Evidence map›Paper›PMID 40678679›Full record

ArticleExploratory research in clinical and social pharmacy2025

Building primary care providers' confidence in deprescribing opioids and benzodiazepines in older adults.

Stefanie P Ferreri, Lori T Armistead, Ben Urick, Tamera D Hughes, Anne-Therese Hunt, J Marvin McBride, Joshua Niznik, Ellen Roberts, Kimberly A Sanders, Jan Busby-Whitehead

Abstract read
In one paragraph

Article in Exploratory research in clinical and social pharmacy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Stefanie P FerreriDivision of Practice Advancement and Clinical Education, Eshelman School of Pharmacy, University of North Carolina, 115 Beard Hall, 301 Pharmacy Lane, Chapel Hill, NC 27599-7475, USA.
Lori T ArmisteadDivision of Practice Advancement and Clinical Education, Eshelman School of Pharmacy, University of North Carolina, 115 Beard Hall, 301 Pharmacy Lane, Chapel Hill, NC 27599-7475, USA.
Ben UrickDivision of Practice Advancement and Clinical Education, Eshelman School of Pharmacy, University of North Carolina, 115 Beard Hall, 301 Pharmacy Lane, Chapel Hill, NC 27599-7475, USA.
Tamera D HughesDivision of Practice Advancement and Clinical Education, Eshelman School of Pharmacy, University of North Carolina, 115 Beard Hall, 301 Pharmacy Lane, Chapel Hill, NC 27599-7475, USA.
Anne-Therese HuntHunt Consulting Associates, Chapel Hill, NC, USA.
J Marvin McBrideDivision of Geriatric Medicine and Center for Aging and Health, UNC School of Medicine, University of North Carolina, 5003 Old Clinic Building, Chapel Hill, NC 27599-7550, USA.
Joshua NiznikDivision of Geriatric Medicine and Center for Aging and Health, UNC School of Medicine, University of North Carolina, 5003 Old Clinic Building, Chapel Hill, NC 27599-7550, USA.
Ellen RobertsDivision of Geriatric Medicine and Center for Aging and Health, UNC School of Medicine, University of North Carolina, 5003 Old Clinic Building, Chapel Hill, NC 27599-7550, USA.
Kimberly A SandersDivision of Practice Advancement and Clinical Education, Eshelman School of Pharmacy, University of North Carolina, 115 Beard Hall, 301 Pharmacy Lane, Chapel Hill, NC 27599-7475, USA.
Jan Busby-WhiteheadDivision of Geriatric Medicine and Center for Aging and Health, UNC School of Medicine, University of North Carolina, 5003 Old Clinic Building, Chapel Hill, NC 27599-7550, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Opioids and benzodiazepines (BZDs) are among the most prescribed medications that contribute to falls in older adults; however, little guidance exists on their safe prescribing and deprescribing. Although some resources are available to assist providers with opioid and BZD deprescribing, many report lack of confidence as a barrier. The objective of this study was to assess PCPs' confidence in their ability to deprescribe opioids and BZDs before and after an intervention. Methods: We modified a validated deprescribing self-efficacy survey to assess primary care provider (PCP) confidence in deprescribing opioids and BZDs in older adults before and after a consultant pharmacist educational intervention. The survey consisted of 35 questions divided into three sections: deprescribing opioids (10 questions), deprescribing BZDs (10 questions), and deprescribing under potentially impeding circumstances [UPIC] (15 questions). The survey was sent to 88 PCPs using a modified Dillman method. We evaluated providers' confidence on a 100-point scale pre- and post-intervention, comparing the difference-in- differences (DID) in scores between the intervention and control groups. Results: A total of 41 PCPs (46.6 %) completed the survey both pre-and post-intervention. The intervention group ( Conclusion: This consultant pharmacist educational intervention improved PCPs' confidence in deprescribing opioids and BZDs in older adults.

Indexed as

BenzodiazepinesDeprescribingOpioidsPharmacistsPotentially inappropriate medicationsPrimary care

Identifiers

PMID40678679
PMCPMC12269610

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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.