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Table 1 Educational intervention topics and target audience

From: Bridging evidence-practice gaps: improving use of medicines in elderly Australian veterans

Intervention number and topic GPs (n) Veterans (n) Pharmacists (n) Aim of educational intervention Target criteria for veterans mailed to:
Interventions to increase use of medicines
2: Beta-blockers, take the next step for heart failure 6954 12047 N/A To increase beta-blocker use in veterans with heart failure Veterans dispensed medicines indicative of heart failure who were not dispensed a heart failure specific beta blocker
3: Diabetes triple check 8573 16612 5459 To increase use of adjunct cardiovascular medicines in veterans with diabetes Veterans dispensed medicines indicative of diabetes (insulin and/or oral hypoglycaemics)
15: Osteoporosis 16876 83110 7967 To increase uptake rates of bone density tests, and osteoporosis treatments Women aged 70–79, men aged 80–85 and those over 50 years admitted to hospital with a fracture from a same level fall
Interventions to reduce use of medicines
4: Clinical risk management: NSAIDs 11242 9885 5447 To reduce NSAID use in veterans with heart failure and diabetes Veterans with dispensed medicines indicative of diabetes and/or heart failure
5: Antidepressants: three steps towards safer use 12482 42196 5447 To reduce potentially avoidable antidepressant interactions and duplicate therapy Veterans dispensed antidepressants
6: Inhaled respiratory medicines: optimising use 10720 28670 5447 To decrease use of multiple devices Veterans dispensed inhaled respiratory medicines
7: PPIs in GORD: Reduce the dose – keep the benefits 13684 62460 5447 To encourage use of lower-strength PPIs for maintenance therapy Veterans dispensed proton pump inhibitors
8: Reducing adverse drug events for your veteran patients 11050 32484 7074 To reduce use of potentially inappropriate medicines in the elderly (aged over 70 years) Veterans 70 years of age or over, dispensed medicines that should be used with caution in the elderly (according to Beers [33] and McLeod [34] criteria)
12: Antipsychotics in dementia 3884 6690* 8089 To reduce antipsychotic use for behavioural and psychological symptoms of dementia (in those aged over 65 years). Veterans aged >65 years dispensed oral antipsychotic medicines.
14: COPD 8785 18096 7880 To reduce nebuliser use and reduce multiple device use Veterans dispensed tiotropium or ipratropium
Interventions with a combination of messages
10: Constipation: a quality of life issue for veteran patients 9825 29231 7327 To improve use of medicines for constipation; specifically, to increase the use of osmotic and bulk laxatives and reduce the use of contact laxatives. Veterans dispensed laxatives
13: Clopidogrel 8279 16867 7970 To increase use of clopidogrel with aspirin and reduce concurrent use of clopidogrel with NSAIDs Veterans dispensed clopidogrel
  1. *Material was not mailed to veterans. For this topic, materials were provided to the GPs treating these 6990 patients to pass on to the patient if appropriate.
  2. NSAID, non-steroidal anti-inflammatory drug; PPI, proton pump inhibitor; GORD, gastro-oesophageal reflux disease; COPD, chronic obstructive pulmonary disease.