Development of a tool for monitoring the prescribing of antipsychotic medications to people with dementia in general practice: a modified eDelphi consensus study

Aisling A Jennings, Naoihse Guerin, Tony Foley Department of General Practice, University College Cork, Cork, Ireland Background: Despite their adverse effects, antipsychotics are frequently used to manage behavioral and psychological symptoms of dementia. Regular monitoring of antipsychotic presc...

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Autores principales:	Jennings AA, Guerin N, Foley T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Dementia Antipsychotics Prescribing eDelphi Consensus General Practice Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/f8e9bd99d04c4b9185de54eac9507e14
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spelling	oai:doaj.org-article:f8e9bd99d04c4b9185de54eac9507e142021-12-02T07:32:03ZDevelopment of a tool for monitoring the prescribing of antipsychotic medications to people with dementia in general practice: a modified eDelphi consensus study1178-1998https://doaj.org/article/f8e9bd99d04c4b9185de54eac9507e142018-10-01T00:00:00Zhttps://www.dovepress.com/development-of-a-tool-for-monitoring-the-prescribing-of-antipsychotic--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Aisling A Jennings, Naoihse Guerin, Tony Foley Department of General Practice, University College Cork, Cork, Ireland Background: Despite their adverse effects, antipsychotics are frequently used to manage behavioral and psychological symptoms of dementia. Regular monitoring of antipsychotic prescribing has been shown to improve the appropriateness of prescribing. However, there is currently no consensus on what the components of such a monitoring tool would be. Aim: The aim of this study was to use an expert consensus process to identify the key components of an antipsychotic repeat prescribing tool for use with people with dementia in a general practice setting. Methods: A modified eDelphi technique was employed. We invited multidisciplinary experts in antipsychotic prescribing to people with dementia to participate. These experts included general practitioners (GPs), geriatricians and old age psychiatrists. The list of statements for round 1 was developed through a review of existing monitoring tools and international best practice guidelines. In the second round of the Delphi, any statement that had not reached consensus in the first round was presented for re-rating, with personalized feedback on the group and the individual’s response to the specific statement. The final round consisted of a face-to-face expert meeting to resolve any uncertainties from round 2. Results: A total of 23 items were rated over two eDelphi rounds and one face-to-face consensus meeting to yield a total of 18 endorsed items and five rejected items. The endorsed statements informed the development of a structured, repeat prescribing tool for monitoring antipsychotics in people with dementia in primary care. Conclusion: The development of repeat prescribing tool provides GPs with practical advice that is lacking in current guidelines and will help to support GPs by providing a structured format to use when reviewing antipsychotic prescriptions for people with dementia, ultimately improving patient care. The feasibility and acceptability of the tool now need to be evaluated in clinical practice. Keywords: dementia, antipsychotics, prescribing, eDelphi, consensus, general practiceJennings AAGuerin NFoley TDove Medical PressarticleDementiaAntipsychoticsPrescribingeDelphiConsensusGeneral PracticeGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 2107-2117 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dementia Antipsychotics Prescribing eDelphi Consensus General Practice Geriatrics RC952-954.6
spellingShingle	Dementia Antipsychotics Prescribing eDelphi Consensus General Practice Geriatrics RC952-954.6 Jennings AA Guerin N Foley T Development of a tool for monitoring the prescribing of antipsychotic medications to people with dementia in general practice: a modified eDelphi consensus study
description	Aisling A Jennings, Naoihse Guerin, Tony Foley Department of General Practice, University College Cork, Cork, Ireland Background: Despite their adverse effects, antipsychotics are frequently used to manage behavioral and psychological symptoms of dementia. Regular monitoring of antipsychotic prescribing has been shown to improve the appropriateness of prescribing. However, there is currently no consensus on what the components of such a monitoring tool would be. Aim: The aim of this study was to use an expert consensus process to identify the key components of an antipsychotic repeat prescribing tool for use with people with dementia in a general practice setting. Methods: A modified eDelphi technique was employed. We invited multidisciplinary experts in antipsychotic prescribing to people with dementia to participate. These experts included general practitioners (GPs), geriatricians and old age psychiatrists. The list of statements for round 1 was developed through a review of existing monitoring tools and international best practice guidelines. In the second round of the Delphi, any statement that had not reached consensus in the first round was presented for re-rating, with personalized feedback on the group and the individual’s response to the specific statement. The final round consisted of a face-to-face expert meeting to resolve any uncertainties from round 2. Results: A total of 23 items were rated over two eDelphi rounds and one face-to-face consensus meeting to yield a total of 18 endorsed items and five rejected items. The endorsed statements informed the development of a structured, repeat prescribing tool for monitoring antipsychotics in people with dementia in primary care. Conclusion: The development of repeat prescribing tool provides GPs with practical advice that is lacking in current guidelines and will help to support GPs by providing a structured format to use when reviewing antipsychotic prescriptions for people with dementia, ultimately improving patient care. The feasibility and acceptability of the tool now need to be evaluated in clinical practice. Keywords: dementia, antipsychotics, prescribing, eDelphi, consensus, general practice
format	article
author	Jennings AA Guerin N Foley T
author_facet	Jennings AA Guerin N Foley T
author_sort	Jennings AA
title	Development of a tool for monitoring the prescribing of antipsychotic medications to people with dementia in general practice: a modified eDelphi consensus study
title_short	Development of a tool for monitoring the prescribing of antipsychotic medications to people with dementia in general practice: a modified eDelphi consensus study
title_full	Development of a tool for monitoring the prescribing of antipsychotic medications to people with dementia in general practice: a modified eDelphi consensus study
title_fullStr	Development of a tool for monitoring the prescribing of antipsychotic medications to people with dementia in general practice: a modified eDelphi consensus study
title_full_unstemmed	Development of a tool for monitoring the prescribing of antipsychotic medications to people with dementia in general practice: a modified eDelphi consensus study
title_sort	development of a tool for monitoring the prescribing of antipsychotic medications to people with dementia in general practice: a modified edelphi consensus study
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/f8e9bd99d04c4b9185de54eac9507e14
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Development of a tool for monitoring the prescribing of antipsychotic medications to people with dementia in general practice: a modified eDelphi consensus study

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