Table 1 Intervention components
Intervention component | Description | Participants involved | Moment and frequency | Incentives |
|---|---|---|---|---|
Training—e-learning | Module 1: Pharmacotherapy in older people; potentially inappropriate medications and tools used to measure it Module 2: What is a medication review? How can each health care professional contribute? Module 3: How to perform an interdisciplinary medication review? Module 4: Teamwork | Physicians Nurses Pharmacists | Available during whole study period | Accreditation for GPs and pharmacists; certificate of attendance for nurses |
Training—onsite workshops | Specific training for pharmacists, provided by the research team: ▪ How to prepare a medication review? How to make a suggestion? Where to find relevant information about medications? | Pharmacists | At month 2 | Accreditation for pharmacists |
Training for all HCPs, provided by the research team: ▪ Problem-based learning using clinical vignettes: How to conduct an interdisciplinary medication review? What is the contribution of each HCP? How to classify DRPs? | Physicians Nurses Pharmacists | At month 2 | Accreditation for GPs and pharmacists; certificate of attendance for nurses | |
Specific training for nurses, provided by the coordinating physician and/or pharmacist: ▪ Detection of adverse drug events by nurses ▪ Drug administration | Nurses | Twice or more during the study period | Certificate of attendance | |
Local concertation | Discussion about the use of two classes of medications (antidepressants and lipid-lowering drugs) at the level of the nursing home | Physicians Nurses Pharmacists | Twice during the study (first at month 3 or 4) | Remuneration for all HCPs involved in the COME-ON study |
Interdisciplinary case conferences | Face-to-face medication reviews for each included NHR; duration approximately 20 min | Physicians Nurses Pharmacists | Once per 4 months | Remuneration for all HCPs |