Emily Reeve1,2,3, Allicia C Anthony4,5, Lisa Kouladjian O'Donnell1,4, Lee-Fay Low6, Susan J Ogle4,7, James E Glendenning7, Catriona Eb Lorang8, Sarah N Hilmer1,4. 1. NHMRC Cognitive Decline Partnership Centre, Faculty of Medicine and Health, Kolling Institute of Medical Research, Northern Clinical School, University of Sydney, Sydney, New South Wales, Australia. 2. Geriatric Medicine Research, Faculty of Medicine, Dalhousie University and Nova Scotia Health Authority, Halifax, Nova Scotia, Canada. 3. College of Pharmacy, Dalhousie University, Halifax, Nova Scotia, Canada. 4. Departments of Aged Care and Clinical Pharmacology, Royal North Shore Hospital, Sydney, New South Wales, Australia. 5. Department of Aged Care, Liverpool Hospital, Sydney, New South Wales, Australia. 6. University of Sydney, Sydney, New South Wales, Australia. 7. Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia. 8. The Dementia Centre, HammondCare, Sydney, New South Wales, Australia.
Abstract
OBJECTIVES: (i) To develop a version of the revised Patients' Attitude Towards Deprescribing (rPATD) questionnaire for people with mild cognitive impairment (MCI) and mild-to-moderate dementia (rPATDcog); and (ii) to capture the beliefs and attitudes of this population and their carers about deprescribing through a pilot study. METHODS: First, the rPATDcog was modified from the rPATD and tested in a small group of participants with MCI or mild dementia, and then, we conducted a pilot study of the rPATDcog and the carers' rPATD. RESULTS: Twenty-one participants with cognitive impairment and 11 carer participants (forming dyads) participated in this study. Eighty-one per cent (17/21) of participants said that they would stop one or more of their medications if their doctor said it was possible. There was an excellent agreement of corresponding questions between dyads. CONCLUSION: The rPATDcog was feasible to administer in this study. Further work is required to provide generalisable results and determine utility in practice.
OBJECTIVES: (i) To develop a version of the revised Patients' Attitude Towards Deprescribing (rPATD) questionnaire for people with mild cognitive impairment (MCI) and mild-to-moderate dementia (rPATDcog); and (ii) to capture the beliefs and attitudes of this population and their carers about deprescribing through a pilot study. METHODS: First, the rPATDcog was modified from the rPATD and tested in a small group of participants with MCI or mild dementia, and then, we conducted a pilot study of the rPATDcog and the carers' rPATD. RESULTS: Twenty-one participants with cognitive impairment and 11 carer participants (forming dyads) participated in this study. Eighty-one per cent (17/21) of participants said that they would stop one or more of their medications if their doctor said it was possible. There was an excellent agreement of corresponding questions between dyads. CONCLUSION: The rPATDcog was feasible to administer in this study. Further work is required to provide generalisable results and determine utility in practice.
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