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CompreHensive geriAtRician-led MEdication Review (CHARMER): protocol for a feasibility study of a hospital deprescribing behaviour change intervention by Sion Scott; Bethany Atkins; Jacqueline M Martin-Kerry; Megan Pritchard; David Phillip Alldred; Allan B Clark; Antony Colles; Amber Hammond; Katherine Murphy; Victoria L Keevil; Ian Kellar; Martyn Patel; Erika Sims; Johanna Taylor; David Turner; Miles Witham; David Wright; Debi Bhattacharya is a Medicine article available to read on EtoBox.

What is CompreHensive geriAtRician-led MEdication Review (CHARMER): protocol for a feasibility study of a hospital deprescribing behaviour change intervention about?

## Introduction Over 50% of older adults are prescribed a medicine where the risk of harm outweighs the chances of benefit. During a hospital admission, older adults and carers expect medicines to be reviewed for appropriateness and any inappropriate medicines proactively deprescribed. While the principle of proactive deprescribing is an expectation of good prescribing practice, it is yet to become routine. The CompreHensive geriAtRician-led MEdication Review (CHARMER) study aims to develop and test a five-component behaviour change intervention to equip geriatricians and pharmacists to proactively deprescribe inappropriate medicines with older adults in hospital. This study aims to test the feasibility and acceptability of study processes and CHARMER implementation. ## Methods and analysis A two-arm purposive allocation feasibility study is being undertaken at four acute hospitals in England, UK (three intervention and one control). The target sample is 400 patients across all hospitals. Primary outcome measures are: (1) participant recruitment rate and (2) participant attrition rate. Secondary outcome measures are: (1) hospital readmission rate; (2) mortality rate and (3) quality

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Author

Sion Scott; Bethany Atkins; Jacqueline M Martin-Kerry; Megan Pritchard; David Phillip Alldred; Allan B Clark; Antony Colles; Amber Hammond; Katherine Murphy; Victoria L Keevil; Ian Kellar; Martyn Patel; Erika Sims; Johanna Taylor; David Turner; Miles Witham; David Wright; Debi Bhattacharya

Publisher

BMJ

Published

2023

Language

EN

Field

Medicine (Health Sciences)