Translation and cultural adaptation of MedStopper®-A web-based decision aid for deprescribing in older adults: A protocol

Autores da FMUP

• Fernanda Inês De Carvalho Pereira Ribeiro

  Autor

• Andreia Sofia Costa Teixeira

  Autor

• Matilde Filipa Monteiro Soares

  Autor

Participantes de fora da FMUP

• Monteiro, L
• Baptista, S
• McCormack, J
• Matos, C
• Martins, C

Unidades de investigação

• Laboratório Associado RISE- Rede de Investigação em Saúde

  

  Investigador

  Fernando Carlos De Landér Schmitt

• Medicina da Comunidade, Informação e Decisão em Saúde

• RISE-Health

  

  Investigador

  Fernando Carlos De Landér Schmitt

Abstract

BackgroundOlder patients are more likely to have medication-related problems, which are associated with changes in pharmacokinetics and pharmacodynamics, multimorbidity, and polypharmacy. Polypharmacy and inappropriate prescribing are well-known risk factors which commonly cause adverse clinical outcomes in older people. Prescribers struggle to identify potentially inappropriate medications and to choose an adequate tapering approach. Methods/designThe goal of the study is to translate and culturally adapt MedStopper (R), an original English language web-based decision aid system in deprescribing medication, to the Portuguese population. A translation-back translation method, with validation of the obtained Portuguese version of MedStopper (R) will be used, followed by a comprehension test. DiscussionThis is the first research in the Portuguese primary care setting that aims to provide a useful online tool for the appropriate prescription of older patients. The translated version in Portuguese version of the MedStopper (R) tool will represent an advance that seeks to continue improving the management of medications in the elderly. The adaptation into Portuguese of the educational tool provides clinicians with a screening tool to detect potentially inappropriate prescribing in patients older than 65 that reliable and easier to use.

Keywords

• Aged; Decision Support Techniques; Deprescriptions; Humans; Inappropriate Prescribing; Internet; Polypharmacy; Potentially Inappropriate Medication List; acetylsalicylic acid; alprazolam; amlodipine; atorvastatin; donepezil; furosemide; gliclazide; metformin; naproxen; omeprazole; ramipril; trospium chloride; adaptation; adult; aged; Article; cerebrovascular accident; clinical outcome; comprehension; conceptual framework; deprescription; heartburn; human; hypertension; insomnia; non insulin dependent diabetes mellitus; osteoarthritis; pharmacodynamics; pharmacokinetics; polypharmacy; retrospective study; risk factor; validation process; web-based intervention; decision support system; Internet; potentially inappropriate medication; prescribing error; prevention and control