Academic Journal
Medication review using a Systematic Tool to Reduce Inappropriate Prescribing (STRIP) in adults with an intellectual disability: A pilot study
| العنوان: | Medication review using a Systematic Tool to Reduce Inappropriate Prescribing (STRIP) in adults with an intellectual disability: A pilot study |
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| المؤلفون: | Zaal, R.J. (Rianne), Ebbers, S. (Susan), Borms, M. (Mirka), Koning, B.D. (Bart de), Mombarg, E. (Erna), Ooms, P. (Piet), Vollaard, H. (Hans), Bemt, P.M.L.A. (Patricia) van den, Evenhuis, H.M. (Heleen) |
| المصدر: | Research in Developmental Disabilities vol. 55, pp. 132-142 |
| سنة النشر: | 2016 |
| المجموعة: | RePub - Publications from Erasmus University, Rotterdam |
| مصطلحات موضوعية: | Drug-related problems, Intellectual disability, Polypharmacy, STOPP/START criteria |
| الوصف: | A Systematic Tool to Reduce Inappropriate Prescribing (STRIP), which includes the Screening Tool to Alert doctors to Right Treatment (START) and the Screening Tool of Older Peoples' Prescriptions (STOPP), has recently been developed in the Netherlands for older patients with polypharmacy in the general population. Active involvement of the patient is part of this systematic multidisciplinary medication review. Although annual review of pharmacotherapy is recommended for people with an intellectual disability (ID), a specific tool for this population is not yet available. Besides, active involvement can be compromised by ID. Therefore, the objective of this observational pilot study was to evaluate the process of medication review using STRIP in adults with an ID living in a centralized or dependent setting and the identification of drug-related problems using this tool. The study was performed in three residential care organizations for ID. In each organization nine clients with polypharmacy were selected by an investigator (a physician in training to become a specialized physician for individuals with an ID) for a review using STRIP. Clients as well as their legal representatives (usually a family member) and professional caregivers were invited to participate. Reviews were performed by an investigator together with a pharmacist. First, to evaluate the process time-investments of the investigator and the pharmacist were described. Besides, the proportion of reviews in which a client and/or his legal representative participated was calculated as well as the proportion of professional caregivers that participated. Second, to evaluate the identification of drug-related problems using STRIP, the proportion of clients with at least one drug-related problem was calculated. Mean time investment was 130 minutes for the investigator and 90 minutes for the pharmacist. The client and/or a legal representatives were present during 25 of 27 reviews (93%). All 27 professional caregivers (100%) were involved. For every client ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | http://repub.eur.nl/pub/84362; urn:hdl:1765/84362 |
| DOI: | 10.1016/j.ridd.2016.03.014 |
| الاتاحة: | http://repub.eur.nl/pub/84362 https://doi.org/10.1016/j.ridd.2016.03.014 |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.34EDE9FE |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.ridd.2016.03.014 |
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