Evidence map›Paper›PMID 35166431›Full record

ArticleAustralasian journal on ageing2022

Psychotropic medication deprescribing in residential aged care facilities: An exploratory study of the knowledge and attitudes of family members of residents with dementia.

Rhoda Lai, Toni Dianne Withiel, Melissa Angelone, Cameron Redpath, Daniel W O'Connor, Christos Plakiotis

Open access · hybridAbstract read
In one paragraph

Article in Australasian journal on ageing, 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
1.8field-weighted citation impact, top 17% 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, 14 citations in OpenAlex.

  1. Pooled it
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  5. Review
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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 3 institutions in 1 country.

Rhoda LaiMonash Ageing Research Centre (MONARC), Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-0237-4455
Toni Dianne WithielMonash Ageing Research Centre (MONARC), Monash University, Melbourne, Victoria, Australia.
Melissa AngeloneAged Mental Health Service, Monash Health, Melbourne, Victoria, Australia.
Cameron RedpathMonash Ageing Research Centre (MONARC), Monash University, Melbourne, Victoria, Australia.
Daniel W O'ConnorDepartment of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-0188-1340
Christos PlakiotisMonash Ageing Research Centre (MONARC), Monash University, Melbourne, Victoria, Australia.
Monash Health · AUMonash University · AUThe Royal Melbourne Hospital · AU

Funding

Open access publishing facilitated by Monash University, as part of the Wiley - Monash University agreement via the Council of Australian University Librarians.The Lions John Cockayne Memorial Fellowship Trust Fund
6 · The paper itself

Abstract

objectivesGeneral practitioners face many barriers to deprescribing psychotropic medications in people with dementia in nursing homes, including a lack of knowledge about their medication histories. This study explored the knowledge of family members about residents' medications and their willingness to support deprescribing.

methodsSixty-six family members of residents from seven residential aged care facilities participated in this cross-sectional study. Participation involved nomination of recognised medications, rating their effectiveness and rating level of support for deprescribing.

resultsFifty-five per cent of medications were recognised by family members; significantly fewer psychotropics were recognised than non-psychotropic medications. Though rated as just as effective, support for deprescribing psychotropics was significantly higher. Most family members were agreeable to deprescribing with general practitioner support.

conclusionsAlthough there is a gap in family members' knowledge about psychotropic medications, overall they are supportive of deprescribing. Findings emphasise the need for psychoeducation among family members. Providing family members with a list of prescribed medications, specifying the type of and reason for prescription and side effects of each, is recommended to facilitate their advocacy for deprescribing on behalf of nursing home residents.

Indexed as

DementiaDeprescriptionsAgedCross-Sectional StudiesFamilyHumansNursing HomesPsychotropic DrugsPsychotropic DrugsAustraliacaregiversdementianursing homes

Identifiers

PMID35166431
PMCPMC10078740
OpenAlexW4212908808

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.