Promoting benzodiazepines and z-drugs deprescribing in the community setting : adapting tools to better engage older adults and healthcare professionals
Benzodiazepine and z-drugs (BZRA) use in older adults (≥65 years) may involve potentially harmful side effects. Despite clinical guidelines to limit BZRA use to a few weeks only, many older adults take them long-term, showing the need for deprescribing interventions. Leaning on previous research, this thesis aimed at developing tools to promote BZRA deprescribing in older adults living in the community setting. First, a questionnaire evaluating patients’ attitudes towards deprescribing in general was adapted to BZRA, creating a new questionnaire that might facilitate conversations about BZRA deprescribing. Second, a Canadian BZRA deprescribing intervention was adapted. It comprised an educational brochure and a communication tool between the pharmacist and the prescriber. The feasibility of this intervention was then tested in a cluster-randomized controlled trial, showing that implementing and evaluating this intervention was feasible in the Belgian community setting, subject to some modifications in the study conduction procedures.
Pétein, C. (2024). Promoting benzodiazepines and z-drugs deprescribing in the community setting : adapting tools to better engage older adults and healthcare professionals. https://hdl.handle.net/2078.5/257545