Back to Search Start Over

Determinants of and interventions for Proton Pump Inhibitor prescription behavior: A systematic scoping review

Authors :
L. C. van Gestel
M. A. Adriaanse
S. L Kanis
S. M. Mensink-Bout
J. W. Schoones
M. E. Numans
J. C. Kiefte-de Jong
G. van den Brink
Source :
BMC Primary Care, Vol 25, Iss 1, Pp 1-11 (2024)
Publication Year :
2024
Publisher :
BMC, 2024.

Abstract

Abstract Background Proton Pump Inhibitors (PPI) are frequently prescribed. Long-term use is associated with side-effects and patients often lack a valid indication. Inappropriate PPI prescribing thus needs to be addressed. This review aims to scope 1) what determinants are studied as reasons for PPI prescribing, 2) what strategies are used for changing PPI (de)prescribing, and 3) whether important determinants are addressed in these interventions. Methods We searched eight databases for papers on determinants of physician PPI prescribing. Studies were included if they were conducted in a Western country and focused on oral PPIs for an adult population. By following the Behaviour Change Wheel, we extracted information regarding PPI prescribing behavior, behavioral determinants and intervention strategies. Findings We included 74 papers. Most focused on the determinants knowledge and beliefs about consequences. The latter was consistently related to PPI prescribing. Results for knowledge were mixed. Most interventions used education or enablement (e.g., algorithms, quality check improvements, involvement of pharmacists) as strategies. Enablement consistently improved PPI prescribing, while results for education were mixed. Interpretation There is an overemphasis on reflective processes in studies on PPI prescribing. Future research should comprehensively identify behavioral determinants, focusing on reflective and impulsive processes, such that interventions can address the most important determinants.

Details

Language :
English
ISSN :
27314553
Volume :
25
Issue :
1
Database :
Directory of Open Access Journals
Journal :
BMC Primary Care
Publication Type :
Academic Journal
Accession number :
edsdoj.819e3e8937204994b714be6acefa13b7
Document Type :
article
Full Text :
https://doi.org/10.1186/s12875-024-02459-5