Reasons why older adults in three countries agreed with a deprescribing recommendation in a hypothetical vignette.

Vordenberg, Sarah E; Rana, Ruchi; Shang, Jenny; Choi, Jae; Scherer, Aaron M; Weir, Kristie Rebecca (2023). Reasons why older adults in three countries agreed with a deprescribing recommendation in a hypothetical vignette. Basic clinical pharmacology and toxicology, 133(6), pp. 673-682. Wiley 10.1111/bcpt.13857

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The purpose of this study was to examine factors important to older adults who agreed with a deprescribing recommendation given from a General Practitioner (GP) to a hypothetical patient experiencing polypharmacy. We conducted an online, vignette-based, experimental study in the United Kingdom, United States, and Australia with participants ≥65 years. The primary outcome was agreement with a deprescribing recommendation (6-point Likert scale; 1=strongly disagree and 6=strongly agree). We performed a content analysis of the free text reasons provided by participants who agreed with deprescribing (score of 5 or 6). Among 2,656 participants who agreed with deprescribing, approximately 53.7% shared a preference for following the GP's recommendation or considered the GP the expert. The medication was referred to as a reason for deprescribing by 35.6% of participants. Less common themes included personal experience with the medicine (4.3%) and older age (4.0%). Older adults who agreed with deprescribing in a hypothetical vignette most frequently reported a desire to follow the recommendations given the GP's expertise. Future research should be conducted to help clinicians efficiently identify patients who have a strong desire to follow the doctor's recommendations related to deprescribing as this may allow for a tailored, brief deprescribing conversation.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)

UniBE Contributor:

Weir, Kristie Rebecca

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1742-7843

Publisher:

Wiley

Language:

English

Submitter:

Pubmed Import

Date Deposited:

10 Mar 2023 09:44

Last Modified:

21 Nov 2023 22:38

Publisher DOI:

10.1111/bcpt.13857

PubMed ID:

36894739

Uncontrolled Keywords:

attitudes communication general practice geriatrics polypharmacy

BORIS DOI:

10.48350/179847

URI:

https://boris.unibe.ch/id/eprint/179847

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