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. 2021 Dec;69(12):3693-3695.
doi: 10.1111/jgs.17441. Epub 2021 Sep 9.

Deprescribing and deimplementation: Time for transformative change

Michael A Steinman  1 , Cynthia M Boyd  2 , Malena J Spar  1 , Jonathan D Norton  2 , Cara Tannenbaum  3
Affiliations

Deprescribing and deimplementation: Time for transformative change

Michael A Steinman et al. J Am Geriatr Soc. 2021 Dec.
No abstract available

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Conflict of interest statement

Conflicts of interest: Drs. Steinman and Boyd receive royalties from UpToDate, and Dr. Steinman receives honoraria from the American Geriatrics Society for his work on the AGS Beers Criteria Expert Panel. Dr. Tannenbaum, Ms. Spar, and Mr. Norton report no conflicts of interest.

Supplemental files: Appendix - Methods for identifying behavior change modalities associated with published interventions, and results diagram with embedded labels

Figures

Figure
Figure. Behavior change modalities addressed by randomized controlled trials of deprescribing in ambulatory and acute hospital settings
Panel A shows behavior change modalities used in 43 studies stratified by intervention target and type. Colored circles designate the number of studies of that type that used a specific behavior change modality (some studies used more than one). Twenty-eight studies targeted only clinicians, 5 targeted only patients and/or care partners, and 10 targeted both. Figure in Panel B shows overlap of behavior change modalities used within all studies. Figures in Panel C show these findings among studies stratified by intervention target. Ten interventions targeted both clinicians and patients/care partners and are thus represented in both figures in Panel C. Behavioral change modalities used by each intervention were determined by two independent raters with disagreements resolved by consensus, following an abstraction framework informed by Michie et al.
See this image and copyright information in PMC

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