Reasons for (not) discontinuing antipsychotics in dementia

Sarah I.M. Janus (Corresponding Author), Jeanette G. van Manen, Sytse U. Zuidema, Carina Snijder, Constance H.C. Drossaert, Maarten J. IJzerman

Research output: Contribution to journalArticleAcademicpeer-review

5 Citations (Scopus)

Abstract

Background: The gap between high antipsychotic prescription rates for patients with dementia and the guidelines’ advice to prescribe cautiously indicates that barriers to discontinuation exist. This exploratory study used the theory of planned behaviour to give a first overview of the factors that influence physicians to discontinue antipsychotics in nursing home patients with dementia.
Methods: Forty-one physicians in the Netherlands completed an online survey based on the theory of planned behaviour.
Results: Half of the respondents agreed that antipsychotics have positive consequences for patients, such as calming effects. Physicians who indicated that they tend not to discontinue antipsychotics believe that antipsychotics are associated with positive consequences for nursing home staff. Physicians who tend to discontinue antipsychotics had a higher perceived behavioural control than those who indicated having a low intention.
Conclusion: To enhance discontinuation of antipsychotics, interventions should focus on both patient-related factors and staff-related factors. Prescribing decisions are influenced by staff-related factors that need to be addressed as well.
Original languageEnglish
Pages (from-to)13-20
Number of pages8
JournalPsychogeriatrics
Volume18
Issue number1
DOIs
Publication statusPublished - Jan 2018

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Antipsychotic Agents
Dementia
Physicians
Nursing Homes
Nursing Staff
Netherlands
Prescriptions
Guidelines

Keywords

  • UT-Hybrid-D

Cite this

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title = "Reasons for (not) discontinuing antipsychotics in dementia",
abstract = "Background: The gap between high antipsychotic prescription rates for patients with dementia and the guidelines’ advice to prescribe cautiously indicates that barriers to discontinuation exist. This exploratory study used the theory of planned behaviour to give a first overview of the factors that influence physicians to discontinue antipsychotics in nursing home patients with dementia.Methods: Forty-one physicians in the Netherlands completed an online survey based on the theory of planned behaviour.Results: Half of the respondents agreed that antipsychotics have positive consequences for patients, such as calming effects. Physicians who indicated that they tend not to discontinue antipsychotics believe that antipsychotics are associated with positive consequences for nursing home staff. Physicians who tend to discontinue antipsychotics had a higher perceived behavioural control than those who indicated having a low intention.Conclusion: To enhance discontinuation of antipsychotics, interventions should focus on both patient-related factors and staff-related factors. Prescribing decisions are influenced by staff-related factors that need to be addressed as well.",
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Reasons for (not) discontinuing antipsychotics in dementia. / Janus, Sarah I.M. (Corresponding Author); van Manen, Jeanette G.; Zuidema, Sytse U.; Snijder, Carina; Drossaert, Constance H.C.; IJzerman, Maarten J.

In: Psychogeriatrics, Vol. 18, No. 1, 01.2018, p. 13-20.

Research output: Contribution to journalArticleAcademicpeer-review

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AU - Janus, Sarah I.M.

AU - van Manen, Jeanette G.

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AU - IJzerman, Maarten J.

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