Canadian Journal on Aging / La Revue canadienne du vieillissement,
Год журнала:
2024,
Номер
unknown, С. 1 - 9
Опубликована: Март 8, 2024
Abstract
Behavioural
treatments
are
recommended
first-line
for
insomnia,
but
long-term
benzodiazepine
receptor
agonist
(BZRA)
use
remains
common
and
engaging
patients
in
a
deprescribing
consultation
is
challenging.
Few
interventions
directly
target
patients.
Prescribers’
support
of
patient-targeted
may
facilitate
their
uptake.
Recently
assessed
the
Your
Answers
When
Needing
Sleep
New
Brunswick
(YAWNS
NB)
study,
Sleepwell
(mysleepwell.ca)
was
developed
as
direct-to-patient
behaviour
change
intervention
promoting
BZRA
non-pharmacological
insomnia
management.
prescribers
YAWNS
NB
participants
were
invited
to
complete
an
online
survey
assessing
acceptability
intervention.
The
using
seven
construct
components
theoretical
framework
(TFA)
framework.
Respondents
(40/250,
17.2%)
indicated
high
acceptability,
with
positive
responses
per
TFA
averaging
32.3/40
(80.7%).
Perceived
ethical,
credible,
useful
tool,
also
promoted
prescriber–patient
engagements
(11/19,
58%).
Prescribers
accepting
supported
its
application
British Journal of Clinical Pharmacology,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 24, 2025
Deprescribing
is
complex
because
it
involves
patients'
health,
values,
and
preferences.
The
World
Health
Organization
Canadian
Medication
Appropriateness
Network
have
recommended
that
deprescribing
be
integrated
into
health
curricula,
prompting
the
need
for
further
understanding
about
education.
purpose
of
this
research
to
describe
literature
regarding
education
provided
healthcare
professionals.
We
conducted
a
scoping
review
using
five-step
model
by
Arksey
O'Malley
with
revisions
from
Levac
et
al.
databases
searched
included
Medline,
Scopus,
Embase
ERIC.
Papers
were
if
they
written
in
English
contained
an
educational
intervention
tailored
toward
physicians,
pharmacists
or
nurses.
White
papers
conference
abstracts
included.
A
total
4853
eligible
screening
46
(25
full
texts,
15
6
white
papers).
Thirty-three
utilized
group
their
these,
20
involved
interactive
portions.
Medicine
was
most
targeted
profession,
29
papers.
common
outcomes
number
medications
deprescribed
increase
learner
knowledge
self-efficacy
self-assessment
surveys
post-educational
examinations.
found
there
evidence
interventions
can
participant
improve
self-efficacy.
To
expand
deprescribing,
future
should
engage
utilize
variety
professions
could
include
real
patients.
Further
required
determine
retention
application
gained
single
interventions.
Aging Medicine,
Год журнала:
2022,
Номер
5(2), С. 126 - 137
Опубликована: Март 15, 2022
Abstract
Appropriate
medication
use
is
one
of
the
most
significant
challenges
among
older
population.
Although
problems
are
well
documented
at
secondary
and
tertiary
health
care
level,
evidence
primary
level
OECD
region
limited.
A
narrative
review
existing
literature
was
conducted
through
a
nonsystematic
search
for
original
articles
electronic
databases,
Ovid
Medline,
Google
Scholar
from
2001
to
2021,
combination
citation
references.
Medication
prevalent
in
adults
level.
The
main
issues
identified
were
as
follows;
nonadherence,
adverse
drug
events,
accessibility,
polypharmacy,
inappropriate
medications,
belief
about
lack
knowledge
awareness,
deprescribing.
In
addition,
current
has
possibilities
problems:
many
forgetfulness,
deprescribing,
communication,
poor
understanding,
limited
awareness
medications.
This
found
that
various
subclusters
impact
need
adults.
Therefore,
effective
interventions
targeting
these
be
developed
reduce
Journal of the American Geriatrics Society,
Год журнала:
2023,
Номер
72(3), С. 660 - 669
Опубликована: Ноя. 9, 2023
Abstract
Deprescribing
is
the
intentional
dose
reduction
or
discontinuation
of
a
medication.
The
development
deprescribing
interventions
should
take
into
consideration
important
organizational,
interprofessional,
and
patient‐specific
barriers
that
can
be
further
complicated
by
presence
multiple
prescribers
involved
in
patient's
care.
Patients
who
receive
care
from
an
increasing
number
may
experience
disruptions
timely
transfer
relevant
healthcare
information,
risk
exposure
to
drug–drug
interactions
other
medication‐related
problems.
Furthermore,
fragmentation
information
across
health
systems
contribute
refilling
discontinued
medications,
reducing
effectiveness
interventions.
Thus,
must
carefully
consider
unique
characteristics
patients
their
ensure
are
successfully
implemented.
In
this
special
article,
international
working
group
physicians,
pharmacists,
nurses,
epidemiologists,
researchers
United
States
Research
Network
(USDeN)
developed
socioecological
model
understand
how
influence
implementation
intervention
at
individual,
interpersonal,
societal
level.
This
manuscript
also
includes
description
concept
outlines
research
agenda
for
future
investigations
consider.
contained
used
as
framework
successful
service
effective
possible.
