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dc.contributor.authorPeat, George W.
dc.contributor.authorFylan, Beth
dc.contributor.authorBreen, Liz
dc.contributor.authorRaynor, D.K.
dc.contributor.authorOlaniyan, Janice
dc.contributor.authorAlldred, David P.
dc.date.accessioned2023-05-02T12:16:37Z
dc.date.accessioned2023-06-01T08:56:24Z
dc.date.available2023-05-02T12:16:37Z
dc.date.available2023-06-01T08:56:24Z
dc.date.issued2023-06
dc.identifier.citationPeat G, Fylan B, Breen L et al (2023) Person-centred deprescribing for patients living with frailty: a qualitative interview study and proposal of a collaborative model. International Journal of Pharmacy Practice. 31(3): 282-289.
dc.identifier.urihttp://hdl.handle.net/10454/19432
dc.descriptionYes
dc.description.abstract(1) Present deprescribing experiences of patients living with frailty, their informal carers and healthcare professionals; (2) interpret whether their experiences are reflective of person-centred/collaborative care; (3) complement our findings with existing evidence to present a model for person-centred deprescribing for patients living with frailty, based on a previous collaborative care model. Qualitative design in English primary care (general practice). Semi-structured interviews were undertaken immediately post-deprescribing and 5/6 weeks later with nine patients aged 65+ living with frailty and three informal carers of patients living with frailty. Fourteen primary care professionals with experience in deprescribing were also interviewed. In total, 38 interviews were conducted. A two-staged approach to data analysis was undertaken. Three themes were developed: attitudes, beliefs and understanding of medicines management and responsibility; attributes of a collaborative, person-centred deprescribing consultation; organisational factors to support person-centred deprescribing. Based on these findings and complementary to existing evidence, we offer a model for person-centred deprescribing for patients living with frailty. Previous models of deprescribing for patients living with frailty while, of value, do not consider the contextual factors that govern the implementation and success of models in practice. In this paper, we propose a novel person-centred model for deprescribing for people living with frailty, based on our own empirical findings, and the wider evidence base.
dc.description.sponsorshipThis research was funded by the National Institute for Health and Care Research (NIHR) Yorkshire and Humber Patient Safety Translational Research Centre (NIHR Yorkshire and Humber PSTRC).
dc.language.isoen
dc.rights© The Author(s) 2023. Published by Oxford University Press on behalf of the Royal Pharmaceutical Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/ licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
dc.subjectDeprescribing
dc.subjectFrailty
dc.subjectPerson-centred/collaborative care
dc.titlePerson-centred deprescribing for patients living with frailty: a qualitative interview study and proposal of a collaborative model
dc.status.refereedYes
dc.date.application17/04/2023
dc.typeArticle
dc.type.versionPublished version
dc.identifier.doihttps://doi.org/10.1093/ijpp/riad016
dc.rights.licenseCC-BY-NC
dc.date.updated2023-05-02T12:16:39Z
refterms.dateFOA2023-06-01T08:57:28Z
dc.openaccess.statusopenAccess
dc.date.accepted13/02/2023


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