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Identification of Barriers and Needs in the Discontinuation of Benzodiazepine Receptor Agonists in Elderly Patients of a Rural Community—A Qualitative Study

2025-02Artigo científico Acesso aberto
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dc.contributor.authorde Barros Mendes, Tiago
dc.contributor.authorMendes, Tiago De Barros
dc.contributor.authorNazha, Marta
dc.contributor.authorNazha, Marta
dc.contributor.authorNeves, Ana Luísa
dc.contributor.authorBroeiro-Gonçalves, Paula
dc.contributor.authorBroeiro-Gonçalves, Paula
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblMDPI - Multidisciplinary Digital Publishing Institute
dc.date.accessioned2025-04-10T15:59:59Z
dc.date.available2025-04-10T15:59:59Z
dc.date.issued2025-02
dc.descriptionPublisher Copyright: © 2025 by the authors.
dc.description.abstractBackground/Objectives: The predictors of successful discontinuation of benzodiazepine agonist receptors (BZRA) in elderly patients are not well known due to lack of research on the subject, and there is a need for further investigation, with more focus from the patients’ point of view. No previous studies were identified that have been conducted in Portugal on this subject. We proposed to identify the barriers and facilitators in the discontinuation of BZRA from the perceptions of elderly patients under prolonged prescription of BZRA, belonging to the same rural community. The contributions for further research are intended to be the identification of potential intervention targets directed at patients to reduce the prevalence of elderly patients under prolonged prescription of BZRA. Methods: A set of 15 semi-structured interviews with patients under prolonged prescription of BZRA was conducted. Content analysis was done by the main researcher and a reviewer to identify original emerging themes for the two underlying domains. Results: Four themes were identified as barriers to the discontinuation of BZRA: (1) patient characteristics, (2) clinical factors, (3) medication-related factors, and (4) context and external factors. Seven themes were identified as facilitators to the discontinuation of BZRA: (1) motivation, (2) patients’ knowledge, (3) perception of BZRA insufficiency, (4) access to written information, (5) access to alternatives, (6) time for decision-making, and (7) attitudes of health professionals. Conclusions: The findings highlight the challenging nature of BZRA discontinuation and the range of barriers and facilitators that impact patients’ behaviour towards this purpose. We subdivided the elements identified in two areas, therefore aiming at producing significant knowledge to outline potential intervention targets.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1186836
dc.identifier.doi10.3390/geriatrics10010018
dc.identifier.issn2308-3417
dc.identifier.otherPURE: 114110389
dc.identifier.otherPURE UUID: 6555864b-cc74-4b4e-8af1-cd7ebbb2e5b1
dc.identifier.otherScopus: 85218709897
dc.identifier.urihttp://hdl.handle.net/10362/182067
dc.identifier.urlhttps://www.scopus.com/pages/publications/85218709897
dc.language.isoeng
dc.peerreviewedyes
dc.subjectbenzodiazepines
dc.subjectdeprescription
dc.subjectgeriatrics
dc.subjectqualitative research
dc.subjectHealth(social science)
dc.subjectAgeing
dc.subjectGerontology
dc.subjectGeriatrics and Gerontology
dc.titleIdentification of Barriers and Needs in the Discontinuation of Benzodiazepine Receptor Agonists in Elderly Patients of a Rural Community—A Qualitative Studyen
dc.typejournal article
degois.publication.issue1
degois.publication.titleGeriatrics (Switzerland)
degois.publication.volume10
dspace.entity.typePublication
person.familyNamede Barros Mendes
person.familyNameNazha
person.familyNameBroeiro-Gonçalves
person.givenNameTiago
person.givenNameMarta
person.givenNamePaula
person.identifier.ciencia-id861C-51D6-B5DB
person.identifier.ciencia-idCA13-F670-42A6
person.identifier.orcid0009-0009-2328-3481
person.identifier.orcid0000-0002-7476-4885
person.identifier.orcid0000-0002-5013-6171
person.identifier.ridJ-9174-2017
rcaap.rightsopenAccess
relation.isAuthorOfPublicationdbc7667b-f174-4fd4-b24e-f196bde98577
relation.isAuthorOfPublication40f638ec-5665-40ff-a706-8ffdaac8728a
relation.isAuthorOfPublication5975708d-d1a7-4e8e-85e2-06c199d36ba4
relation.isAuthorOfPublication.latestForDiscovery40f638ec-5665-40ff-a706-8ffdaac8728a

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