de Juan-Roldán José Ignacio, Gavilán-Moral Enrique, Leiva-Fernández Francisca, García-Ruiz Antonio J
Departamento de Farmacología y Pediatría, Facultad de Medicina, Universidad de Málaga, Málaga, España; Laboratorio de Prácticas Innovadoras en Polimedicación y Salud, Cáceres, España.
Laboratorio de Prácticas Innovadoras en Polimedicación y Salud, Cáceres, España; Consultorio Rural Mirabel, Cáceres, España.
Rev Esp Geriatr Gerontol. 2021 Jul-Aug;56(4):218-224. doi: 10.1016/j.regg.2021.02.012. Epub 2021 Apr 20.
Polypharmacy has become a priority public health problem in developed countries. In response to its approach, deprescription stands out. Its success will depend largely on the attitudes and beliefs of patients towards the number of drugs they are taking and their willingness to initiate a process of deprescription. To explore these factors, researchers have developed the revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire, originally in English. The objective of this study is the validation into Spanish of rPATD questionnaire, both older adults and caregivers versions.
A first qualitative validation phase and a second phase of analysis of its psychometric characteristics will be carried out through an observational descriptive study of validation of a measurement instrument. One hundred and twenty subjects (polymedicated older adults and caregivers) from three health centers will be selected by consecutive sampling. The questionnaire will be provided and clinical and sociodemographic data will be collected. Feasibility, reliability (through internal consistency and intraobserver reliability) and validity (apparent, construct and criterion) of the questionnaire will be evaluated.
It is expected to obtain a questionnaire that will serve as a tool for the clinician to identify patients with a favorable predisposition to deprescription and that will allow to contribute the patient's perspective to this process.
The use of the rPATD questionnaire, alone or integrated into other more complex interventions, may lead to an improvement in the quality of care for the polymedicated patients.
多重用药已成为发达国家的一个优先公共卫生问题。作为应对措施,减药备受关注。其成功很大程度上取决于患者对所服用药物数量的态度和信念,以及他们启动减药过程的意愿。为探究这些因素,研究人员开发了修订后的患者对减药的态度(rPATD)问卷,最初为英文版本。本研究的目的是对rPATD问卷进行西班牙语版本的验证,包括老年人版和照护者版。
将通过对测量工具验证的观察性描述性研究,开展第一阶段的定性验证以及第二阶段对其心理测量特征的分析。通过连续抽样从三个健康中心选取120名受试者(多重用药的老年人和照护者)。将提供问卷并收集临床和社会人口学数据。将评估问卷的可行性、信度(通过内部一致性和观察者间信度)和效度(表面效度、结构效度和效标效度)。
预计获得一份问卷,作为临床医生识别对减药有良好倾向患者的工具,并有助于在这一过程中纳入患者的观点。
单独使用rPATD问卷或与其他更复杂的干预措施相结合,可能会改善多重用药患者的护理质量。