Evidence map›Paper›PMID 39740058›Full record

SynthesisPublic health nursing (Boston, Mass.)

Behavioral Determinants of Older Adults' and Caregivers' Willingness to Deprescribe: A Systematic Review.

Sara Alves Jorge, Stephan Van den Broucke, Ruth-Janet Koumba Maguena, Anne Spinewine

Abstract readSystematic Review
In one paragraph

Synthesis in Public health nursing (Boston, Mass.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Sara Alves JorgeInstitut of Health and Society, Université Catholique de Louvain, Woluwé, Belgium.ORCID https://orcid.org/0009-0001-6777-2262
Stephan Van den BrouckeInstitut of Health and Society, Université Catholique de Louvain, Woluwé, Belgium.ORCID https://orcid.org/0000-0002-9090-8877
Ruth-Janet Koumba MaguenaInstitut of Health and Society, Université Catholique de Louvain, Woluwé, Belgium.ORCID https://orcid.org/0009-0002-8928-3918
Anne SpinewineClinical Pharmacy and Pharmacoepidemiology Research Group, Louvain Drug Research Institut, Université Catholique de Louvain, Woluwé, Belgium.ORCID https://orcid.org/0000-0002-3836-2846

Funding

Actions de Recherche Concertées (Di-prescribe project) 22/27-124Communauté Française de Belgique 22/27-124
6 · The paper itself

Abstract

backgroundDeprescribing is a strategy to optimize medication use and to prevent medication harm. Despite the fact that behavioral theories have been shown to be useful in explaining health behaviors, the literature on deprescribing relies almost exclusively on attitudes as an explanatory factor for deprescribing behavior. This study systematically reviews the literature that made explicit use of the constructs included in health behavior theories (HBTs) to explain older adults' and informal caregivers' deprescribing behavior and outcomes.

methodsStudies were screened from five electronic databases by two reviewers. Quantitative interventional and non-interventional studies applying at least one HBTs or construct from these theories to older adults' or informal caregiver' intention or behavior to deprescribe, were included. Studies that used the patients' attitudes toward deprescribing (PATD) questionnaire or its revised version were excluded.

resultsA total of 11 non-interventional studies and 11 interventional studies were identified, seven of which applied HBTs, and the other 15 used constructs from the HBTs. Health literacy and locus of control were identified as moderator variables. Only two studies targeted informal caregivers' deprescribing intentions or behavior.

conclusionsHBTs are not systematically used. However, combining the main HBT constructs reported in the literature offers a better explanation of the (intention to) engage in deprescribing. TRAIL REGISTRATION: The study protocol (ID: CRD42022378157) was published on PROSPERO.

Indexed as

CaregiversDeprescriptionsHealth BehaviorAgedHumansSurveys and Questionnairesbehaviordeprescribinghealth behavior theoriesinformal caregiversintentionolder adults

Identifiers

PMID39740058
PMCPMC11895417

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.