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

Sarah E Vordenberg; Ruchi Rana; Jenny Shang; Jae Choi; Aaron M Scherer; Kristie Rebecca Weir

doi:10.1111/bcpt.13857

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

Journal article

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

Sarah E Vordenberg, Ruchi Rana, Jenny Shang, Jae Choi, Aaron M Scherer and Kristie Rebecca Weir

Basic & clinical pharmacology & toxicology, Vol.133(6), pp.673-682

12/2023

DOI: 10.1111/bcpt.13857

PMID: 36894739

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Abstract

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.

Geriatrics

attitudes

general practice

communication

polypharmacy

Details

Title: Subtitle: Reasons why older adults in three countries agreed with a deprescribing recommendation in a hypothetical vignette
Creators: Sarah E Vordenberg - University of Michigan Center for Bioethics and Social Sciences in Medicine, Ann Arbor, MI, USA
Ruchi Rana - University of Michigan College of Pharmacy, Ann Arbor, MI, USA
Jenny Shang - University of Michigan College of Pharmacy, Ann Arbor, MI, USA
Jae Choi - University of Michigan College of Pharmacy, Ann Arbor, MI, USA
Aaron M Scherer - University of Iowa
Kristie Rebecca Weir - University of Bern
Resource Type: Journal article
Publication Details: Basic & clinical pharmacology & toxicology, Vol.133(6), pp.673-682
DOI: 10.1111/bcpt.13857
PMID: 36894739
NLM abbreviation: Basic Clin Pharmacol Toxicol
eISSN: 1742-7843
Language: English
Electronic publication date: 03/09/2023
Date published: 12/2023
Academic Unit: General Internal Medicine; Internal Medicine
Record Identifier: 9984375459302771

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