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Training nursing home staff to improve psychosocial care reduces neuroleptic use in people with dementia without an increase in agitation

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Q Does training and support for nursing home staff reduce neuroleptic use in people with dementia?


Embedded ImageDesign:

Cluster randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:

Single blind (assessors blinded).

Embedded ImageFollow up period:

Twelve months.

Embedded ImageSetting:

Twelve nursing homes for people with dementia, London, Newcastle, and Oxford, UK; July 2003 to July 2004.

Embedded ImagePatients:

Residents of 12 nursing homes for mentally impaired elderly people; 349 people were resident at randomisation. Homes were eligible if more than 25% of the residents had dementia and were taking neuroleptic medication.

Embedded ImageIntervention:

Six homes received the skills training and support intervention and six provided usual care. Randomisation was stratified by location and the proportion of residents taking neuroleptic medication. The training and support intervention was …

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  • For correspondence: Professor Robert Howard, King’s College London, Institute of Psychiatry, MRC Centre for Neurodegeneration Research, London SE5 8AF, UK; r.howard{at}

  • Source of funding: Alzheimer’s Society, UK.