Predictors of medicine-related perceptions towards deprescribing inappropriate medications among older adult outpatients in Jordan: a cross-sectional study DOI Creative Commons
Mohammad Rababa,

Ali Al Ghazo,

Audai A. Hayajneh

et al.

BMJ Open, Journal Year: 2024, Volume and Issue: 14(11), P. e086207 - e086207

Published: Nov. 1, 2024

Objectives To examine the predictors of medicine-related perceptions towards deprescribing inappropriate medications among older adults in Jordan. Design A cross-sectional, correlational study. Setting Data were collected by a graduate nursing student from five outpatient clinics selected public hospital Jordan via inperson interviews 5 days week over period 4 months. Participants convenience sample 200 who regularly visited for regular check-ups during July 2023 recruited. Outcome measures Predictors patients’ perceived medication concerns, interest stopping medications, unimportance and beliefs about overuse examined. Results Increased concerns patients significantly associated with age (p=0.037), lower level self-rated general health (p=0.002), less care-provider knowledge (p=0.041), higher medicines (p=0.018), collaboration care providers (p=0.017), being seen clinical pharmacist (p<0.001) an increased number prescribed (p<0.001). was levels (p=0.029), involvement decision-making (p=0.013), (p=0.024) (p=0.001). Furthermore, more (p=0.007), (p=0.001) greater Moreover, (p=0.016), (p=0.038), having post-traumatic disorder (p=0.018) (p=0.038). Conclusions The current study examined adults. Care should discuss benefits their to prevent side effects long-term unnecessary use. Future studies on effectiveness evidence-based protocol minimising prescription are recommended.

Language: Английский

Influence of chronic medical conditions on older patients’ willingness to deprescribe medications: a cross-sectional study DOI Creative Commons
Anabela Pereira, Manuel Teixeira Veríssimo, Óscar Ribeiro

et al.

BMC Geriatrics, Journal Year: 2024, Volume and Issue: 24(1)

Published: April 4, 2024

Aging correlates with a heightened prevalence of chronic diseases, resulting in multimorbidity affecting 60% those aged 65 or older. Multimorbidity often leads to polypharmacy, elevating the risk potentially inappropriate medication (PIM) use and adverse health outcomes. To address these issues, deprescribing has emerged as patient-centered approach that considers patients' beliefs attitudes toward reduces polypharmacy older adults. Our study aims investigate whether certain medical conditions are associated willingness deprescribe medications.

Language: Английский

Citations

3
Are Saudi Arabian Patients Willing to Be Deprescribed Their Medications? An Exploratory Study DOI Creative Commons
Sultana A. Alhurishi,

M N Alqahtani

Patient Preference and Adherence, Journal Year: 2024, Volume and Issue: Volume 18, P. 779 - 786

Published: March 1, 2024

Purpose: Deprescribing is a complex process that requires active patient involvement, so the patient's attitude to deprescribing crucial its success.This study aimed assess predictors of Saudi Arabian patients' willingness deprescribe.Patients and Methods: In this cross-sectional study, adult patients from two hospitals in Riyadh completed self-administered questionnaire gathering data on demographic information Arabic revised Patients' Attitudes Towards (rPATD) questions.Descriptive analysis binary logistic regression were used analyze data.Results: A total 242 included (mean age 59.8 (SD 11.05) years, range 25-87 years; 40% 60-69 54.1% female).The majority (90%) participants willing have medications deprescribed.Willingness deprescribe was significantly associated with rPATD involvement factor (OR=1.866, 95% CI 1.177-2.958,p=0.008) perception their health status (OR=2.08,CI=1.058-4.119,p=0.034). Conclusion:The one or more deprescribed if recommended by doctors.Patient perceptions about own important predictive factors could shape counseling education strategies encourage deprescribing.

Language: Английский

Citations

0
Comité de Gerontología. Abordaje clínico terapéutico del adulto mayor con diabetes mellitus DOI Creative Commons

A Cagide,

Isabel Cavani,

Teresa Cavani

et al.

Revista de la Sociedad Argentina de Diabetes, Journal Year: 2024, Volume and Issue: 58(1Sup), P. 28 - 32

Published: April 1, 2024

El desarrollo de la civilización se asocia con un incremento en edad población. Hoy Argentina el adulto mayor (AM: persona 65 años o más) varón tiene una expectativa vida 76 y mujer 80 años, lo que representa 15% del porcentaje población los grandes centros urbanos. Se estima AM diabetes mellitus (DM) es entre 20-30%. Esta patología, sus comorbilidades complicaciones (en especial cardiovasculares, infecciosas, cognitivas oncológicas) llaman a esfuerzo equipo salud y, especial, las personas dedicadas este grupo etario. Es importante enfoque multidisciplinario, adaptado circunstancias su situación sociocultural económica, orientando recursos prevención primaria, secundaria terciaria. Frente al cambio constante, actualmente requiere participación para brindar respuestas soluciones donde control metabólico, cardiovascular, cognitivo movilidad tiendan mantener independencia funcional fin priorizar seguridad técnicas diagnósticas terapéuticas marco diálogo acuerdos.

