The SPIDER approach includes the following core and adaptable elements:

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Primary objective:

Safer prescribing for our seniors

  • Taking 10 or more medications

  • Reduce medications that may be harmful to them

  • Improve quality of life

Secondary objectives:

Explore patient experience with SPIDER

  • Assess the cost-effectiveness of SPIDER

  • Explore care providers’ experience

The Project will be completed in two phases:

  • Feasibility phase-3 PBRNs: Toronto, Montreal, Edmonton

  • Pragmatic RCT phase-5 PBRNs: Ottawa, Calgary, Winnipeg, Montreal and Halifax.

  • In 2024 the RCT phase is expending to 2 new PBRNs: Vancouver and St John’s

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