{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T06:06:59Z","timestamp":1783404419939,"version":"3.54.6"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T00:00:00Z","timestamp":1725580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K08AG071856"],"award-info":[{"award-number":["K08AG071856"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K23AG066864"],"award-info":[{"award-number":["K23AG066864"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P01AG027296"],"award-info":[{"award-number":["P01AG027296"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG065722"],"award-info":[{"award-number":["R01AG065722"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG077620"],"award-info":[{"award-number":["R01AG077620"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Antipsychotic and other psychotropic medication use is prevalent among community\u2010dwelling older adults with dementia despite the potential for adverse effects. Two Centers for Medicare &amp; Medicaid Services (CMS) initiatives, the National Partnership to Improve Dementia Care (\u201cthe Partnership\u201d) and the Five Star Quality Rating System for antipsychotic use reporting, have been successful in reducing antipsychotic use in nursing home residents. We assessed if these initiatives had a spillover effect in antipsychotic and other psychotropic medication use among community dwellers with dementia due to potential overlap in prescribers across settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Among community\u2010dwelling older adults with dementia, we examined psychotropic medication class use (i.e., antipsychotics, antidepressants, anxiolytics, anticonvulsants\/mood stabilizers, antidementia) in 2010\u20132017 Medicare fee\u2010for\u2010service claims using interrupted time series analyses across three periods (\u201cPre\u2010Partnership\u201d: July 1, 2010 to March 31, 2012; \u201cPost\u2010Partnership\u201d: April 1, 2012 to January 31, 2015; \u201cFive Star Quality Rating\u201d: February 1, 2015 to December 31, 2017).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included 1,289,401 community dwellers with dementia contributing 26,609,697 person\u2010months. The mean age was 80\u2009years, most were female (70%), approximately 80% were non\u2010Hispanic Whites, 10% were non\u2010Hispanic Blacks, and 5% were Hispanic ethnicity. Antipsychotic use was declining pre\u2010Partnership (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.06, 95% CI: \u22120.08, \u22120.05) and post\u2010Partnership (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.02, 95% CI: \u22120.02, \u22120.01). Post\u2010Five Star Quality Rating, antipsychotic use remained stable with a nearly flat slope (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.01, 95% CI: \u22120.01, 0.00). Anticonvulsant and antidepressant use increased and anxiolytic and antidementia medication use decreased among community\u2010dwelling older adults with dementia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These two CMS policies on antipsychotic use for nursing home residents were not associated with a spillover effect to community\u2010dwelling older adults with dementia. Strategies to monitor the appropriateness of psychotropic medication use may be warranted for community\u2010dwellers with dementia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.19184","type":"journal-article","created":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T22:54:13Z","timestamp":1725663253000},"page":"214-222","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Association of nursing home antipsychotic reduction policies with antipsychotic use in community dwellers with dementia"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5723-0443","authenticated-orcid":false,"given":"Antoinette B.","family":"Coe","sequence":"first","affiliation":[{"name":"Department of Clinical Pharmacy, College of Pharmacy University of Michigan  Ann Arbor Michigan USA"},{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Zhang","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1673-4570","authenticated-orcid":false,"given":"Andrew R.","family":"Zullo","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Department of Health Services, Policy, and Practice Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Department of Epidemiology Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Center of Innovation in Long\u2010Term Services and Supports Providence Veterans Affairs Medical Center  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1943-0150","authenticated-orcid":false,"given":"Lauren B.","family":"Gerlach","sequence":"additional","affiliation":[{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"},{"name":"Department of Psychiatry University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori A.","family":"Daiello","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Department of Neurology The Warren Alpert Medical School of Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiren","family":"Varma","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derrick","family":"Lo","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richa","family":"Joshi","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie P. 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Public Health Advisory: Deaths With Antipsychotics in Elderly Patients With Behavioral Disturbances. Accessed February 28 2023.https:\/\/wayback.archive\u2010it.org\/7993\/20170113112252\/http:\/\/www.fda.gov\/Drugs\/DrugSafety\/PostmarketDrugSafetyInformationforPatientsandProviders\/ucm053171.htm"},{"key":"e_1_2_11_8_1","unstructured":"U.S. Food & Drug Administration. Information for Healthcare Professionals: Conventional Antipscychotics. Accessed February 28 2023.https:\/\/wayback.archive\u2010it.org\/7993\/20170722190727\/https:\/\/www.fda.gov\/Drugs\/DrugSafety\/PostmarketDrugSafetyInformationforPatientsandProviders\/ucm124830.htm"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15767"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18372"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2014.3018"},{"key":"e_1_2_11_12_1","unstructured":"Centers for Medicare and Medicaid Services. 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