Rational Drug Use in Elderly People

Study Overview
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Brief Summary
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Irrational drug use, which is an important public health problem worldwide, is common in the elderly. While irrational drug use negatively affects all age groups, it poses a significant threat to the health of the elderly. This study aims to examine the effects of 8-week interventions, which include training, counseling and awareness-raising nursing practices for rational drug use and awareness development, through home visits to elderly individuals; planned in a randomized controlled experimental design. The research will be carried out between May-July 2022 in Halkapınar Central Family Health Center located in Konya province Halkapınar district. The study group will be randomly assigned 35 experimental and 35 control groups, a total of 70 elderly individuals. Attempts made for the experimental group for eight weeks; Education through home visits on rational drug use will include counseling, guidance on rational drug use, and the delivery of a medicine box. The control group will continue with the routine applications. Taking into account the right of the control group to be informed about ethics after the post-tests, the training, guide and medicine box will also be given to the control group through home visits given to the experimental group. Data will be collected by face-to-face interview method using the Elderly Information Form, Rational Drug Use Scale and Rational Drug Use Awareness Scale.

Official Title
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The Effect of Nursing Interventions Applied at Home for Rational Drug Use and Raising Awareness in Elderly Individuals

Conditions
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Rational Drug Use

Intervention / Treatment
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* Behavioral: Education
* Other: Rational Drug Use Guide
* Other: Medicine Box
* Behavioral: Counseling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Be 65 years or older Living in Halkapınar Registering with the Central Family Health Centre Be able to speak Turkish Exclusion Criteria: Having a score below 24 on the Standardized Mini Mental Test Having any communication or medically diagnosed mental problems Being bedridden Having a neurological problem

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experiment<br>Education, rational drug use guide and consultancy services will be provided to elderly individuals through home visits. | Behavioral: Education<br>* Rational Drug Use in Elderly Individuals Training: Through home visits, an average of 30 minutes of training will be given to elderly individuals (drugs, rational drug use, the importance of rational drug use, and what the elderly should do for rational drug use). Question-answer method and visual materials will be used in the training. Training: An average of 20 minutes of training will be given, including a brief repetition of the topics covered in the first training, via a home visit. Visual materials will be used in the training.<br>Other: Rational Drug Use Guide<br>* At the end of the first training, a rational drug use guide will be given to elderly individuals, including the topics explained.<br>Other: Medicine Box<br>* Elderly individuals will be given a medicine box large enough to be carried in the pocket when appropriate, so that the elderly people do not forget their medicines and use them regularly, with a 7-day medicine compartment that organizes their medicines and a daily (morning, noon, evening and night) medicine box.<br>Behavioral: Counseling<br>* After the training, counseling services will be given to elderly individuals regarding rational drug use. Within the scope of the counseling service, it will be ensured that the drugs used by the elderly person are regulated and their questions about rational drug use will be answered.<br>|
| No Intervention: Control<br>No intervention will be made to the control group, and after the post-test, the rational drug use guide and the medicine box will also be given to the control group. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Using medicine with care | Rational drug use scale mean scores of elderly individuals | 6 weeks | 
| Rational Drug Use Awareness | Rational Drug Use Awareness Scale mean scores of elderly individuals | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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rational drug use, elderly individuals, nurse, education