Pilot RCT Testing A Mailing About Sleeping Pills and Cognitive Behavioral Therapy for Insomnia: Impact on Benzodiazepines and Z-Drugs
| Autor: | Selene S, Mak, Cathy A, Alessi, Christopher N, Kaufmann, Jennifer L, Martin, Michael N, Mitchell, Christi, Ulmer, Hillary D, Lum, Michaela S, McCarthy, Jason P, Smith, Constance H, Fung |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Clinical Gerontologist. :1-12 |
| ISSN: | 1545-2301 0731-7115 |
| Popis: | The aim is to pilot a low-touch program for reducing benzodiazepine receptor agonist (BZRA; benzodiazepines, z-drugs) prescriptions among older veterans.Pilot randomized controlled trial consists of 2,009 veterans aged ≥ 65 years who received BZRA prescriptions from a Veterans Health Administration pharmacy (Colorado or Montana) during the prior 18 months. Active: Arm 1 was a mailed brochure about BZRA risks that also included information about a free, online cognitive behavioral therapy for the insomnia (CBTI) program. Arm 2 was a mailed brochure (same as arm 1) and telephone reinforcement call. Control: Arm 3 was a mailed brochure without insomnia treatment information. Active BZRA prescriptions at follow-up (6 and 12 months) were measured.In logistic regression analyses, the odds of BZRA prescription at 6- and 12-month follow-ups were not significantly different for arm 1 or 2 (active) versus arm 3 (control), including models adjusted for demographics and prescription characteristics (Although we observed no differences in active BZRA prescriptions, this pilot study provides guidance for conducting a future study, indicating a need for a more potent intervention. A full-scale trial testing an optimized program would provide conclusive results.Mailing information about BZRA risks and CBTI did not affect BZRA prescriptions. |
| Databáze: | OpenAIRE |
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