Chow Brian J, Yuzwenko Alexi M, Dennett Liz, Sadowski Cheryl A
Faculty of Pharmacy & Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada.
Rexall Pharmacy, Edmonton, Alberta, Canada.
Br J Clin Pharmacol. 2025 Jun;91(6):1649-1659. doi: 10.1111/bcp.70040.
Deprescribing is complex because it involves patients' health, values, and preferences. The World Health Organization and Canadian Medication Appropriateness and Deprescribing Network have recommended that deprescribing be integrated into health curricula, prompting the need for further understanding about deprescribing education. The purpose of this research is to describe the literature regarding deprescribing education provided to healthcare professionals. We conducted a scoping review using the five-step model by Arksey and O'Malley with revisions from Levac et al. The databases searched included Medline, Scopus, Embase and ERIC. Papers were included if they were written in English and contained an educational intervention about deprescribing tailored toward physicians, pharmacists or nurses. White papers and conference abstracts were included. A total of 4853 abstracts were eligible for screening and 46 papers were included (25 full texts, 15 conference abstracts and 6 white papers). Thirty-three papers utilized group education for their intervention and of these, 20 involved interactive portions. Medicine was the most targeted profession, included in 29 papers. The most common outcomes were the number of medications deprescribed and an increase in learner knowledge and self-efficacy regarding deprescribing using self-assessment surveys or post-educational examinations. We found that there is evidence that educational interventions can increase participant knowledge regarding deprescribing and improve self-efficacy. To expand the education of deprescribing, future interventions should engage and utilize a variety of health professions and interventions could include real patients. Further research is required to determine the retention and application of deprescribing knowledge gained from single educational interventions.
减药是复杂的，因为它涉及患者的健康、价值观和偏好。世界卫生组织和加拿大药物合理性与减药网络建议将减药纳入健康课程，这促使人们需要进一步了解减药教育。本研究的目的是描述提供给医疗保健专业人员的有关减药教育的文献。我们使用阿克西和奥马利的五步模型并结合莱瓦克等人的修订进行了范围综述。检索的数据库包括医学索引数据库、Scopus数据库、荷兰医学文摘数据库和教育资源信息中心数据库。如果论文是用英文撰写的，并且包含针对医生、药剂师或护士量身定制的减药教育干预措施，则纳入研究。白皮书和会议摘要也包括在内。共有4853篇摘要符合筛选条件，纳入了46篇论文（25篇全文、15篇会议摘要和6篇白皮书）。33篇论文在干预中采用了小组教育，其中20篇涉及互动部分。医学是最受关注的专业，有29篇论文涉及。最常见的结果是减药的药物数量以及学习者通过自我评估调查或教育后考试在减药方面的知识和自我效能感的提高。我们发现有证据表明教育干预可以增加参与者关于减药的知识并提高自我效能感。为了扩大减药教育，未来的干预措施应吸引并利用各种卫生专业人员，干预措施可能包括实际患者。需要进一步研究以确定从单一教育干预中获得的减药知识的保留和应用情况。
