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  • Luethold, Renata VidonsckyUniv Bern, Switzerland,University of Bern (author)

Understanding older patients' willingness to have medications deprescribed in primary care : a protocol for a cross-sectional survey study in nine European countries

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • 2022-11-30
  • BioMed Central (BMC),2022
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:lnu-118759
  • https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-118759URI
  • https://doi.org/10.1186/s12877-022-03562-xDOI
  • https://lup.lub.lu.se/record/77377aaf-53a9-4da2-b637-a4e4dc46a27cURI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Introduction: To reduce inappropriate polypharmacy, deprescribing should be part of patients' regular care. Yet deprescribing is difficult to implement, as shown in several studies. Understanding patients' attitudes towards deprescribing at the individual and country level may reveal effective ways to involve older adults in decisions about medications and help to implement deprescribing in primary care settings. In this study we aim to investigate older adults' perceptions and views on deprescribing in different European countries. Specific objectives are to investigate the patients' willingness to have medications deprescribed by medication type and to have herbal or dietary supplements reduced or stopped, the role of the Patient Typology (on medication perspectives), and the impact of the patient-GP relationship in these decisions. Methods and analysis: This cross-sectional survey study has two parts: Part A and Part B. Data collection for Part A will take place in nine countries, in which per country 10 GPs will recruit 10 older patients (>= 65 years old) each (n = 900). Part B will be conducted in Switzerland only, in which an additional 35 GPs will recruit five patients each and respond to a questionnaire themselves, with questions about the patients' medications, their willingness to deprescribe those, and their patient-provider relationship. For both Part A and part B, a questionnaire will be used to assess the willingness of older patients with polypharmacy to have medications deprescribed and other relevant information. For Part B, this same questionnaire will have additional questions on the use of herbal and dietary supplements. Discussion: The international study design will allow comparisons of patient perspectives on deprescribing from different countries. We will collect information about willingness to have medications deprescribed by medication type and regarding herbal and dietary supplements, which adds important information to the literature on patients' preferences. In addition, GPs in Switzerland will also be surveyed, allowing us to compare GPs' and patients' views and preferences on stopping or reducing specific medications. Our findings will help to understand patients' attitudes towards deprescribing, contributing to improvements in the design and implementation of deprescribing interventions that are better tailored to patients' preferences.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Jungo, Katharina TabeaUniv Bern, Switzerland,University of Bern (author)
  • Weir, Kristie RebeccaUniv Bern, Switzerland;Univ Sydney, Australia,University of Bern,University of Sydney (author)
  • Geier, Anne-KathrinUniv Leipzig, Germany,Leipzig University (author)
  • Scholtes, BeatriceUniv Liege, Belgium (author)
  • Kurpas, DonataWroclaw Med Univ, Poland,Wrocław Medical University (author)
  • Wild, Dorothea M. G.Univ Bonn, Germany,University Hospital Bonn (author)
  • Petrazzuoli, FerdinandoLund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,National Society of Medical Education in General Practice (SNAMID)(Swepub:lu)med-fpz (author)
  • Thulesius, HansLinnaeus University,Lunds universitet,Linnéuniversitetet,Institutionen för medicin och optometri (MEO),Lund University, Sweden,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups(Swepub:lu)smi-hth (author)
  • Lingner, HeidrunHannover Med Sch, Germany,Hannover Medical School (author)
  • Assenova, RadostMed Univ Plovdiv, Bulgaria (author)
  • Poortvliet, Rosalinde K. E.Leiden Univ, Netherlands,Leiden University Medical Centre (author)
  • Lazic, VanjaHlth Ctr Zagreb Ctr, Croatia (author)
  • Rozsnyai, ZsofiaUniv Bern, Switzerland,University of Bern (author)
  • Streit, SvenUniv Bern, Switzerland,University of Bern (author)
  • Univ Bern, SwitzerlandUniversity of Bern (creator_code:org_t)

Related titles

  • In:BMC Geriatrics: BioMed Central (BMC)22:11471-2318

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