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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dc.contributor.authorJennings, Aisling A.
dc.contributor.authorGuerin, Naoihse
dc.contributor.authorFoley, Tony
dc.contributor.funderHealth Service Executive, Irelanden
dc.contributor.funderAtlantic Philanthropiesen
dc.date.accessioned2019-07-17T11:41:17Z
dc.date.available2019-07-17T11:41:17Z
dc.date.issued2018-10-23
dc.description.abstractBackground: 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.en
dc.description.sponsorshipHealth Service Executive, Ireland (Primary Care Education Pathways and Research of Dementia (PREPARED)); Atlantic Philanthropies (Primary Care Education Pathways and Research of Dementia (PREPARED))en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationJennings, A.A., Guerin, N. and Foley, T., 2018. Development of a tool for monitoring the prescribing of antipsychotic medications to people with dementia in general practice: a modified eDelphi consensus study. Clinical interventions in aging, 2018(13), pp. 2107-2117. DOI:10.2147/CIA.S178216en
dc.identifier.doi10.2147/CIA.S178216en
dc.identifier.eissn1178-1998
dc.identifier.endpage2117en
dc.identifier.issn1176-9092
dc.identifier.issued13en
dc.identifier.journaltitleClinical interventions in agingen
dc.identifier.startpage2107en
dc.identifier.urihttps://hdl.handle.net/10468/8189
dc.identifier.volume2018en
dc.language.isoenen
dc.publisherDove Pressen
dc.relation.urihttps://www.dovepress.com/development-of-a-tool-for-monitoring-the-prescribing-of-antipsychotic--peer-reviewed-article-CIA
dc.rights© 2018 Jennings et alen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectDementiaen
dc.subjectAntipsychoticsen
dc.subjectPrescribingen
dc.subjecteDelphien
dc.subjectConsensusen
dc.subjectGeneral practiceen
dc.titleDevelopment of a tool for monitoring the prescribing of antipsychotic medications to people with dementia in general practice: a modified eDelphi consensus studyen
dc.typeArticle (peer-reviewed)en
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