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dc.contributor.authorBjelkarøy, Maria Torheim
dc.contributor.authorSimonsen, Tone Breines
dc.contributor.authorSiddiqui, Tahreem Ghazal
dc.contributor.authorHalset, Sigrid
dc.contributor.authorCheng, Socheat
dc.contributor.authorGrambaite, Ramune
dc.contributor.authorSaltyte Benth, Jurate
dc.contributor.authorGerwing, Jennifer
dc.contributor.authorKristoffersen, Espen Saxhaug
dc.contributor.authorLundqvist, Anders Christofer
dc.date.accessioned2024-07-12T08:35:51Z
dc.date.available2024-07-12T08:35:51Z
dc.date.issued2024-02-08
dc.description.abstractBackground: Z-hypnotics or z-drugs are commonly prescribed for insomnia and sleep difficulties in older adults. These drugs are associated with adverse events and dependence and are not recommended for long-term use. Despite evidence of older adults being more sensitive to a wide array of adverse events and clinical guidelines advocating limiting use, inappropriate use in this population is still prevalent. Previous intervention studies have focused mainly on prescriber information. Simple, individually focused intervention designs are less studied. Brief intervention (BI) is a simple, easily transferable method mainly used to treat patients at risk of alcohol overuse.<p> <p>Objective: Our objective was to design and test the feasibility and acceptability of a BI intervention adapted to address individual, inappropriate use of z-hypnotics among older adults. This preparatory study aimed to optimize the intervention in advance of a quantitative randomized controlled trial investigating the treatment effect in a larger population.<p> <p>Methods: This feasibility case series was conducted at Akershus University Hospital, Norway, in autumn 2021. We included 5 adults aged ≥65 years with long-term (≥4 weeks) use of z-hypnotics and 2 intervening physicians. Additionally, 2 study investigators contributed with process evaluation notes. The BI consists of information on the risk of inappropriate use and individualized advice on how to reduce use. The focus of the intervention is behavioral and aims, in cooperation with the patient and based on shared decision-making, to change patient behavior regarding sleep medication rather than physician-based detoxification and termination of z-hypnotic prescriptions. Qualitative and descriptive quantitative data were collected from intervening physicians, study investigators, and participants at baseline, immediately after the intervention, and at the 6-week follow-up.<p> <p>Results: Data were obtained from 2 physicians, 2 study investigators, and 5 participants (4 women) with a median age of 84 years. The average time spent on the BI consultation was 15 minutes. All 5 participants completed the intervention without problems. The participants and 2 intervening physicians reported the intervention as acceptable and were satisfied with the delivery of the intervention. After the intervention, 2 participants stopped their use of z-hypnotics completely and participated in the follow-up interview. Study investigators identified logistical challenges regarding location and time requirements. Identified aspects that may improve the intervention and reduce dropouts included revising the intervention content, focusing on rebound insomnia, adding an information leaflet, and supporting the patient in the period between the intervention and follow-up. The notion that the intervention should best be located and conducted by the patient’s own general practitioner was supported by the participants.<p> <p>Conclusions: We identified important aspects to improve the designed intervention and found that the BI is feasible and acceptable for incorporation into a larger randomized trial investigating the treatment effect of BI for reducing z-hypnotic use by older adults.en_US
dc.identifier.citationBjelkarøy, Simonsen, Siddiqui, Halset, Cheng, Grambaite, Saltyte Benth, Gerwing, Kristoffersen, Lundqvist. Brief Intervention as a Method to Reduce Z-Hypnotic Use by Older Adults: Feasibility Case Series. JMIR Formative Research. 2024;8(1)en_US
dc.identifier.cristinIDFRIDAID 2248671
dc.identifier.doi10.2196/51862
dc.identifier.issn2561-326X
dc.identifier.urihttps://hdl.handle.net/10037/34150
dc.language.isoengen_US
dc.publisherJMIR Publicationsen_US
dc.relation.journalJMIR Formative Research
dc.relation.urihttps://formative.jmir.org/2024/1/e51862
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2024 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleBrief Intervention as a Method to Reduce Z-Hypnotic Use by Older Adults: Feasibility Case Seriesen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)