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<p>Falls are a major cause of injuries among older people, with medication being a key risk factor. The SNOWDROP intervention introduces a clinical decision support system for general practitioners (GPs) offering personalized deprescribing advice, and a patient portal containing information and a question prompt list. This study evaluates the intervention’s effectiveness through a cluster randomized controlled trial in six general practices, with 84 patients (M<sub>age</sub> = 78.01, SD<sub>age</sub> = 5.71). Patients discussed their medication-related fall risk with their GP. Data were collected via questionnaires and audio-recorded consultations. The intervention increased shared decision-making for both GPs (<i>p</i> &lt; 0.001) and patients (<i>p</i> &lt; 0.001), increased patients’ satisfaction with communication (<i>p</i> = 0.001), and reduced patients’ decisional conflict (<i>p</i> &lt; 0.001). Patients’ beliefs about medication (necessity and concerns) remained stable. The effect on changes to the medication was inconclusive. These results highlight the potential of technology in healthcare and warrant future research.</p>

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A randomized controlled trial to evaluate innovative decision support in the context of fall prevention

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月11日

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  • L. Westerbeek,
  • A. J. Linn,
  • H. C. van Weert,
  • N. van der Velde,
  • S. Medlock,
  • A. Abu-Hanna,
  • J. C. M. van Weert

摘要

Falls are a major cause of injuries among older people, with medication being a key risk factor. The SNOWDROP intervention introduces a clinical decision support system for general practitioners (GPs) offering personalized deprescribing advice, and a patient portal containing information and a question prompt list. This study evaluates the intervention’s effectiveness through a cluster randomized controlled trial in six general practices, with 84 patients (Mage = 78.01, SDage = 5.71). Patients discussed their medication-related fall risk with their GP. Data were collected via questionnaires and audio-recorded consultations. The intervention increased shared decision-making for both GPs (p < 0.001) and patients (p < 0.001), increased patients’ satisfaction with communication (p = 0.001), and reduced patients’ decisional conflict (p < 0.001). Patients’ beliefs about medication (necessity and concerns) remained stable. The effect on changes to the medication was inconclusive. These results highlight the potential of technology in healthcare and warrant future research.