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D-PRESCRIBE

Also: Developing Pharmacist-Led Research to Educate and Sensitize Community Residents to the Inappropriate Prescriptions Burden in the Elderly

Community pharmacists in Quebec mailed EMPOWER-style brochures to older patients on risky drugs (including sleeping pills) and at the same time sent the patient's doctor an evidence-based pharmaceutical opinion recommending deprescribing.

Years
2014–2018
Country
Canada
Topic
Low value carePatient safetySleep
Asks people to
StopTalk to someone
Strategy
Self efficacy
Channel
Direct mailPoint of sale
Audience
CliniciansOlder adults
adults 65+ on Beers-list drugs, primary care physicians

Evidence

ExperimentalPositive

Cluster RCT in 69 pharmacies: 43% of sedative-hypnotic users stopped at 6 months vs 9% with usual care (risk difference 34 points). 38% of those who tapered reported withdrawal symptoms; no hospitalizations. Modelled as cost-saving.

Sponsor (who paid)

  • Université de Montréal / McGill (Tannenbaum, Martin, Tamblyn) Academic

Credits (who made it)

Not recorded yet.

Sources

  1. Effect of a Pharmacist-Led Educational Intervention on Inappropriate Medication Prescriptions in Older Adults: The D-PRESCRIBE Randomized Clinical Trial evaluation · 2018 · DOI 10.1001/jama.2018.16131 · PMID 30422193
  2. Economic Evaluation of Sedative Deprescribing in Older Adults by Community Pharmacists evaluation · 2021 · DOI 10.1093/gerona/glaa180 · PMID 32761069
  3. A prototype for evidence-based pharmaceutical opinions to promote physician-pharmacist communication around deprescribing evaluation · 2018 · DOI 10.1177/1715163518755813 · PMID 29531631

Research notes

Created 2026-10-23 from the sleep campaign literature search (PubMed and web search; OpenAlex was unreachable), see docs/sleep-campaigns-literature.md. Findings are paraphrased from abstracts, not full texts; official URLs come from search results and were not opened.

Record cases/d-prescribe.json, updated 2026-10-23· Link to this campaign