Evidence map›Paper›PMID 34574978›Full record

ArticleHealthcare (Basel, Switzerland)2021

Beliefs about Polypharmacy among Home-Dwelling Older Adults Living with Multiple Chronic Conditions, Informal Caregivers and Healthcare Professionals: A Qualitative Study.

Marion Bieri, María del Río Carral, Marie Santiago-Delefosse, Giorgia Miano, Fanny Rosset, Henk Verloo, Filipa Pereira

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2021. 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
–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

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

  1. Pooled it
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  3. Review
  4. Article
  5. 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

7 authors.

Marion BieriSchool of Health Sciences, HES-SO Valais/Wallis, 5 Chemin de l'Agasse, CH-1950 Sion, Switzerland.ORCID 0000-0001-5930-6256
María del Río CarralResearch Center for the Psychology of Health, Aging and Sport Examination, Institute of Psychology, University of Lausanne, Quartier Mouline, CH-1015 Lausanne, Switzerland.ORCID 0000-0002-1676-3964
Marie Santiago-DelefosseResearch Center for the Psychology of Health, Aging and Sport Examination, Institute of Psychology, University of Lausanne, Quartier Mouline, CH-1015 Lausanne, Switzerland.ORCID 0000-0001-7319-0560
Giorgia MianoInstitute of Psychology, University of Lausanne, Quartier Mouline, CH-1015 Lausanne, Switzerland.ORCID 0000-0002-6809-8476
Fanny RossetInstitute of Psychology, University of Lausanne, Quartier Mouline, CH-1015 Lausanne, Switzerland.ORCID 0000-0002-3419-3061
Henk VerlooSchool of Health Sciences, HES-SO Valais/Wallis, 5 Chemin de l'Agasse, CH-1950 Sion, Switzerland.ORCID 0000-0002-5375-3255
Filipa PereiraSchool of Health Sciences, HES-SO Valais/Wallis, 5 Chemin de l'Agasse, CH-1950 Sion, Switzerland.ORCID 0000-0001-9207-4856

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 407440_183434/1
6 · The paper itself

Abstract

Although home-dwelling older adults are frequently assisted with polypharmacy management by their informal caregivers, they can still face medication-related problems. Identifying older adults' and their informal caregivers' beliefs about medication is a gateway to understanding and improving medication adherence. This study aimed to analyse beliefs about polypharmacy among home-dwelling older adults with multiple chronic conditions and their informal caregivers, focusing on their daily medication practices. Semi-structured interviews were conducted with 28 older adults, 17 informal caregivers, but also 13 healthcare professionals. Based on an inductive methodological approach, data were analysed using thematic content analysis. Interviews revealed the different attitudes adopted by older adults and their informal caregivers in relation to the treatment information provided by healthcare professionals. A variety of beliefs were identified and linked to medication adherence by examining daily medication practices. Polypharmacy was experienced as a habit but also an obligation, highlighting some of the strategies and negotiations underlying medication use at home. Collecting viewpoints from multiple stakeholders is an innovative way of accessing and analysing beliefs about polypharmacy. Daily medication practices provided information about medication beliefs and may contribute to developing targeted professional interventions that improve medication adherence.

Indexed as

beliefsdaily medication practiceshome-dwellinginformal caregiverslived experiencemanagementolder adultspolypharmacyqualitative study

Identifiers

PMID34574978
PMCPMC8466336

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Registered trials

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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.