Evidence map›Paper›PMID 27785734›Full record

ArticleDrugs & aging2016

Development and Validation of the Revised Patients' Attitudes Towards Deprescribing (rPATD) Questionnaire: Versions for Older Adults and Caregivers.

Emily Reeve, Lee-Fay Low, Sepehr Shakib, Sarah N Hilmer

3 registry-linked trialsAbstract readValidation Study
PubMed Publisher
In one paragraph

Article in Drugs & aging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 124 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03283735 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Deprescribing: a Portrait and Out-comes of the Reduction of Polypharmacy in Portugal

TypeinterventionalSponsorUniversity of Beira InteriorRan2019 to 2020Enrolled380ConditionsPolypharmacy, DeprescriptionsArmsElderly Enablement
NCT06212713 unknown statusnot on this mapstarted 2023, after this paper: background citation

Development and Validation of a Health Behaviour Theory-based Questionnaire to Explore the Willingness of Older Adults and Informal Caregivers to Deprescribe

TypeobservationalSponsorUniversité Catholique de LouvainRan2023 to 2024Enrolled600ConditionsPsychologicalArmsQuestionnaire administration
NCT06771999 narecruitingnot on this mapstarted 2025, after this paper: background citation

Attitudes Towards Deprescribing of Non-oncologic Medication in Cancer Pacient and the Impact of an Educational Intervention by a Clinical Pharmacist

TypeinterventionalSponsorIuliu Hatieganu University of Medicine and PharmacyRan2025 to 2027Enrolled120ConditionsPalliative Care, CancerArmsEducational intervention by a clinical pharmacist
3 · Its place in the literature

Who cites it

124 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Consumer Attitudes Towards Deprescribing: A Systematic Review and Meta-Analysis.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
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  17. Attitudes Toward Deprescribing Among Older Adults Seeking Care in the Emergency Department.Journal of the American College of Emergency Physicians open · 2026
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64 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Emily ReeveCognitive Decline Partnership Centre, Kolling Institute of Medical Research, Northern Clinical School, University of Sydney, Sydney, NSW, Australia. emily.reeve@sydney.edu.au.ORCID 0000-0002-1405-999X
Lee-Fay LowFaculty of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Sepehr ShakibDepartment of Clinical Pharmacology, Royal Adelaide Hospital, Adelaide, SA, Australia.
Sarah N HilmerCognitive Decline Partnership Centre, Kolling Institute of Medical Research, Northern Clinical School, University of Sydney, Sydney, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKnowledge of consumer (patient and caregiver) attitudes is essential for conducting medication optimization in practice.

objectivesThe aim of this study was to develop and validate a questionnaire to capture older adults' and caregivers' beliefs and attitudes towards deprescribing.

methodsThe previously validated Patients' Attitudes Towards Deprescribing (PATD) questionnaire was expanded based on literature review, expert opinion and focus groups, and a caregivers' version was developed. The revised questionnaire was piloted and then distributed for self-completion to older adults (≥65 years of age), taking at least one regular medication and caregivers of older adults. Psychometric validity and reliability were examined. Responses to questions that were identified to group into a specific factor were combined to produce a score.

resultsA total of 383 consumer questionnaires and 200 caregiver questionnaires were completed and included in analysis. Exploratory factor analysis revealed four factors in both versions of the questionnaire (with four to five questions retained in each factor). The factors relate to the perceived burden of medication taking, belief in appropriateness of medication use (harms and benefits), concerns about stopping the medication, and level of involvement/knowledge of medications. Internal consistency of all factors was acceptable with Cronbach's alpha >0.6. In both the older adults' and caregivers' versions, the burden score was inversely associated with the appropriateness score (p < 0.001 both versions). Factor scores between administration times (test-retest reliability) were statistically significantly correlated (p = 0.000), with gamma values ranging between 0.57 and 0.89.

conclusionThe revised PATD questionnaire had acceptable validity and reliability. This newly validated questionnaire may provide insight into individuals' willingness for/barriers to deprescribing, with applications in practice and research.

Indexed as

Attitude to HealthDeprescriptionsSurveys and QuestionnairesAgedAged, 80 and overCaregiversFemaleHumansMalePatientsPsychometricsReproducibility of Results

Identifiers

PMID27785734

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.