دورية أكاديمية
Patients' and Caregivers' Attitudes Toward Deprescribing in Singapore.
| العنوان: | Patients' and Caregivers' Attitudes Toward Deprescribing in Singapore. |
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| المؤلفون: | Kua CH; Pharmaceutical Society of Singapore (PSS) Deprescribing Workgroup, Singapore.; School of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia., Reeve E; Geriatric Medicine Research, Faculty of Medicine and College of Pharmacy, Dalhousie University and Nova Scotia Health Authority, Halifax, Canada.; College of Medicine, University of Saskatchewan, Saskatoon, Canada., Tan DSY; Pharmaceutical Society of Singapore (PSS) Deprescribing Workgroup, Singapore.; Khoo Teck Puat Hospital, Singapore., Koh T; Pharmaceutical Society of Singapore (PSS) Deprescribing Workgroup, Singapore.; National University Hospital, Singapore., Soong JL; Pharmaceutical Society of Singapore (PSS) Deprescribing Workgroup, Singapore.; Singapore General Hospital, Singapore., Sim MJL; Pharmaceutical Society of Singapore (PSS) Deprescribing Workgroup, Singapore.; National Healthcare Group Pharmacy, Singapore., Zhang TY; Pharmaceutical Society of Singapore (PSS) Deprescribing Workgroup, Singapore.; Ang Mo Kio-Thye Hua Kwan Hospital, Singapore., Chen YR; Pharmaceutical Society of Singapore (PSS) Deprescribing Workgroup, Singapore.; Tan Tock Seng Hospital, Singapore., Ratnasingam V; Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia., Mak VSL; Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Victoria, Australia., Lee SWH; School of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia.; School of Pharmacy, Taylor's University Lakeside Campus, Subang Jaya, Selangor, Malaysia. |
| مؤلفون مشاركون: | Pharmaceutical Society of Singapore Deprescribing Workgroup |
| المصدر: | The journals of gerontology. Series A, Biological sciences and medical sciences [J Gerontol A Biol Sci Med Sci] 2021 May 22; Vol. 76 (6), pp. 1053-1060. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: published on behalf of the Gerontological Society of America by Oxford University Press Country of Publication: United States NLM ID: 9502837 Publication Model: Print Cited Medium: Internet ISSN: 1758-535X (Electronic) Linking ISSN: 10795006 NLM ISO Abbreviation: J Gerontol A Biol Sci Med Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Washington, DC : published on behalf of the Gerontological Society of America by Oxford University Press Original Publication: Washington, DC : Gerontological Society of America, c1995- |
| مواضيع طبية MeSH: | Attitude to Health* , Deprescriptions*, Caregivers/*psychology, Age Factors ; Aged ; Cross-Sectional Studies ; Educational Status ; Female ; Humans ; Inappropriate Prescribing/adverse effects ; Inappropriate Prescribing/prevention & control ; Inappropriate Prescribing/psychology ; Male ; Sex Factors ; Singapore ; Surveys and Questionnaires |
| مستخلص: | Background: Knowledge of decision-making preference of patients and caregivers is needed to facilitate deprescribing. This study aimed to assess the perspectives of caregivers and older adults towards deprescribing in an Asian population. Secondary objectives were to identify and compare characteristics associated with these attitudes and beliefs. Method: A cross-sectional survey of two groups of participants was conducted using the Revised Patients' Attitudes Towards Deprescribing questionnaire. Descriptive results were reported for participants' characteristics and questionnaire responses from four factors (belief in medication inappropriateness, medication burden, concerns about stopping, and involvement) and two global questions. Correlation between participant characteristics and their responses was analyzed. Results: A total of 1,057 (615 older adults; 442 caregivers) participants were recruited from 10 institutions in Singapore. In which 511 (83.0%) older adults and 385 (87.1%) caregivers reported that they would be willing to stop one or more of their medications if their doctor said it was possible, especially among older adults recruited from acute-care hospitals (85.3%) compared with older adults in community pharmacies (73.6%). Individuals who take more than five medications and those with higher education were correlated with greater agreement in inappropriateness and involvement, respectively. Conclusions: Clinicians should consider discussing deprescribing with older adults and caregivers in their regular clinical practice, especially when polypharmacy is present. Further research is needed into how to engage older adults and caregivers in shared decision making based on their attitudes toward deprescribing. (© The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
| التعليقات: | Erratum in: J Gerontol A Biol Sci Med Sci. 2021 May 22;76(6):1074. (PMID: 32275739) |
| فهرسة مساهمة: | Keywords: Decision making; Drug related; Medication; Primary care; Successful aging; rPATD |
| تواريخ الأحداث: | Date Created: 20200123 Date Completed: 20210915 Latest Revision: 20210915 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1093/gerona/glaa018 |
| PMID: | 31965159 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1758-535X |
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| DOI: | 10.1093/gerona/glaa018 |