Evidence map›Paper›PMID 33950855›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2021

Role of the prescriber in supporting patients to discontinue benzodiazepines: a qualitative study.

Erin Oldenhof, Timothy Mason, Jane Anderson-Wurf, Petra K Staiger

Erratum issuedAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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  8. 'Let's talk about sleep health' within primary care: a qualitative study of patients' willingness to engage in psychological interventions for insomnia.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Erin OldenhofFaculty of Health, School of Psychology, Deakin University, Geelong; benzodiazepine counsellor, Reconnexion, a service of EACH, Melbourne.
Timothy MasonSchool of Psychology, Deakin University, Geelong.
Jane Anderson-WurfReconnexion, a service of EACH, Melbourne.
Petra K StaigerFaculty of Health, School of Psychology, Deakin University, Geelong; deputy director, Centre for Drug Use, Addictive and Anti-social behaviour Research (CEDAAR), Deakin University, Geelong.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven the prevalence of long-term benzodiazepine (BZD) prescribing, increased monitoring through the implementation of prescription monitoring programmes (PMPs) may be the necessary impetus to promote BZD deprescribing. Despite evidence promoting the importance of patient-centred care, GPs have not been sufficiently supported to implement these principles through current deprescribing practice.

aimTo investigate patients' perception of their prescriber's influence on ceasing BZD use, including their willingness to take their advice, and to understand how a patient's stage of change influences the barriers and facilitators they perceive to discontinuing BZDs. DESIGN AND

settingAn online survey and qualitative interviews with 22 long-term users of BZD (≥6 months), aged 18-69 years, recruited from the general population in Victoria, Australia.

methodTwo groups of users of BZD participated, one in the process of reducing their BZD and one not reducing, and were categorised according to their stage of change. Data underwent thematic analysis to identify barriers and facilitators to reducing BZDs both at the patient level and the prescriber level.

resultsBZD patients' perceptions of the prescriber influence were characterised by prescribing behaviours, treatment approach, and attitude. Barriers and facilitators to reducing their BZD were mapped against their stage of change. Irrespective of their stage of change, participants reported they would be willing to try reducing their BZD if they trusted their prescriber.

conclusionThis study illustrates that, with a few key strategies at each step of the deprescribing conversation, GPs are well positioned to tackle the issue of long-term BZD use in a manner that is patient centred.

Indexed as

BenzodiazepinesPractice Patterns, Physicians'AustraliaHumansQualitative ResearchSurveys and QuestionnairesBenzodiazepinesbenzodiazepinesdeprescriptionsgeneral practiceguidelinespatient-centredperceptionsZ-drugs

Identifiers

PMID33950855
PMCPMC8216269

What OpenQuestion holds

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Registered trials

None linked

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.