New program aims to cut dangerous drug combinations in seniors
NCT ID NCT03689049
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a program called SPIDER that helps family doctors, nurses, and pharmacists work together to reduce risky prescriptions in older adults taking 10 or more medications. The program uses data from electronic medical records and coaching sessions to identify and reduce four types of potentially harmful drugs. Researchers will enroll 104 patients across Canada to see if the program works and is worth the cost.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
Active substance
SPIDER program (learning collaboratives and quality coaching)
What this could lead to
If it works, this could provide a practical, data-driven method for family doctors to reduce harmful medications in older patients.
What could go wrong
This is a small feasibility study, not a large trial. The program may not work in all clinics or may be too costly to scale.
Disclaimer
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This is a summary of
the original study
.
Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.
This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.
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Contacts and locations
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Locations
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Atlantic Practice Based Research Network (APBRN)
St. John's, Newfoundland and Labrador, A1B 3V6, Canada
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British Columbia node of the pan-Canadian CPCSSN (BC-CPCSSN)
Vancouver, British Columbia, V6T 2B5, Canada
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Manitoba Primary Care Research Network (MaPCReN)
Winnipeg, Manitoba, R3E 0T6, Canada
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Maritime Family Practice Research Network (MaRNet-FP)
Halifax, Nova Scotia, B3H 2E2, Canada
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Northern Alberta Primary Care Research Network (NAPCReN)
Edmonton, Alberta, T6G 2T4, Canada
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Ottawa Practice Enhancement Network (OPEN )
Ottawa, Ontario, K1R 7G5, Canada
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Réseau de recherche en soins primaires de l'Université de Montréal (RRSPUM)
Laval, Quebec, H7M 3L9, Canada
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Southern Alberta Primary Care Research Network (SAPCReN)
Calgary, Alberta, T2N 4N1, Canada
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University of Toronto Practice Based Research Network
Toronto, Ontario, M5G 1V7, Canada