An Online Training Program to Reduce Antipsychotic Medication Use in Nursing Homes: The CARES Method

Area of Science:

• Gerontology
• Healthcare Management
• Medical Education

Background:

• Antipsychotic medication use in dementia care is a significant concern in long-term care settings.
• Effective staff training is crucial for implementing person-centered dementia care strategies.
• Previous interventions have shown varied success in reducing antipsychotic medication use.

Purpose of the Study:

• To evaluate the association between an online, asynchronous dementia care training program (CARES) and reductions in antipsychotic medication use.
• To assess the impact of the CARES program on staff perceptions in a residential long-term care setting.
• To identify factors contributing to the successful implementation and sustainability of the CARES program.

Main Methods:

• A case study design was employed at Lakeview Christian nursing home in New Mexico.
• The CARES Dementia 5-Step Method-Complete Catalog online training program was implemented starting in 2019.
• Data on antipsychotic medication use and staff perceptions were collected and compared to peer nursing homes.

Main Results:

• The CARES program was successfully implemented and sustained as a core strategy.
• Reductions in antipsychotic medication use were more pronounced at Lakeview Christian compared to New Mexico peer nursing homes (2019-2024).
• Program flexibility, self-paced delivery, focus on behaviors, and cultural alignment contributed to implementation success.

Conclusions:

• The online, asynchronous CARES dementia care training program is associated with reduced antipsychotic medication use.
• Successful implementation requires program flexibility, comprehensive content, and alignment with facility culture.
• There is a need for enhanced person-centered dementia care education for both staff and prescribing physicians.