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  3. Trust first, concerns second: An international vignette study of older adults' preferences towards deprescribing statins.

Trust first, concerns second: An international vignette study of older adults' preferences towards deprescribing statins.

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DOI
10.48620/93948
Publisher DOI
10.1002/bcp.70440
PubMed ID
41531191
Abstract
This study investigated the attitudes and beliefs of older adults towards deprescribing statins in Australia, the United Kingdom and the United States, using an online, vignette-based study. Presented with a hypothetical scenario in which a general practitioner advised stopping simvastatin, participants rated their level of agreement and explained their rationale. Analysis was conducted incorporating the Patient Deprescribing Typology (PDT), which asks participants to share medication-related learning style, beliefs about importance, decision-making preferences and attitudes towards deprescribing. The findings correlated with participants' personal experiences with statins and their willingness to deprescribe in the scenario. The results highlight the importance of adapting deprescribing decisions to patients' beliefs and backgrounds to support shared decision-making. Future research is needed to assess whether typology-based screening tools can improve patient-centred deprescribing conversations in clinical practice.
Date Issued
2026-05
Publication Type
Article
Subject(s)
600 Technology > 610 Medicine & health
Subjects
content analysis
•
deprescribing
•
international
•
medicine
•
survey
Language(s)
en
Author(s)
Vordenberg, Sarah E
Dulo, Noelia
Bonner, Carissa
Ferguson, Eliza
Marshall, Vincent D
Weir, Kristie Rebecca  
Institute of General Practice and Primary Care (BIHAM)  
Additional Credits
Institute of General Practice and Primary Care (BIHAM)  
Journal
British Journal of Clinical Pharmacology
Publisher
Wiley
ISSN
1365-2125
0306-5251
Funding(s)
National Institute on Aging (NIA)  
Swiss Government Excellence Scholarship  
Swiss National Science Foundation  
Australian National Health and Medical Research Council  
Access(Rights)
open.access
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