Long‐term effectiveness of computer‐generated tailored patient education on benzodiazepines: a randomized controlled trial

Wolde, Geeske Brecht Ten; Dijkstra, Arie; Empelen, Pepijn van; Hout, Wilbert B. van den; Neven, Arie Knuistingh; Zitman, Frans G.

doi:10.1111/j.1360-0443.2008.02141.x

Cited by 44 publications

(25 citation statements)

References 32 publications

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“…Dependence may eventually develop, and this may not only include tolerance and withdrawal symptoms, but also craving. These adverse effects have led to concern about the use of benzodiazepines in the population (10) and we have regularly seen local, regional and national initiatives to reduce the use of benzodiazepines (11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

The basic pharmacoepidemiology of benzodiazepine use in Norway 2004-9

Bramness¹,

Sexton²

2011

Nor J Epidemiol

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Objectives: Benzodiazepines are effective and safe drugs for treatment of insomnia, anxiety, epilepsy and muscle spasm, but there is also a potential for harmful use, abuse and addiction. Even though these drugs are used extensively, have been on the market for 50 years, and quite a few reports have been published on risk factors and patterns of use, the basic epidemiological parameters of use, such as incidence, prevalence, mean volume used and duration of use have not been documented in Norway. The aim of this study was to describe these basic pharmacoepidemiological parameters of benzodiazepine use. Methods: Data were drawn from the Norwegian prescription database with an observation period of 5 years and 10 months between

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Section: Introductionmentioning

confidence: 99%

The basic pharmacoepidemiology of benzodiazepine use in Norway 2004-9

Bramness¹,

Sexton²

2011

Nor J Epidemiol

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“…In the remaining studies, the randomization was described clearly. Regarding allocation, six studies described in detail an allocation that was performed successfully (Cormack et al 1994;Patterson et al 2010;Tannenbaum et al 2014;Ten Wolde et al 2008;Vicens et al 2014;Vicens et al 2006). Four studies reported an inappropriate allocation (Bashir et al 1994;Gorgels et al 2005;Stewart et al 2007;Westbury et al 2010).…”

Section: Quality Assessmentsmentioning

confidence: 99%

“…Regarding the blinding of participants, only two studies performed this procedure adequately (Pimott et al 2003;Tannenbaum et al 2014). Two other studies poorly described how the blinding process was carried out (Avorn et al 1992;Ten Wolde et al 2008). The remaining seventeen studies did not undertake any blinding of participants.…”

Section: Quality Assessmentsmentioning

confidence: 99%

Peer Review #1 of "Patient-centered care interventions to reduce the inappropriate prescription and use of benzodiazepines and z-drugs: a systematic review (v0.3)"

2018

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Background: Benzodiazepines (BZDs) and z-drugs are effective drugs, but they are prescribed excessively worldwide. International guidelines recommend a maximum treatment duration of four weeks. Although these drugs are effective in the short term, long-term BZD therapy is associated with considerable adverse effects, the development of tolerance, and, finally, addiction. However, there are different interventions in terms of patient-centered care that aim to reduce the use of BZDs and z-drugs as well as assist health care professionals (HCPs) in preventing the inappropriate prescription of BZDs. Aim: The aim of this systematic review was to identify interventions that promote patientcentered treatments for inappropriate BZD and z-drug use and to analyze their effectiveness in reducing the inappropriate use of these drugs. Methods: To identify relevant studies, the PubMed, EMBASE, PsycINFO, Psyndex and Cochrane Library databases were searched. Studies with controlled designs focusing on adult patients were included. Trials with chronically or mentally ill patients were excluded if long-term BZD and z-drug use was indicated. Study extraction was performed based on the Cochrane Form for study extraction. To assess the quality of the studies, we used a tool based on the Cochrane Collaboration's tool for assessing the risk of bias in randomized trials. Results: We identified 7 068 studies and selected 20 for systematic review. Nine interventions focused on patients, nine on HCPs, and two on both patients and HCPs. Intervention types ranged from simple to multifaceted. Patient-centered interventions that provided patient information effectively increased the appropriate use of BZDs. The educational approaches for HCPs that aimed to achieve appropriate prescription reported inconsistent results. The methods that combined informing patients and HCPs led to a significant reduction in BZD use. Conclusions: This is the first review of studies focused on patient-centered

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“…For other substance use disorders, alternate delivery modes have been trialled to increase treatment access. Strategies have ranged from written information to more comprehensive computer‐based treatments, with some studies using multiple methods [15–17]. For example, a smoking cessation trial used physician advice, written self‐help materials, nicotine replacement therapy and eight counselling sessions via cellular phone [18].…”

Section: Introductionmentioning

confidence: 99%

Acceptability of cognitive‐behaviour therapy via the Internet for cessation of benzodiazepine use

Parr

Kavanagh

Young

et al. 2011

Drug and Alcohol Review

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Long‐term effectiveness of computer‐generated tailored patient education on benzodiazepines: a randomized controlled trial

Abstract: It was concluded that tailored patient education can be an effective tool for reducing benzodiazepine use, and can be implemented easily.

Cited by 44 publications

References 32 publications

The basic pharmacoepidemiology of benzodiazepine use in Norway 2004-9

The basic pharmacoepidemiology of benzodiazepine use in Norway 2004-9

Peer Review #1 of "Patient-centered care interventions to reduce the inappropriate prescription and use of benzodiazepines and z-drugs: a systematic review (v0.3)"

Acceptability of cognitive‐behaviour therapy via the Internet for cessation of benzodiazepine use

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