Citations

0
Validation and Assessment of Patients' and Their Caregivers' Attitude Toward Medications Deprescribing in Qatar: A Cross-sectional study of Home Health Care Services in Qatar DOI Creative Commons

Asmaa Abdelaziz Mohamed,

Ola Yakti,

Essa Mubarak

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: May 20, 2024

Abstract Introduction: Polypharmacy remains a pressing concern among the elderly population, often leading to adverse drug reactions (ADRs), emergency department (ED) visits, and hospital admissions. Studies have underscored polypharmacy as robust predictor of potentially inappropriate medication use associated poor clinical outcomes in individuals aged 65 older. Despite decline medical treatment effectiveness with aging, patients caregivers express reluctance discontinue regular medications, necessitating deeper understanding their perceptions beliefs regarding deprescribing. Methods: This study aimed assess attitudes toward deprescribing medications Qatar. The first phase involved translating validating caregivers' version revised Patients’ Attitudes Toward Deprescribing (rPATD) tool. Subsequently, prospective cross-sectional was conducted, utilizing validated self-administered questionnaires both English Arabic. Results: significant proportion perceived burden inconvenient burdensome. While satisfaction current generally high, notable willingness under physician recommendation observed. Moreover, participants expressed strong desire be decision-making processes, highlighting culture person-centered care. this, concerns events, efficacy, necessity persisted respondents. Conclusion:this provides insights into surrounding Qatar, emphasizing importance tailored strategies shared practice.

Language: Английский

Citations

0
Healthcare provider-related perceptions toward deprescribing inappropriate medications among older adult outpatients DOI Creative Commons
Mohammad Rababa,

Ali Al Ghazo

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(11), P. e0312762 - e0312762

Published: Nov. 12, 2024

Objectives To examine healthcare provider-related perceptions toward deprescribing inappropriate medications among older adults. Methods A cross-sectional, correlational study used a convenience sample of outpatient adults to measure their perception using Patient’s Perceptions Deprescribing (PPoD), which include 57 multiple-choice questions related patients’ sociodemographic data, health, medicines, providers, and experience care provided by the clinic. Data were collected graduate nursing student from one pharmacy in public hospital, five days per week, via in-person interviews. Results analyzed for 200 participants. The level patient collaboration with primary providers (PCPs) is linked trust PCPs, beliefs about medication use, PCP knowledge, concerns (p < .0001). Patient involvement decision-making also associated PCPs willingness stop Additionally, decision-making, general receiving conflicting information medicine = .010). Lastly, knowledge views on importance concerns, seeking help interactions clinical pharmacists, being advised pharmacist discontinue Conclusions found that adults’ PCP, deprescribing, are medicine-related factors. Therefore, should discuss benefits prevent long-term side effects. Future studies focus effectiveness evidence-based protocols

Language: Английский

Citations

0
Predictors of medicine-related perceptions towards deprescribing inappropriate medications among older adult outpatients in Jordan: a cross-sectional study DOI Creative Commons
Mohammad Rababa,

Ali Al Ghazo,

Audai A. Hayajneh

et al.

BMJ Open, Journal Year: 2024, Volume and Issue: 14(11), P. e086207 - e086207

Published: Nov. 1, 2024

Objectives To examine the predictors of medicine-related perceptions towards deprescribing inappropriate medications among older adults in Jordan. Design A cross-sectional, correlational study. Setting Data were collected by a graduate nursing student from five outpatient clinics selected public hospital Jordan via inperson interviews 5 days week over period 4 months. Participants convenience sample 200 who regularly visited for regular check-ups during July 2023 recruited. Outcome measures Predictors patients’ perceived medication concerns, interest stopping medications, unimportance and beliefs about overuse examined. Results Increased concerns patients significantly associated with age (p=0.037), lower level self-rated general health (p=0.002), less care-provider knowledge (p=0.041), higher medicines (p=0.018), collaboration care providers (p=0.017), being seen clinical pharmacist (p<0.001) an increased number prescribed (p<0.001). was levels (p=0.029), involvement decision-making (p=0.013), (p=0.024) (p=0.001). Furthermore, more (p=0.007), (p=0.001) greater Moreover, (p=0.016), (p=0.038), having post-traumatic disorder (p=0.018) (p=0.038). Conclusions The current study examined adults. Care should discuss benefits their to prevent side effects long-term unnecessary use. Future studies on effectiveness evidence-based protocol minimising prescription are recommended.

Language: Английский

Citations

0