Reasons for (not) discontinuing antipsychotics in dementia

Sarah I.M. Janus; Jeanette G. van Manen; Sytse U. Zuidema; Carina Snijder; Constance H.C. Drossaert; Maarten J. IJzerman

doi:10.1111/psyg.12280

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

Health Technology & Services Research

Research output: Contribution to journal › Article › Academic › peer-review

8 Citations (Scopus)

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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 language	English
Pages (from-to)	13-20
Number of pages	8
Journal	Psychogeriatrics
Volume	18
Issue number	1
DOIs	https://doi.org/10.1111/psyg.12280
Publication status	Published - Jan 2018

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UT-Hybrid-D
2023 OA procedure

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10.1111/psyg.12280

Janus2018reasonsFinal published version, 263 KBLicence: Taverne

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abstract = "Background: The gap between high antipsychotic prescription rates for patients with dementia and the guidelines{\textquoteright} 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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AU - Janus, Sarah I.M.

AU - van Manen, Jeanette G.

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AU - Snijder, Carina

AU - Drossaert, Constance H.C.

AU - IJzerman, Maarten J.

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Reasons for (not) discontinuing antipsychotics in dementia

Abstract

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