Tailoring an implementation strategy for deprescribing as part of a Comprehensive Geriatric Assessment (dCGA) in long-term care facilities: A roundtable discussion

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dc.contributor.authorBelec, Dora
dc.contributor.authorDalton, Kieran
dc.contributor.authorHeinrich, Clara
dc.contributor.authorOrtner Hadžiabdić, Maja
dc.contributor.authorDonovan, Maria
dc.contributor.funderCroatian Science Foundation
dc.date.accessioned2026-07-10T14:50:16Z
dc.date.available2026-07-10T14:50:16Z
dc.date.issued2026-04-04
dc.description.abstractBackground: Comprehensive geriatric assessments (CGAs), with deprescribing as an integral component, improve outcomes for older adults in long-term care facilities (LTCFs). However, they remain underutilised in Croatia, partly due to systemic and cultural barriers, including limited recognition of pharmacists' roles. Objective: To tailor an existing deprescribing implementation strategy to support the introduction of deprescribing as part of a CGA (dCGA) in Croatian LTCFs, focusing on healthcare professional (HCP) behaviour change. Methods: A roundtable was held with Croatian HCPs—general practitioners, pharmacists and a nurse—experienced in LTCF care. Participants first ranked barriers and enablers to dCGA, then engaged in a structured discussion to explore tailored strategies. Results: Key barriers included limited resources, fragmented data and restrictive policies. Enablers included multidisciplinary collaboration and education. A three-phase strategy (pre-, during, post-MDT) was developed, assigning the head nurse as dCGA lead and positioning pharmacists as deprescribing experts and trainers. Proposed mechanisms targeted priority barriers using Behaviour Change Techniques such as restructuring the social environment, goal setting and feedback loops. Conclusion: This study co-developed a feasible, context-specific strategy to integrate deprescribing into CGA in Croatian LTCFs. Future steps include pilot testing and evaluation in diverse LTCF settings.en
dc.description.sponsorshipCroatian Science Foundation|IP-2025- 02-3772 Croatian Science Foundation|MOBDOK-2023-3637
dc.description.versionPublished Version
dc.format.mimetypeapplication/pdfen
dc.identifier.articleide70212
dc.identifier.authororcidBelec, Dora
dc.identifier.authororcidDalton, Kieran§0000-0003-1209-8079
dc.identifier.authororcidHeinrich, Clara
dc.identifier.authororcidOrtner Hadžiabdić, Maja
dc.identifier.authororcidDonovan, Maria§0000-0003-0555-7492
dc.identifier.citationBelec, D, Dalton, K, Heinrich, C, Ortner Hadžiabdić, M & Donovan, M 2026, 'Tailoring an implementation strategy for deprescribing as part of a Comprehensive Geriatric Assessment (dCGA) in long-term care facilities: A roundtable discussion', Basic and Clinical Pharmacology and Toxicology, vol. 138, no. 5, e70212, pp. 1-10. https://doi.org/10.1111/bcpt.70212
dc.identifier.doi10.1111/bcpt.70212
dc.identifier.endpage10
dc.identifier.issn1742-7835
dc.identifier.issued5
dc.identifier.journaltitleBasic and Clinical Pharmacology and Toxicology
dc.identifier.otherORCID: /0000-0003-0555-7492/work/220336894
dc.identifier.otherORCID: /0000-0003-1209-8079/work/220337118
dc.identifier.startpage1
dc.identifier.urihttps://hdl.handle.net/10468/19053
dc.identifier.volume138
dc.language.isoen
dc.publisherWiley-Blackwell
dc.relation.urihttps://www.scopus.com/pages/publications/105034986959
dc.rights© 2026, the Author(s). Basic & Clinical Pharmacology & Toxicology published by John Wiley & Sons Ltd on behalf of Nordic Association for the Publication of BCPT(former Nordic Pharmacological Society). This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in anymedium, provided the original work is properly cited and is not used for commercial purposes.
dc.rights.accessrightsopen access
dc.rights.licensenameAttribution-NonCommercial 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.statusPeer reviewed
dc.subjectComprehensive geriatric assessment
dc.subjectDeprescribing
dc.subjectImplementation science
dc.subjectLong-term care
dc.subjectMultidisciplinary team
dc.subject[Pharmacy]
dc.titleTailoring an implementation strategy for deprescribing as part of a Comprehensive Geriatric Assessment (dCGA) in long-term care facilities: A roundtable discussionen
dc.typeArticle (peer-reviewed)
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