Does a Consumer-Targeted Deprescribing Intervention Compromise Patient-Healthcare Provider Trust?
One in four community-dwelling older adults is prescribed an inappropriate medication. Educational interventions aimed at patients to reduce inappropriate medications may cause patients to question their prescriber’s judgment. The objective of this study was to determine whether a patient-...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2018-04-01
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| Series: | Pharmacy |
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| Online Access: | http://www.mdpi.com/2226-4787/6/2/31 |
| _version_ | 1811185207608344576 |
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| author | Yi Zhi Zhang Justin P. Turner Philippe Martin Cara Tannenbaum |
| author_facet | Yi Zhi Zhang Justin P. Turner Philippe Martin Cara Tannenbaum |
| author_sort | Yi Zhi Zhang |
| collection | DOAJ |
| description | One in four community-dwelling older adults is prescribed an inappropriate medication. Educational interventions aimed at patients to reduce inappropriate medications may cause patients to question their prescriber’s judgment. The objective of this study was to determine whether a patient-focused deprescribing intervention compromised trust between older adults and their healthcare providers. An educational brochure was distributed to community-dwelling older adults by community pharmacists in order to trigger deprescribing conversations. At baseline and 6-months post-intervention, participants completed the Primary Care Assessment Survey, which measures patient trust in doctors and pharmacists. Changes in trust were ascertained post-intervention. Proportions with 95% confidence intervals (CI), and logistic regression were used to determine a shift in trust and associated predictors. 352 participants responded to the questionnaire at both time points. The majority of participants had no change or gained trust in their doctors for items related to the choice of medical care (78.5%, 95% CI = 74.2–82.8), communication transparency (75.4%, 95% CI = 70.7–79.8), and overall trust (81.9%, 95% CI = 77.9–86.0). Similar results were obtained for participants’ perceptions of their pharmacists, with trust remaining intact for items related to the choice of medical care (79.4%, 95% CI = 75.3–83.9), transparency in communicating (82.0%, 95% CI = 78.0–86.1), and overall trust (81.6%, 95% CI = 77.5–85.7). Neither age, sex nor the medication class targeted for deprescribing was associated with a loss of trust. Overall, the results indicate that patient-focused deprescribing interventions do not shift patients’ trust in their healthcare providers in a negative direction. |
| first_indexed | 2024-04-11T13:26:32Z |
| format | Article |
| id | doaj.art-3a201a158b374de399b6498d69a66e0d |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-04-11T13:26:32Z |
| publishDate | 2018-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-3a201a158b374de399b6498d69a66e0d2022-12-22T04:22:03ZengMDPI AGPharmacy2226-47872018-04-01623110.3390/pharmacy6020031pharmacy6020031Does a Consumer-Targeted Deprescribing Intervention Compromise Patient-Healthcare Provider Trust?Yi Zhi Zhang0Justin P. Turner1Philippe Martin2Cara Tannenbaum3Faculté de Pharmacie, Université de Montréal, Montreal, QC H3T 1J4, CanadaFaculté de Pharmacie, Université de Montréal, Montreal, QC H3T 1J4, CanadaFaculté de Pharmacie, Université de Montréal, Montreal, QC H3T 1J4, CanadaFaculté de Pharmacie, Université de Montréal, Montreal, QC H3T 1J4, CanadaOne in four community-dwelling older adults is prescribed an inappropriate medication. Educational interventions aimed at patients to reduce inappropriate medications may cause patients to question their prescriber’s judgment. The objective of this study was to determine whether a patient-focused deprescribing intervention compromised trust between older adults and their healthcare providers. An educational brochure was distributed to community-dwelling older adults by community pharmacists in order to trigger deprescribing conversations. At baseline and 6-months post-intervention, participants completed the Primary Care Assessment Survey, which measures patient trust in doctors and pharmacists. Changes in trust were ascertained post-intervention. Proportions with 95% confidence intervals (CI), and logistic regression were used to determine a shift in trust and associated predictors. 352 participants responded to the questionnaire at both time points. The majority of participants had no change or gained trust in their doctors for items related to the choice of medical care (78.5%, 95% CI = 74.2–82.8), communication transparency (75.4%, 95% CI = 70.7–79.8), and overall trust (81.9%, 95% CI = 77.9–86.0). Similar results were obtained for participants’ perceptions of their pharmacists, with trust remaining intact for items related to the choice of medical care (79.4%, 95% CI = 75.3–83.9), transparency in communicating (82.0%, 95% CI = 78.0–86.1), and overall trust (81.6%, 95% CI = 77.5–85.7). Neither age, sex nor the medication class targeted for deprescribing was associated with a loss of trust. Overall, the results indicate that patient-focused deprescribing interventions do not shift patients’ trust in their healthcare providers in a negative direction.http://www.mdpi.com/2226-4787/6/2/31deprescribingtrustDoctor-Patient Relationspotentially inappropriate medicationsagedaged 80 and over |
| spellingShingle | Yi Zhi Zhang Justin P. Turner Philippe Martin Cara Tannenbaum Does a Consumer-Targeted Deprescribing Intervention Compromise Patient-Healthcare Provider Trust? Pharmacy deprescribing trust Doctor-Patient Relations potentially inappropriate medications aged aged 80 and over |
| title | Does a Consumer-Targeted Deprescribing Intervention Compromise Patient-Healthcare Provider Trust? |
| title_full | Does a Consumer-Targeted Deprescribing Intervention Compromise Patient-Healthcare Provider Trust? |
| title_fullStr | Does a Consumer-Targeted Deprescribing Intervention Compromise Patient-Healthcare Provider Trust? |
| title_full_unstemmed | Does a Consumer-Targeted Deprescribing Intervention Compromise Patient-Healthcare Provider Trust? |
| title_short | Does a Consumer-Targeted Deprescribing Intervention Compromise Patient-Healthcare Provider Trust? |
| title_sort | does a consumer targeted deprescribing intervention compromise patient healthcare provider trust |
| topic | deprescribing trust Doctor-Patient Relations potentially inappropriate medications aged aged 80 and over |
| url | http://www.mdpi.com/2226-4787/6/2/31 |
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