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To Know the Elderly's Ideas and Attitudes About Polypharmacy and Deprescribing: A Qualitative Study.

Record Type:	Electronic resources : Monograph/item
Title/Author:	To Know the Elderly's Ideas and Attitudes About Polypharmacy and Deprescribing: A Qualitative Study./
Author:	Foreman, Nicole Isabel Vicente.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
Description:	54 p.
Notes:	Source: Dissertations Abstracts International, Volume: 83-09, Section: B.
Contained By:	Dissertations Abstracts International83-09B.
Subject:	Prostate. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28992493
ISBN:	9798209809081

To Know the Elderly's Ideas and Attitudes About Polypharmacy and Deprescribing: A Qualitative Study.
Foreman, Nicole Isabel Vicente.

To Know the Elderly's Ideas and Attitudes About Polypharmacy and Deprescribing: A Qualitative Study. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 54 p.

Source: Dissertations Abstracts International, Volume: 83-09, Section: B.

Thesis (Master's)--Universidade da Beira Interior (Portugal), 2021.

This item must not be sold to any third party vendors.

Introduction: The prevalence of polypharmacy and potentially inappropriate medications is considered high in the elderly, making them vulnerable to adverse drug events. Elderly's medication review followed by cessation of potentially inappropriate medications with a health professional's help is called deprescribing. Several barriers and enablers influence this process. So, its knowledge can help health professionals to better approach deprescribing. This study aims to understand the elderly's attitudes and ideas about polypharmacy and deprescribing and infer the main barriers and enablers to deprescription.Methodology: A qualitative approach through a focus group was carried out with older adults under polypharmacy from an adult day-care centre. Transcription and codification, into themes and subthemes based in previous frameworks was made. Each one of those corresponds to barriers and enablers of deprescription.Results: Eleven older adults participated in the focus group. The identified elderly's ideas and attitudes could be clustered into five main barriers (appropriateness, process, influences, fear and others) and four main enablers (appropriateness, process, influences and dislike).Conclusion: Although elderly's strong beliefs regarding medication benefits and necessity prevail, contrary opinions regarding lack of benefit/necessity, the experience of drug interactions/side effects, medication complexity/number may influence their willingness to deprescribe positively. The health professionals' influence and the patients' trust in their doctors showed to be essential for decision-making as either a barrier or an enabler. Therefore, the elderly's attitudes and ideas are complex and may influence their willingness to be deprescribed. The medication benefit was a high barrier approached, and side effects/drug interactions experiences, one of the most enablers approached.

ISBN: 9798209809081Subjects--Topical Terms:

794571
Prostate.

To Know the Elderly's Ideas and Attitudes About Polypharmacy and Deprescribing: A Qualitative Study.
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100 1 $a Foreman, Nicole Isabel Vicente. $3 3685911
245 1 0 $a To Know the Elderly's Ideas and Attitudes About Polypharmacy and Deprescribing: A Qualitative Study.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2021
300 $a 54 p.
500 $a Source: Dissertations Abstracts International, Volume: 83-09, Section: B.
500 $a Advisor: Simoes, Jose Augusto Rodrigues;Simoes, Pedro Augusto Gomes Rodrigues Marques.
502 $a Thesis (Master's)--Universidade da Beira Interior (Portugal), 2021.
506 $a This item must not be sold to any third party vendors.
520 $a Introduction: The prevalence of polypharmacy and potentially inappropriate medications is considered high in the elderly, making them vulnerable to adverse drug events. Elderly's medication review followed by cessation of potentially inappropriate medications with a health professional's help is called deprescribing. Several barriers and enablers influence this process. So, its knowledge can help health professionals to better approach deprescribing. This study aims to understand the elderly's attitudes and ideas about polypharmacy and deprescribing and infer the main barriers and enablers to deprescription.Methodology: A qualitative approach through a focus group was carried out with older adults under polypharmacy from an adult day-care centre. Transcription and codification, into themes and subthemes based in previous frameworks was made. Each one of those corresponds to barriers and enablers of deprescription.Results: Eleven older adults participated in the focus group. The identified elderly's ideas and attitudes could be clustered into five main barriers (appropriateness, process, influences, fear and others) and four main enablers (appropriateness, process, influences and dislike).Conclusion: Although elderly's strong beliefs regarding medication benefits and necessity prevail, contrary opinions regarding lack of benefit/necessity, the experience of drug interactions/side effects, medication complexity/number may influence their willingness to deprescribe positively. The health professionals' influence and the patients' trust in their doctors showed to be essential for decision-making as either a barrier or an enabler. Therefore, the elderly's attitudes and ideas are complex and may influence their willingness to be deprescribed. The medication benefit was a high barrier approached, and side effects/drug interactions experiences, one of the most enablers approached.
520 $a Introducao: A prevalencia de polimedicacao e de medicamentos potencialmente inapropriados nos idosos e considerada alta, tornando-os assim um grupo vulneravel a efeitos adversos relacionados com a medicacao. Uma revisao da medicacao dos idosos juntamente com a desprescricao dos medicamentos potencialmente inapropriados com a ajuda de um profissional de saude e chamada de desprescricao. Diversas barreiras e facilitadores influenciam este processo. Portanto, o seu conhecimento ajudara os profissionais de saude a abordar melhor a desprescricao. Este estudo tem como objetivos conhecer as atitudes e ideias dos idosos sobre a polimedicacao e a desprescricao e inferir sobre as principais barreiras e facilitadores da desprescricao.Metodologia: Procedeu-se a uma abordagem qualitativa, atraves de um "focus group", com um grupo de idosos polimedicados de um centro de dia. Posteriormente, seguiu-se a transcricao e codificacao em temas e subtemas, com base em estudos anteriores. Cada um destes corresponde a uma barreira ou facilitador da desprescricao.Resultados: Um total de onze idosos participaram no "focus group". As ideias e atitudes dos idosos identificas foram agrupadas em cinco barreiras (adequacao da desprescricao, influencias, processo, medo e outros) e quatros facilitadores principais (adequacao da desprescricao, influencias, processo e nao gostar da medicacao).Conclusao: Embora as crencas dos idosos em relacao ao beneficio/necessidade da medicacao prevalecam, opinioes contraditorias sobre a falta de beneficio/necessidade, a experiencia de efeitos adversos/interacoes medicamentosas e a complexidade e numero de medicamentos, podem influenciar positivamente a desprescricao. A influencia dos profissionais e a confianca dos idosos nos seus medicos, mostraram ser essenciais na tomada de decisao, atuando como uma barreira ou facilitador. Portanto, as atitudes e ideias dos idosos sao complexas e podem influenciar a sua vontade em desprescrever. O beneficio da medicacao foi uma das barreiras mais abordada, e a experiencia de efeitos adversos/interacoes medicamentosas, um dos facilitadores mais abordados.
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