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Willingness of older people living with dementia and mild cognitive impairment and their caregivers to have medications deprescribed.
- Source :
- Age & Ageing; Jan2023, Vol. 52 Issue 1, p1-9, 9p, 4 Charts, 1 Graph
- Publication Year :
- 2023
-
Abstract
- Background people living with cognitive impairment commonly take multiple medications including potentially inappropriate medications (PIMs), which puts them at risk of medication related harms. Aims to explore willingness to have a medication deprescribed of older people living with cognitive impairment (dementia or mild cognitive impairment) and multiple chronic conditions and assess the relationship between willingness, patient characteristics and belief about medications. Methods cross-sectional study using results from the revised Patients' Attitudes Towards Deprescribing questionnaire (rPATDcog) collected as baseline data in the OPTIMIZE study, a pragmatic, cluster-randomised trial educating patients and clinicians about deprescribing. Eligible participants were 65+, diagnosed with dementia or mild cognitive impairment, and prescribed at least five-long-term medications. Results the questionnaire was mailed to 1,409 intervention patients and 553 (39%) were returned and included in analysis. Participants had a mean age of 80.1 (SD 7.4) and 52.4% were female. About 78.5% (431/549) of participants said that they would be willing to have one of their medications stopped if their doctor said it was possible. Willingness to deprescribe was negatively associated with getting stressed when changes are made and with previously having a bad experience with stopping a medication (P < 0.001 for both). Conclusion most older people living with cognitive impairment are willing to deprescribe. Addressing previous bad experiences with stopping a medication and stress when changes are made to medications may be key points to discuss during deprescribing conversations. [ABSTRACT FROM AUTHOR]
- Subjects :
- CAREGIVER attitudes
THERAPEUTICS
CAREGIVERS
MILD cognitive impairment
ATTITUDE (Psychology)
CHRONIC diseases
CROSS-sectional method
DEPRESCRIBING
PATIENTS' attitudes
DEMENTIA patients
DEMENTIA
HEALTH attitudes
QUESTIONNAIRES
RESEARCH funding
DESCRIPTIVE statistics
PATIENT-professional relations
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 00020729
- Volume :
- 52
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Age & Ageing
- Publication Type :
- Academic Journal
- Accession number :
- 161698654
- Full Text :
- https://doi.org/10.1093/ageing/afac335