Evidence map›Paper›PMID 38184517›Full record

ArticleBMC primary care2024

Improving patient experience for people prescribed medicines with a risk of dependence or withdrawal: co-designed solutions using experience based co-design.

Jennifer Seddon, Claire Friedrich, Sarah Wadd, David Dicks, Sion Scott, Anthea Robinson, Charlotte Walker

Abstract read
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Article
  3. 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

7 authors.

Jennifer SeddonCentre for Psychological Research, Oxford Brookes University, Oxford, UK. jseddon@brookes.ac.uk.ORCID 0000-0001-9040-0902
Claire FriedrichDepartment of Psychiatry, University of Oxford, Oxford, UK.ORCID 0000-0002-5841-4324
Sarah WaddSubstance Misuse and Ageing Research Team, University of Bedfordshire, Luton, UK.ORCID 0000-0003-2158-0879
David DicksSubstance Misuse and Ageing Research Team, University of Bedfordshire, Luton, UK.
Sion ScottSchool of Healthcare, University of Leicester, Leicester, UK.ORCID 0000-0001-7669-0632
Anthea RobinsonEast London NHS Foundation Trust, London, UK.
Charlotte WalkerSubstance Misuse and Ageing Research Team, University of Bedfordshire, Luton, UK.

Funding

National Institute for Health and Care Research, Research for Patient Benefit Programme, United Kingdom NIHR201461
6 · The paper itself

Abstract

backgroundSignificant concerns have been raised regarding how medications with a risk of dependence or withdrawal are managed and how care is experienced by patients. This study sought to co-design solutions to improve the experience of care for patients prescribed benzodiazepines, z-drugs, opioids for chronic non-cancer pain, gabapentinoids and antidepressants.

methodTwenty patients and fifteen healthcare professionals from five different GP practices were recruited to take part. The study used Experience Based Co-Design. Patients and healthcare professionals completed semi-structured interviews and took part in feedback groups and co-design workshops to collaboratively identify priorities for improvement and to co-design solutions to improve the experience of care.

resultsPoor patient experience was common among people prescribed medications with a risk of dependence or withdrawal. Patients and healthcare professionals identified three main priority areas to improve the experience of care: (i) ensuring patients are provided with detailed information in relation to their medication, (ii) ensuring continuity of care for patients, and (iii) providing alternative treatment options to medication. Solutions to improve care were co-designed by patients and healthcare staff and implemented within participating GP practices to improve the experience of care.

conclusionGood patient experience is a key element of quality care. This study highlights that the provision of in-depth medication related information, continuity of care and alternative treatment to medication are important to patients prescribed medicines with a risk of dependence or withdrawal. Improving these aspects of care should be a priority for future improvement and delivery plans.

Indexed as

Analgesics, OpioidChronic PainAntisocial Personality DisorderBenzodiazepinesHumansPatient Outcome AssessmentAnalgesics, OpioidBenzodiazepinesExperience based Co-designPatient experiencePrescription medication dependence and withdrawal

Identifiers

PMID38184517
PMCPMC10770999

What OpenQuestion holds

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LicenceCC BY
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.