PMID- 18641003
OWN - NLM
STAT- MEDLINE
DCOM- 20081016
LR  - 20220330
IS  - 1468-2834 (Electronic)
IS  - 0002-0729 (Linking)
VI  - 37
IP  - 5
DP  - 2008 Sep
TI  - Factors influencing the prescribing of medications by old age psychiatrists for 
      behavioural and psychological symptoms of dementia: a qualitative study.
PG  - 547-52
LID - 10.1093/ageing/afn135 [doi]
AB  - BACKGROUND: despite evidence of limited efficacy, psychotropic medications are 
      widely used as a first line treatment for those with behavioural and 
      psychological symptoms of dementia (BPSD). Clearly various factors must be 
      influencing their continued use; these are explored here. AIMS: to examine the 
      process by which consultant old age psychiatrists prescribe for BPSD and explore 
      the factors that influence their decisions. METHOD: a focus group generated 
      initial questions for interviews with eight consultant old age psychiatrists, 
      using a grounded theory methodology. RESULTS: differences in how assessment 
      information was utilised resulted in inconsistencies in choice of medication 
      between psychiatrists. Psychiatrists felt pressured to prescribe, largely due to 
      resource issues and lack of viable alternative treatments. CONCLUSION: the ways 
      in which psychiatrists prescribe for BPSD varies amongst clinicians. Guidelines 
      do exist, but are difficult to implement in practice. Alternative 
      non-pharmacological strategies are required, but as yet they are difficult to 
      access and have a questionable evidence base.
FAU - Wood-Mitchell, Amy
AU  - Wood-Mitchell A
AD  - Northumberland Tyne and Wear NHS Trust, Northumberland, UK.
FAU - James, Ian Andrew
AU  - James IA
FAU - Waterworth, Anna
AU  - Waterworth A
FAU - Swann, Alan
AU  - Swann A
FAU - Ballard, Clive
AU  - Ballard C
LA  - eng
PT  - Journal Article
DEP - 20080717
PL  - England
TA  - Age Ageing
JT  - Age and ageing
JID - 0375655
RN  - 0 (Psychotropic Drugs)
SB  - IM
MH  - Choice Behavior
MH  - Dementia/diagnosis/*drug therapy/psychology
MH  - Drug Prescriptions
MH  - England
MH  - Evidence-Based Medicine
MH  - Focus Groups
MH  - *Geriatric Psychiatry
MH  - Guideline Adherence
MH  - *Health Services for the Aged
MH  - Humans
MH  - Patient Selection
MH  - Practice Guidelines as Topic
MH  - *Practice Patterns, Physicians'
MH  - Psychotherapy
MH  - Psychotropic Drugs/*therapeutic use
MH  - Qualitative Research
MH  - Referral and Consultation
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
EDAT- 2008/07/22 09:00
MHDA- 2008/10/17 09:00
CRDT- 2008/07/22 09:00
PHST- 2008/07/22 09:00 [pubmed]
PHST- 2008/10/17 09:00 [medline]
PHST- 2008/07/22 09:00 [entrez]
AID - afn135 [pii]
AID - 10.1093/ageing/afn135 [doi]
PST - ppublish
SO  - Age Ageing. 2008 Sep;37(5):547-52. doi: 10.1093/ageing/afn135. Epub 2008 Jul 17.