Evidence map›Paper›PMID 34647238›Full record

ReviewEuropean geriatric medicine2022

Intervention elements and behavior change techniques to improve prescribing for older adults with multimorbidity in Singapore: a modified Delphi study.

Jia Ying Tang, Penny Lun, Poh Hoon June Teng, Wendy Ang, Keng Teng Tan, Yew Yoong Ding

Abstract readReview
PubMed Publisher
In one paragraph

Review in European geriatric medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Appropriate Prescribing for older adults with Multimorbidity (Pro-M): protocol for a feasibility study.Archives of public health = Archives belges de sante publique · 2024
    Article
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.

Jia Ying TangGeriatric Education and Research Institute Limited, 2 Yishun Central 2, Singapore, 768024, Singapore. tang.jia.ying@geri.com.sg.ORCID 0000-0001-7024-8288
Penny LunGeriatric Education and Research Institute Limited, 2 Yishun Central 2, Singapore, 768024, Singapore.ORCID 0000-0001-8125-7411
Poh Hoon June TengGeriatric Education and Research Institute Limited, 2 Yishun Central 2, Singapore, 768024, Singapore.ORCID 0000-0002-8008-5440
Wendy AngDepartment of Pharmacy, Changi General Hospital, Singapore, Singapore.
Keng Teng TanDepartment of Pharmacy, Tan Tock Seng Hospital, Singapore, Singapore.
Yew Yoong DingGeriatric Education and Research Institute Limited, 2 Yishun Central 2, Singapore, 768024, Singapore.ORCID 0000-0002-3128-8954

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePotentially inappropriate prescribing among older adults is a rising concern, attributed mainly by polypharmacy and multimorbidity. We aimed to identify key components and strategies for construction of a context-relevant intervention to facilitate appropriate prescribing in outpatient clinics in Singapore.

methodsThe modified Delphi study was conducted in two rounds with 20 geriatricians from seven public hospitals in Singapore. Round one survey presented 69 statements formulated from a scoping review, while round two presented 23 statements with some modifications based on round one comments. The statements were rated against a 7-point Likert scale on their importance and impact on prescribing for older adults with multimorbidty.

resultsConsensus were achieved for 90% of the statements. Seven intervention elements were identified as being important: medication review, training, medication therapy management, shared decision making, patient interview, medication reconciliation, comprehensive geriatric assessment. In addition, some commonly identified behavior change techniques included goal setting (behavior), goal setting (outcome) and problem solving.

conclusionsThis study identified important intervention elements and their potential strategies that could be adopted in an intervention to optimize appropriate prescribing for older adults with multimorbidity.

Indexed as

MultimorbidityPolypharmacyAgedBehavior TherapyDelphi TechniqueHumansSingaporeGeriatricsImplementation scienceInappropriate prescribingOutpatientsSystem analysis

Identifiers

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.