Attitudes of Lebanese community-dwelling older adults towards deprescribing using the rPATD tool

Hanna, Venise; Chahine, Bahia; Souheil, Farah Al

doi:10.1016/j.archger.2022.104840

Cited by 4 publications

(8 citation statements)

References 36 publications

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“…These results align with most studies that explored the association between polypharmacy and the patients' willingness to have medications deprescribed. As mentioned in the Introduction section, 17 found no significant association 21,24–27,29,30,32,33,36,37,39,40,42–45 . and only four studies 20,22,23,34 reported a positive association between the number of medicines and the patients' willingness to have medications deprescribed.…”

Section: Discussionmentioning

confidence: 94%

“…As mentioned in the Introduction section, 17 found no significant association. 21,[24][25][26][27]29,30,32,33,36,37,39,40,[42][43][44][45] and only four studies 20,22,23,34 reported a positive association between the number of medicines and the patients' willingness to have medications deprescribed. Although polypharmacy was highly prevalent (76.1%) in our study population, participants' beliefs about the appropriateness of medications were high, and the perceived medication burden was moderate.…”

Section: Discussionmentioning

confidence: 98%

“…For example, age and willingness to have medications deprescribed were found to be positively associated in four studies, 20,21,29,30 negatively associated in another four studies, 18,19,22,31 and non‐significant in 15 other studies 23–27,32–41 . Among the 21 studies that examined the association between patient willingness to have a medication deprescribed and the number of medications, three found a positive association, 20,22,23 one a negative association, 34 and 17 found no significant association 21,24–27,29,30,32,33,36,37,39,40,42–45 . These unclear findings support the need for more research on what factors are associated with the patients' willingness to have their medications deprescribed.…”

Section: Introductionmentioning

confidence: 96%

“…[23][24][25][26][27][32][33][34][35][36][37][38][39][40][41] Among the 21 studies that examined the association between patient willingness to have a medication deprescribed and the number of medications, three found a positive association, 20,22,23 one a negative association, 34 and 17 found no significant association. 21,[24][25][26][27]29,30,32,33,36,37,39,40,[42][43][44][45] These unclear findings support the need for more research on what factors are associated with the patients' willingness to have their medications deprescribed. Furthermore, Portugal is an ageing country with one of Europe's highest prevalence of polypharmacy in older adults (36.7%), 46 making it urgent to implement deprescribing strategies supported by research results.…”

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confidence: 98%

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Predictors of older patients' willingness to have medications deprescribed: A cross‐sectional study

Pereira

Ribeiro

Veríssimo

2023

Basic Clin Pharma Tox

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BackgroundDeprescribing is a complex process requiring a patient‐centred approach. One frequently expressed deprescribing barrier is patients' attitudes and beliefs towards deprescribing. This study aimed to identify the predictors of patients' willingness to have medications deprescribed.MethodsA cross‐sectional study was conducted with community‐dwelling patients aged ≥65 who are taking at least one regular medication. Data collection included patients' demographic and clinical characteristics and the Portuguese revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire. Descriptive statistics were used to present the patients' characteristics. Multiple binary logistic regression analysis was performed to identify the predictors of the patients' willingness to have medications deprescribed.ResultsOne hundred ninety‐two participants (median age 72 years; 65.6% female) were included. Most (83.33%) were willing to have medications deprescribed, and the predictors were age (adjusted odds ratio [aOR] = 1.136; 95% CI 1.026, 1.258), female sex (aOR = 3.036; 95% CI 1.059, 8.708) and the rPATD concerns about stopping factor (aOR = 0.391; 95% CI 0.203, 0.754).ConclusionsMost patients were willing to have their medications deprescribed if it is recommended by their doctors. Older age and female sex increased the odds of willingness to deprescribe; higher concerns about stopping medications decreased the odds. These findings suggest that addressing patients' concerns about stopping their medicines may contribute to deprescribing success.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 96%

mentioning

confidence: 98%

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Predictors of older patients' willingness to have medications deprescribed: A cross‐sectional study

Pereira

Ribeiro

Veríssimo

2023

Basic Clin Pharma Tox

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“…These include age [ 31 , 33 – 36 ], the number of chronic medical conditions [ 35 , 37 , 38 ], the number of medications [ 31 , 35 , 37 , 39 ], self-reported health status [ 37 ], and trust in the physician [ 40 ]. Another study found a significant association between a specific medical condition, coronary artery disease, and the patient’s willingness to have medications deprescribed [ 41 ].…”

Section: Introductionmentioning

confidence: 99%

Influence of chronic medical conditions on older patients’ willingness to deprescribe medications: a cross-sectional study

Pereira,

Veríssimo,

Ribeiro

2024

BMC Geriatr

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Background Aging correlates with a heightened prevalence of chronic diseases, resulting in multimorbidity affecting 60% of those aged 65 or older. Multimorbidity often leads to polypharmacy, elevating the risk of potentially inappropriate medication (PIM) use and adverse health outcomes. To address these issues, deprescribing has emerged as a patient-centered approach that considers patients’ beliefs and attitudes toward medication and reduces inappropriate polypharmacy in older adults. Our study aims to investigate whether certain chronic medical conditions are associated with older patients’ willingness to deprescribe medications. Methods A cross-sectional study enrolled 192 community-dwelling individuals aged 65 or older taking at least one regular medication. Data included demographics, clinical characteristics, and responses to the Portuguese revised Patients’ Attitudes Towards Deprescribing (rPATD) questionnaire. Descriptive statistics characterized participants, while multiple binary logistic regression identified associations between chronic medical conditions and willingness to deprescribe. Results Among the participants (median age: 72 years, 65.6% female), 91.6% had multimorbidity. The analysis revealed that willingness to deprescribe significantly increased with the presence of gastric disease (adjusted odds ratio [aOR] = 4.123; 95% CI 1.221, 13.915) and age (aOR = 1.121; 95% CI 1.009, 1.246). Conversely, prostatic pathology (aOR = 0.266; 95% CI 0.077, 0.916), higher scores in the rPATD appropriateness factor (aOR = 0.384; 95% CI 0.190, 0.773), and rPATD concerns about stopping factor (aOR = 0.450; 95% CI 0.229, 0.883) diminished patients’ willingness to deprescribe. Conclusions This study highlights the intricate relationship between older patients’ attitudes toward deprescribing and chronic medical conditions. We found that gastric disease was associated with an increased willingness to deprescribe medications, while prostate disease was associated with the opposite effect. Future research should explore how patients with specific diseases or groups of diseases perceive deprescribing of medications general and for specific medications, aiding in the development of targeted interventions.

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Does missing data matter in the revised Patients’ Attitudes Towards Deprescribing questionnaire? A systematic review and two case analyses

Nguyen-Soenen,

Weir,

Jungo

et al. 2024

Research in Social and Administrative Pharmacy

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Attitudes of Lebanese community-dwelling older adults towards deprescribing using the rPATD tool

Cited by 4 publications

References 36 publications

Predictors of older patients' willingness to have medications deprescribed: A cross‐sectional study

Predictors of older patients' willingness to have medications deprescribed: A cross‐sectional study

Influence of chronic medical conditions on older patients’ willingness to deprescribe medications: a cross-sectional study

Does missing data matter in the revised Patients’ Attitudes Towards Deprescribing questionnaire? A systematic review and two case analyses

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