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Are residents of aged care facilities willing to have their medications deprescribed?

Citation

Kalogianis, MJ and Wimmer, BC and Turner, JP and Tan, EC and Emery, T and Robson, L and Reeve, E and Hilmer, SN and Bell, JS, Are residents of aged care facilities willing to have their medications deprescribed?, Research in Social & Administrative Pharmacy : RSAP, 12, (5) pp. 784-788. ISSN 1551-7411 (2016) [Refereed Article]

Copyright Statement

Copyright 2016 Elsevier Inc.

DOI: doi:10.1016/j.sapharm.2015.12.004

Abstract

PURPOSE: There has been recent interest in deprescribing, particularly among older people. No previous studies have assessed whether residents of aged care facilities are willing to have their medications deprescribed. Understanding residents' attitudes toward deprescribing is important for developing deprescribing interventions.

OBJECTIVE: To investigate residents' willingness to have their medications deprescribed.

METHODS: This was a cross-sectional survey of 232 residents aged ≥65 years from six residential aged care facilities (RACFs) across metropolitan and regional South Australia. Overall, 163 of the 232 residents (70.3%) took ≥9 regular medications. All participants completed the 10-item Patients' Attitudes Towards Deprescribing (PATD) questionnaire.

RESULTS: Overall, 40.5% of residents reported a desire to stop taking one or more of their medications. If their doctor said it was possible, 78.9% of residents were willing to have one or more of their medications deprescribed. Residents taking ≥9 medications were more likely to feel that they were taking a large number of medications compared to residents taking <9 medications (50.3% vs 14.5%, P < 0.01), and were more likely to believe one or more of their medications was causing side effects (14.7% vs 10.1%, P = 0.02). However, residents taking ≥9 regular medications were not significantly more likely to want to reduce their number of medications than residents taking <9 medications.

CONCLUSIONS: Deprescribing interventions are likely to be acceptable to residents' of RACFs, with a high willingness to discontinue medicines if doctors say it is possible. This highlights the importance of the proactive involvement of health care professionals in an individualized deprescribing process.

Item Details

Item Type:Refereed Article
Keywords:long-term care, polypharmacy, deprescribing, aged, attitudes towards deprescribing
Research Division:Medical and Health Sciences
Research Group:Pharmacology and Pharmaceutical Sciences
Research Field:Clinical Pharmacy and Pharmacy Practice
Objective Division:Expanding Knowledge
Objective Group:Expanding Knowledge
Objective Field:Expanding Knowledge in the Medical and Health Sciences
Author:Wimmer, BC (Dr Barbara Wimmer)
ID Code:109094
Year Published:2016
Web of Science® Times Cited:4
Deposited By:Pharmacy
Deposited On:2016-05-23
Last Modified:2017-12-05
Downloads:0

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