Development and Validation of the Perceptions, Attitudes, and Challenges of Physicians Towards Deprescribing (PACPD-12) Questionnaire

Bhat, D; Saraswathy, G.R.; Kumari, Sweta

doi:10.1016/j.jamda.2018.07.010

Cited by 4 publications

(7 citation statements)

References 10 publications

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“…13 In another study conducted by Sweta, et al, only 34.6%, 32.5% and 33.2% of physicians agreed that these drugs were most preferred for deprescribing, respectively. 12 Both these studies showed different responses than our study.…”

Section: Discussioncontrasting

confidence: 96%

“…The study found that 45.3% of physicians used AGS-Beers criteria while the study conducted by Sweta, et, al., reported only 6.6% of physicians used this criterion. 12 This study identified that majority of the physicians considered deprescribing to reduce harm to the patients which is in accordance with the study conducted by Sweta, et al 12 Among the barriers faced by physicians, this study showed that 54.6% and another study conducted by Sweta, et al, showed that 55.2% of physicians felt that prescriptions provided by another physician were a major barrier. 12 The study conducted by the same author found that 53.8% and 51.7% of physicians would consider the existence of PIMs and acute symptoms related to medications, respectively, as the main indication for deprescribing a medication, whereas, our study showed that 76% and 74.6% of physicians would consider a large number of prescription medications and lower socioeconomic status of the patient, respectively, as the main indicator for deprescribing a medication.…”

Section: Discussionsupporting

confidence: 83%

“…The majority of the physicians (92%) in our study agreed that deprescribing is beneficial which is also found high in the study conducted by Sweta, et al 12 The study conducted by Farrell, et al, found that 92%, 88% and 77% of physicians agreed that Benzodiazepines, Antipsychotics and Antidepressants, respectively, were the most preferred drug for deprescribing. 13 In another study conducted by Sweta, et al, only 34.6%, 32.5% and 33.2% of physicians agreed that these drugs were most preferred for deprescribing, respectively.…”

Section: Discussionsupporting

confidence: 76%

“…Physicians were assessed for their perception of deprescribing in the elderly using a validated instrument "Perceptions, Attitudes and Challenges of Physicians towards Deprescribing (PACPD-12) Questionnaire" which consists of 12 questions. 12 This questionnaire covers the physicians' benefits, preferred age, preferred drugs, reasons, specific criteria, views, enabling factors, barriers, and implementing factors for deprescribing a medication. It also focuses on the positivity, attitude and perception towards deprescribing a medication.…”

Section: Materials Usedmentioning

confidence: 99%

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Perceptions of Indian Physicians towards Deprescribing of Medications for Chronic Diseases in Elderly: A Questionnaire-based Study

Jawahar¹,

Selvaraj²,

Muruganantham³

et al. 2023

Ind. J. Pharm. Edu. Res

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Deprescribing is the process of reconstructing multiple medications use by review and analysis, which concludes with the modification, replacement or elimination of drugs. Medications that were once appropriate may become inappropriate due to age-related physiological changes that increase the risk of harm from medications eliminated by the liver and kidneys and other co-morbidities. In India, with a steadfast rise in the elderly population paralleled with an augmented necessity for chronic disease management, the essence of deprescribing is rarely known and less practiced by physicians. Hence, a questionnaire-based interventional study was conducted to assess their perception and attitude towards implementing the deprescribing process. The study included 75 physicians from the departments of General Medicine and Nephrology, who were initially educated on deprescribing through a self-developed and validated educational video of three minutes duration, following which they were asked to fill the Perceptions, Attitudes and Challenges of Physicians towards Deprescribing Questionnaire. About 76% of the physicians felt that deprescribing was needed to reduce medication-related problems in older patients. Involvement of multiple prescribers (54.6%) was the main challenge stated by physicians; 92% stated deprescribing to be beneficial in current clinical scenario, and 85.3% showed a positive attitude towards integrating deprescribing into their day-to-day clinical practice. Physicians below 40 years with an experience of 0 to 10 years had a significantly positive perception and attitude towards deprescribing. In view of reducing potential medication-related adverse events in the elderly, daily practice of the deprescribing process should become a norm, thereby improving the quality of life.

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Section: Discussioncontrasting

confidence: 96%

Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 76%

Section: Materials Usedmentioning

confidence: 99%

See 2 more Smart Citations

Perceptions of Indian Physicians towards Deprescribing of Medications for Chronic Diseases in Elderly: A Questionnaire-based Study

Jawahar¹,

Selvaraj²,

Muruganantham³

et al. 2023

Ind. J. Pharm. Edu. Res

View full text Add to dashboard Cite

show abstract

“…Over 8 months, face-to-face interviews were conducted using a validated instrument 'Perceptions, Attitudes and Challenges of Physicians towards Deprescribing' (PACPD-12) ( Table 1). 2…”

Section: Methodsmentioning

confidence: 99%