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The Elderly’s Thoughts and Attitudes about Polypharmacy and Deprescribing: A Qualitative Pilot Study in Portugal

2022-11-16Journal article Open access
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dc.contributor.authorSimões, Pedro Augusto Gomes Rodrigues Marques
dc.contributor.authorForeman, Nicole
dc.contributor.authorXavier, Beatriz de Oliveira
dc.contributor.authorPrazeres, Filipe
dc.contributor.authorMaricoto, Tiago
dc.contributor.authorSantiago, Luiz Miguel de Mendonça Soares
dc.contributor.authorSimões, José Augusto Rodrigues
dc.date.accessioned2022-11-18T16:03:59Z
dc.date.available2022-11-18T16:03:59Z
dc.date.issued2022-11-16
dc.description.abstractThe high prevalence of polypharmacy and potentially inappropriate medications in the elderly makes them a vulnerable group to adverse drug events. Deprescribing is the medication review plus cessation of potentially inappropriate medications with a health professional’s help. Several barriers and enablers influence it, and its knowledge can help health professionals. The objective of the study is to understand the Portuguese elderly’s attitudes and ideas about polypharmacy and deprescription. We made a qualitative approach through a focus group with elderly patients from an adult daycare center with transcription and codification into themes and subthemes based on previous frameworks. Eleven elderly patients participated in the focus group. The identified elderly’s ideas and attitudes could be clustered into five main barriers: appropriateness, process, influences, fear, and habit, and five main enablers: appropriateness, process, influences, dislike, and cost. Although the elderly’s strong beliefs regarding medication benefits and necessity prevail, contrary opinions regarding lack of benefit/necessity, drug interaction/side effects, and medication complexity/number may influence their willingness to deprescribe positively. The health professional’s influence and the patient’s trust in their doctors were perceived essential for decision-making as either a barrier or an enabler. The medication benefit was a big barrier, and side effects/drug interaction experiences are an important enabler.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSimões P, Foreman N, Xavier B, Prazeres F, Maricoto T, Santiago L, Simões JA. The Elderly’s Thoughts and Attitudes about Polypharmacy and Deprescribing: A Qualitative Pilot Study in Portugal. Societies. 2022; 12(6):162. https://doi.org/10.3390/soc12060162pt_PT
dc.identifier.doi10.3390/soc12060162pt_PT
dc.identifier.eissn2075-4698,
dc.identifier.urihttp://hdl.handle.net/10400.6/12391
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.ispartofseries6;
dc.relation.publisherversionhttps://www.mdpi.com/2075-4698/12/6/162pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAgedpt_PT
dc.subjectDeprescriptionspt_PT
dc.subjectPolypharmacypt_PT
dc.subjectPotentially inappropriate medicationspt_PT
dc.titleThe Elderly’s Thoughts and Attitudes about Polypharmacy and Deprescribing: A Qualitative Pilot Study in Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceBasel, Switzerlandpt_PT
oaire.citation.startPage162pt_PT
oaire.citation.titleSocietiespt_PT
oaire.citation.volume12pt_PT
person.familyNameSimões
person.familyNameForeman
person.familyNamede Oliveira Xavier
person.familyNamePrazeres
person.familyNameMaricoto
person.familyNameSantiago
person.familyNameRodrigues Simões
person.givenNamePedro Augusto
person.givenNameNicole
person.givenNameBeatriz
person.givenNameFilipe
person.givenNameTiago
person.givenNameLuiz Miguel
person.givenNameJosé Augusto
person.identifierR-00H-X7P
person.identifierL-4695-2016
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person.identifier.ciencia-id1017-111B-5EF4
person.identifier.ciencia-idAB13-2946-9E61
person.identifier.ciencia-idE419-CED2-38BA
person.identifier.orcid0000-0003-4692-2003
person.identifier.orcid0000-0002-6764-0147
person.identifier.orcid0000-0002-1787-4586
person.identifier.orcid0000-0002-2849-5194
person.identifier.orcid0000-0002-4201-9565
person.identifier.orcid0000-0002-9343-2827
person.identifier.orcid0000-0003-2264-7086
person.identifier.ridO-3955-2017
person.identifier.ridM-7423-2019
person.identifier.ridP-9545-2018
person.identifier.scopus-author-id56083702600
person.identifier.scopus-author-id36896116500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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