Older people's attitudes towards deprescribing: A community study in Quebec
Canadian Pharmacists Conference ePoster Library. Sirois C. Jun 25, 2016; 132135
Dr. Caroline Sirois
Dr. Caroline Sirois
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Abstract
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OBJECTIVES: Polypharmacy is very common among older individuals and has been associated with adverse outcomes. Reducing the number of medications (deprescribing) might be a valuable option to reduce the risks. However, little is known about older individuals' attitudes towards deprescribing.,METHODS: We ran a pilot study to evaluate the feasibility of using a self-administered questionnaire among community-dwelling older individuals to address their perceptions towards deprescribing. We used a French version of the Australian Patient's attitudes towards deprescribing questionnaire. The questionnaires were distributed in ten community pharmacies and two community centers in the province of Quebec. The participants (N=129) completed the questionnaire containing 10 Likert type questions about polypharmacy/deprescribing and 5 multiple-choice questions. We used descriptive statistics to summarize the participants' characteristics. We performed Chi-square tests to compare the proportions of agreement, and evaluated correlations with Spearman's Rho (alpha=0.05).,RESULTS: The participants were mostly women (63%) with a median age of 76 years (IQR:71-80). The median number of daily medication was 6 (IQR: 3-8). Half of the participants considered they were taking a lot of medications, but 80% judged these medications were necessary and felt comfortable with the number they were taking. More than 80% would accept to take more medications for their health condition if required. Nonetheless, 50% of the participants mentioned they would like to reduce the number of medications they were taking. If their doctor said it would be possible, 71% would be willing to reduce the number of medications used. Those who considered they were taking a lot of medications were more willing to have their number reduced (p<0.001).,CONCLUSIONS: The results show that older individuals in the community are eager to undertake deprescribing, conditional on their doctor's approval.,,
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