Evidence map›Paper›PMID 36045709›Full record

ArticleExploratory research in clinical and social pharmacy2022

Supporting deprescribing in long-term care: An approach using stakeholder engagement, behavioural science and implementation planning.

Lisa M McCarthy, Barbara Farrell, Pam Howell, Tammie Quast

Abstract read
In one paragraph

Article in Exploratory research in clinical and social pharmacy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
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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

4 authors.

Lisa M McCarthyInstitute for Better Health and Pharmacy Department, Trillium Health Partners, 100 Queensway West - Clinical Administration Building, 6 Floor, Mississauga, Ontario, L5B 1B8, Canada.
Barbara FarrellBruyère Research Institute, 43 Bruyère St, Ottawa, Ontario, K1N 5C8, Canada.
Pam HowellBruyère Research Institute, 43 Bruyère St, Ottawa, Ontario, K1N 5C8, Canada.
Tammie QuastBruyère Research Institute, 43 Bruyère St, Ottawa, Ontario, K1N 5C8, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Approaches for optimizing medication use and enhancing medication experiences, including deprescribing, for older people living in long-term care homes are urgently needed. Through a multiphase initiative involving an environmental scan (2018) and two stakeholder forums (2019, 2020), we created a framework for developing and implementing sustainable deprescribing practices in this sector. Representatives from public advocacy, health care professionals, long-term care, pharmacy service providers, and regional health and public policy organizations in Ontario, Canada were consulted. We used behavioural science and implementation planning strategies to develop four target behaviours and 14 supporting actions; five of these actions were prioritized for further work. Throughout the phases, stakeholders committed to participation at various levels including ongoing implementation teams working to develop resources for the prioritized actions. A key element of success was attracting and sustaining engagement of a wide variety of relevant stakeholders from across the health system by leveraging best practices in stakeholder engagement. The approach used is described in detail so that it can be adapted and applied by others to plan large behaviour change initiatives.

Indexed as

DeprescribingImplementation scienceLong-term carePolypharmacyStakeholder engagement

Identifiers

PMID36045709
PMCPMC9420956

What Socratic 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 Socratic graph.