Development and pilot testing of the revised Patients’ Attitudes Towards Deprescribing questionnaire for people with cognitive impairment

Abstract

Objectives: 1) To develop a version of the revised Patients’ Attitude Towards Deprescribing (rPATD) questionnaire for people with mild cognitive impairment and mild-to-moderate dementia (rPATDcog) and 2) capture the beliefs and attitudes of this population and their carers about deprescribing through a pilot study. Methods: Firstly, the rPATDcog was modified from the rPATD and tested in a small group of participants with mild cognitive impairment, then we conducted a pilot study of the rPATDcog and the carers’ rPATD. Results: Twenty-one participants with cognitive impairment and 11 carer participants (forming dyads) participated in this study. Eighty-one percent (17/21) of participants said that they would stop one or more of their medications if their doctor said it was possible. There was excellent agreement of corresponding questions between dyads. Conclusions: The rPATDcog was feasible to administer in this study. Further work is required to provide generalisable results and determine utility in practice.