Canadian Pharmacists Journal / Revue des Pharmaciens du Canada,
Год журнала:
2024,
Номер
157(3), С. 133 - 142
Опубликована: Апрель 13, 2024
Background:
Sustainable
implementation
of
new
professional
services
into
clinical
practice
can
be
difficult.
In
2019,
a
population-wide
initiative
called
SaferMedsNL
was
implemented
across
the
province
Newfoundland
and
Labrador
(NL),
to
promote
appropriate
medication
use.
Two
evidence-based
interventions
were
adapted
context
NL
deprescribing
proton
pump
inhibitors
sedatives.
The
objective
this
study
identify
prioritize
which
actions
supported
in
community
for
pharmacists,
physicians
nurse
practitioners
province.
Methods:
Community
invited
participate
virtual
focus
groups.
Nominal
Group
Technique
used
elicit
responses
question:
“What
support
daily
workflow
your
practice?”
Participants
prioritized
within
each
group
while
thematic
analysis
permitted
comparison
Results:
Five
groups
held
fall
2020
involving
pharmacists
(
n
=
11),
7)
4).
worked
rural
10)
urban
12)
settings.
different
agreed
on
what
top
5
were,
with
receiving
68%
scores:
(1)
providing
patient
education,
(2)
allocating
time
resources,
(3)
building
interprofessional
collaboration
communication,
(4)
fostering
relationships
(5)
aligning
public
awareness
strategies.
Conclusion:
Pharmacists,
identified
similar
that
implementing
routine
practice.
Sharing
these
strategies
may
help
others
embed
assist
uptake
appropriateness
initiatives
by
front-line
providers.
Can
Pharm
J
(Ott)
2024;157:xx-xx.
Pharmacy,
Год журнала:
2020,
Номер
8(4), С. 220 - 220
Опубликована: Ноя. 18, 2020
Pharmacists
play
a
key
role
in
deprescribing
medications.
Incorporation
of
this
concept
into
pharmacy
school
curricula
is
important
ensuring
that
graduates
can
address
the
complex
needs
an
aging
population.
The
aims
study
were
to
assess
if
and
how
student
pharmacists
exposed
within
their
curriculum,
students'
perceptions
regarding
attitudes,
ability
confidence
deprescribing,
reported
curricular
exposure
topic
resulted
improved
or
objective
knowledge
assessment
scores.
An
electronic
survey
was
distributed
third-
fourth-year
students
at
132
schools
pharmacy.
included
three
sections
including:
(i)
demographics
questions
on
other
experiences
curriculum;
(ii)
ability,
5-point
Likert-scale;
(iii)
polypharmacy
form
12
multiple-choice
questions.
Likert-scale
analyzed
as
scales
utilizing
mean
score
for
items
measuring
confidence.
Comparisons
made
each
variable
between
with
without
using
t-tests.
Ninety-one
responses
analysis.
Only
59.3%
respondents
didactic
coursework.
scores
assessments
61.0%
64.5%,
respectively.
Those
concepts
curriculum
more
likely
agree
school's
prepared
them
deprescribe
clinical
practice
(t(89)
=
-2.26,
p
0.03).
Pharmacy
should
evaluate
consider
addition
specific
objectives
outcome
measures
experiential
training.
Therapeutic Advances in Drug Safety,
Год журнала:
2020,
Номер
11, С. 204209862090961 - 204209862090961
Опубликована: Янв. 1, 2020
Research
into
the
practice
of
medication
review
is
developing
across
world
in
response
to
ever-increasing
burden
inappropriate
polypharmacy.
Education,
training
and
support
undergraduates
novice
practitioners
equip
them
participate
process
could
lead
long-term
shifts
practice.
The
purpose
this
study
was
explore
awareness
pharmacy
medical
about
review,
deprescribing
polypharmacy,
order
inform
improvement
strategies.
In
November
2016,
all
final-year
students
at
a
London
(UK)
university
were
invited
complete
short
questionnaire
survey.
Qualitative
analysis
inductively
themed
free-text
comments
quantitative
used
descriptive
statistics
summarize
responses,
with
chi-square
tests
indicate
differences
between
groups.
overall
rate
34%
(171/500).
terms
'medication
review'
'polypharmacy'
known
students,
whilst
term
'deprescribing'
unfamiliar
no
difference
meant
different
things
groups:
suggested
focus
on
adherence
patient
understanding,
focused
interactions
whether
medicines
still
indicated.
groups
differed
their
perceptions
who
they
thought
undertook
reviews,
identifies
potentially
medicines,
makes
final
decision
deprescribe
frequency
reviews.
Both
reported
that
qualification
would
not
be
comfortable
stopping
medicine
without
discussion
senior
colleague,
but
prompting
colleague
review.
had
some
tools.
meaning
student
While
clinical
aspects,
emphasized
experience.
anticipated
lack
confidence
support,
highlighting
need
for
alignment
education
professional
development
syllabi
way
combines
variety
perspectives.
Prompts
by
juniors
more
reviews
within
existing
practice,
may
give
invaluable
experience
reviewing
future
careers
as
seniors.
