Development and pilot testing of the revised Patients’ Attitudes Towards Deprescribing questionnaire for people with cognitive impairment

Reeve, Emily; Anthony, Allicia; O’Donnell, Lisa Kouladjian; Low, Lee‐Fay; Ogle, Susan J.; Glendenning, James E.; Lorang, Catriona E. B.; Hilmer, Sarah N.

doi:10.1111/ajag.12576

Cited by 33 publications

(31 citation statements)

References 17 publications

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“…Questionnaires to capture how patients feel about deprescribing: Patients’ Attitudes Towards Deprescribing (PATD) questionnaire (revised in 2016, versions for older adults, caregivers and people with cognitive impairment) Patient Perceptions of Deprescribing (PPoD) survey …”

Section: Introductionmentioning

confidence: 99%

Deprescribing tools: a review of the types of tools available to aid deprescribing in clinical practice

Reeve

2020

Pharmacy Practice and Res

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The importance of deprescribing, which is the process of withdrawing an inappropriate medication, supervised by a healthcare professional with the goal of managing polypharmacy and improving outcomes, is increasingly recognised as part of good clinical care. With this, a number of tools have been developed with the purpose of aiding health professionals to deprescribe in regular practice. The types of tools vary significantly in their form and include tools to aid in the overall process of deprescribing (such as generic frameworks and drug‐specific deprescribing guidelines) as well as tools that may assist in a specific part of the process (such as identifying inappropriate medications or engaging the patient). While many tools are available, most provide little (if any) information on how they were developed, and limited implementation research has been conducted. This paper provides an overview of the types of available tools and how they might be used in clinical practice.

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Section: Introductionmentioning

confidence: 99%

Deprescribing tools: a review of the types of tools available to aid deprescribing in clinical practice

Reeve

2020

Pharmacy Practice and Res

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“…Also, caregivers of persons with or without dementia are important contributors to understanding of a person's goals and preferences for medications. A study found that there was a good level of agreement between people with dementia and their carers about attitudes towards deprescribing . A CCDSS that incorporates tools that are appropriate for residents, including those living with dementia, and their caregivers, has the potential to facilitate discussions about a person's goals and preferences for medications between consumers and health‐care professionals.…”

Section: Discussionmentioning

confidence: 99%

“…A study found that there was a good level of agreement between people with dementia and their carers about attitudes towards deprescribing. 12 A CCDSS that incorporates tools that are appropriate for residents, including those living with dementia, and their caregivers, has the potential to facilitate discussions about a person's goals and preferences for medications between consumers and health-care professionals. This qualitative study shows limited understanding of what goals of care are and the lack of motivation to initiate conversations with residents and their caregivers.…”

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confidence: 99%

“…The Goal‐directed Medication review Electronic Decision Support System (G‐MEDSS) is a CCDSS that contains validated goal‐directed tools and guides for health‐care practitioners, to aid with person‐centred medication management. Here, we evaluated the utility of two of the tools included within G‐MEDSS for use by RACF staff: the revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire (available in three different versions: (a) older adult; (b) caregiver; and (c) people with cognitive impairment) and the Goals of Care Management tool …”

Section: Introductionmentioning

confidence: 99%

“…Here, we evaluated the utility of two of the tools included within G-MEDSS for use by RACF staff: the revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire (available in three different versions: (a) older adult; (b) caregiver; and (c) people with cognitive impairment) and the Goals of Care Management tool. 11,12 This study aimed to explore the identification and recording of residents' goals and preferences for medications from the perspective of RACF staff. Our objectives were as follows: (a) to identify the factors that influence the identification and recording of residents' goals and preferences for medications; (b) to explore staff views on the utility of G-MEDSS (rPATD and Goals of Care Management tools) to assist staff to identify and record residents' goals and preferences for medications; and (c) to identify interventions to support implementation of documentation of residents' goals and preferences for medications in RACFs.…”

Section: Introductionmentioning

confidence: 99%

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Perspectives of residential aged care facilities' staff on the identification and recording of residents' medication‐related goals of care

2019

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Objective This study primarily aims to explore residential aged care facility (RACF) staff views on the utility of a computerised clinical decision support system (CCDSS) that incorporates validated goal‐directed deprescribing tools and guides to identify residents' goals for medications. Methods A qualitative study was conducted in four RACFs. Semi‐structured interviews or focus groups were conducted with 19 participants, representing various types of clinical and care staff. Results According to staff, the use of a CCDSS was useful as it facilitated resident (including people with dementia), and caregiver engagement to obtain comprehensive information about the residents' goals and medication concerns. Staff perceptions of the increased workload and that some residents and caregivers would have limited involvement in discussions were barriers to the adoption of a CCDSS. Conclusion Integration of a CCDSS into practice, accompanied with staff training and education, has the potential to improve goal‐directed pharmaceutical care.

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Deprescribing Education vs Usual Care for Patients With Cognitive Impairment and Primary Care Clinicians

et al. 2022

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Key Points Question Can increasing awareness about deprescribing prior to primary care visits reduce the use of potentially inappropriate long-term medications for individuals with cognitive impairment? Findings In this pragmatic cluster randomized clinical trial of deprescribing education for 3012 older adults with cognitive impairment taking 5 or more medications and their primary care clinicians, patients from intervention clinics and control clinics were taking a similar mean number of medications (6.4 vs 6.5) at 6 months, and similar proportions of patients were taking 1 or more potentially inappropriate medications after 6 months. Meaning Educating patients and clinicians about deprescribing in primary care did not have an effect on the number of long-term medications or percentage of potentially inappropriate medications for older adults taking 5 or more long-term medications; findings suggest such interventions should target older adults taking relatively more medications.

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Development and pilot testing of the revised Patients’ Attitudes Towards Deprescribing questionnaire for people with cognitive impairment

Abstract: The rPATDcog was feasible to administer in this study. Further work is required to provide generalisable results and determine utility in practice.

Cited by 33 publications

References 17 publications

Deprescribing tools: a review of the types of tools available to aid deprescribing in clinical practice

Deprescribing tools: a review of the types of tools available to aid deprescribing in clinical practice

Perspectives of residential aged care facilities' staff on the identification and recording of residents' medication‐related goals of care

Deprescribing Education vs Usual Care for Patients With Cognitive Impairment and Primary Care Clinicians

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