Evidence map›Paper›PMID 34057662›Full record

ArticleCommunity mental health journal2022

Psychotropic Polypharmacy and Antipsychotics in Children: A Survey of Caregiver's Perspectives.

Jennifer L McLaren, Erin R Barnett, Stephanie C Acquilano, Milangel T Concepcion Zayas, Robert E Drake, JoAnna K Leyenaar

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Article in Community mental health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 25% of its field
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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  3. Article
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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

6 authors at 2 institutions in 1 country.

Jennifer L McLarenDepartment of Psychiatry, Dartmouth Hitchcock Medical Center, Lebanon, NH, 03756, USA. Jennifer.L.McLaren@hitchcock.org.ORCID http://orcid.org/0000-0002-5883-3027
Erin R BarnettDepartment of Psychiatry, Dartmouth Hitchcock Medical Center, Lebanon, NH, 03756, USA.
Stephanie C AcquilanoVulnerable Children Research Group, The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Milangel T Concepcion ZayasVulnerable Children Research Group, The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Robert E DrakeWestat, Inc., 85 Mechanic Street, Suite C3-1, Lebanon, NH, USA.
JoAnna K LeyenaarVulnerable Children Research Group, The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Dartmouth Institute for Health Policy and Clinical Practice · USWestat (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe examined caregiver's knowledge, attitudes, and concerns about their child's psychotropic medication regimen and the potential side effects, describe how they seek information regarding treatment, and ascertain their perspectives toward deprescribing.

methodsWe surveyed 48 caregivers of children 6-17 years old treated with two or more psychotropic medications or an antipsychotic medication, analyzing outcomes using descriptive statistics.

resultsAlmost all (N = 44, 92%) participants reported feeling very knowledgeable about why medications were prescribed, but only one-third (N = 16, 33%) reported feeling very knowledgeable about potential problems with long-term use or polypharmacy. Half of respondents (N = 24, 50%) reported asking their provider about reducing/stopping medications due to concerns about harmful effects, and nearly half (N = 20, 42%) reported stopping medications earlier than recommended.

conclusionsInterventions to engage caregivers in shared decision-making about complex medication regimens and to support prescribers to safely deprescribe psychotropic medications are needed to address caregivers' concerns regarding psychotropic medication use.

Indexed as

Antipsychotic AgentsDeprescriptionsAdolescentCaregiversChildHumansPolypharmacyPsychotropic DrugsSurveys and QuestionnairesAntipsychotic AgentsPsychotropic DrugsChildren’s mental healthDeprescribingParent perspectivesPolypharmacyPsychotropic medicationsSide effects

Identifiers

PMID34057662
OpenAlexW3163957339

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.