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Using Shared Decision-Making Resources in Long-Term Care: a Qualitative Study.

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  • 1Department of Anesthesiology, Pharmacology, and Therapeutics, Faculty of Medicine, University of British Columbia, Vancouver, BC.

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Summary
This summary is machine-generated.

Implementing shared decision-making (SDM) in long-term care (LTC) requires tailored approaches. Pilot studies show varied engagement with SDM resources for medication decisions, highlighting the need for further research.

Keywords:
deprescribingmedication managementolder adultsresource implementationshared decision-making

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Area of Science:

  • Gerontology
  • Health Services Research
  • Pharmacoeconomics

Background:

  • Shared decision-making (SDM) is crucial for aligning medication choices with individual preferences and contexts in long-term care (LTC).
  • Ensuring medications are a suitable fit for LTC residents is a key aspect of person-centered care.

Purpose of the Study:

  • To explore the implementation experiences of SDM resources in two Ontario LTC homes.
  • To understand how SDM resources were utilized to support medication decisions within the LTC setting.

Main Methods:

  • A pilot study involving two LTC homes implementing SDM resources.
  • Two Plan-Do-Study-Act (PDSA) cycles were conducted, guided by an Advisory Group.
  • Rapid qualitative analysis of meeting transcripts and field notes informed the findings.

Main Results:

  • Both sites engaged positively but implemented SDM resources distinctively.
  • Site 1 focused on proton-pump inhibitor (PPI) deprescribing with limited reported resident/caregiver engagement with SDM resources.
  • Site 2 focused on staff education and resource dissemination, with mixed resident/caregiver interest in SDM.

Conclusions:

  • Further research is essential to define the role and significance of SDM in LTC medication decision-making.
  • Successful implementation of SDM in LTC settings likely necessitates a multifaceted strategy.