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Attitudes Toward Deprescribing in Older Adults and Caregivers: A Survey in Quebec, Canada

Bianca Rakheja, Caroline Sirois, Nicole Ouellet, Barbara Roux, Marie‐Laure Laroche

2022Journal of Applied Gerontology19 citationsDOIOpen Access PDF

Abstract

This study aimed to describe attitudes toward deprescribing among older adults and caregivers. We recruited 110 adults 65 years and above using at least one prescribed medication for at least 3 months, and 95 unrelated caregivers (18+) of older adults with such characteristics, who answered the validated French version of the revised Patients’ Attitudes Towards Deprescribing questionnaire. More older adults (84.5%) than caregivers (70.5%) ( p = .007) would be willing to stop at least one medication if the doctor said it was possible. Conversely, 93.5% of older adults and 78.9% of caregivers were satisfied with the current medications taken ( p = .0024). The results did not vary according to age, sex, number of medications taken, education level, or residency. Thus, older adults and caregivers are disposed to undertake deprescribing, regardless of sociodemographic characteristics. However, relying solely on satisfaction with current medications may not be sufficient to identify relevant deprescribing opportunities.

Topics & Concepts

DeprescribingMedicinePolypharmacyBeers CriteriaOlder peopleGerontologyGeriatricsFamily medicinePsychiatryInternal medicinePharmaceutical Practices and Patient OutcomesMedication Adherence and ComplianceHealth Systems, Economic Evaluations, Quality of Life