 months
- Participated in an intervention to reduce benzodiazepine prescriptions in the last 12 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Educational intervention with prescription feedback
The manager and physicians at each intervention center will participate in a brief educational intervention about benzodiazepines and benzodiazepine-like hypnotics and receive 12 months of targeted feedback on prescription of these drugs.
The education will cover national and regional treatment guidelines for anxiety, depression, and insomnia, which include guidelines on prescription of benzodiazepines and benzodiazepine-like hypnotics.
|
Educational intervention and targeted feedback on prescription of benzodiazepines and benzodiazepine-like hypnotics
|
Active Comparator: Information on guidelines
The manager and physicians at each center in the active control group will receive written information on national and regional treatment guidelines for anxiety, depression, and insomnia, which include guidelines on prescription of benzodiazepines and benzodiazepine-like hypnotics.
These centers will not receive the onsite educational intervention or 12 months of targeted prescription feedback.
|
Written information on treatment guidelines.
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No Intervention: No active intervention: standard care
The manager and physicians at each primary health care center in the passive control group will receive no active intervention.
The passive control group will consist of primary health care centers that are not actively participating in the study.
Data will be gathered from regional registers and databases.
Thus, there will be no need to contact or communicate directly with the centers.
This arm will be used only if the General Data Protection Regulation continues to allow access to regional registers and databases in primary health care.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Prescriptions of benzodiazepines and benzodizepine-like hypnotics
Time Frame: 12 months
|
Change in total prescriptions
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12 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
New prescriptions of benzodiazepines and benzodiazepine-like hypnotics
Time Frame: 12 months
|
Change in new prescriptions
|
12 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Johan Franck, MD, PhD, Karolinska Institutet
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2018/1347-31/2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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