Expert Validation and Refinement of a Tool for Assessing Patient Experiences with Deprescribing Interventions Article Swipe
Helen Omuya
,
Lauren Welch
,
Trisha Seys Raňola
,
Betty Chewning
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-7819002/v1
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-7819002/v1
Introduction: A quality improvement tool that assesses the association between patients’ experiences with the deprescribing intervention and its translation into improved healthcare quality and medication self-management is crucial. This study advances the development of the Deprescribing Evaluation and Quality Improvement (DEQI) instrument by utilizing a Delphi panel of experts to assess the instrument's constructs, dimensions, and items. Methods: Content analysis of qualitative interviews was used to generate constructs, dimensions, and items. Deprescribing experts, comprising physicians and pharmacists (N=21), were selected and invited to join a Delphi panel. The Delphi technique was employed in two rounds. In the first round, experts evaluated the relevance of 37 draft constructs and dimensions (C&D). In the second round, the experts rated 75 items for relevance and clarity. Results: There was a 95% response in both Rounds 1 and 2. A total of 7 C&D (19%) were eliminated after Round 1. Nineteen items (25%) with an item-level content validity index below the set threshold for relevance were eliminated after Round 2. Duplicates were discarded. Items below the set threshold for clarity were revised based on feedback comments. Four items were combined into two. Ultimately, the 75-item survey was reduced to 53 items. An additional five new items were added, bringing the total to 58 items. Conclusion: Creating an instrument to assess and improve deprescribing interventions depends on input from the professionals who will utilize the data. Panelists successfully reached consensus and validated the content of the DEQI instrument.
Related Topics
Concepts
Deprescribing
Delphi method
Psychological intervention
Relevance (law)
CLARITY
Content validity
Delphi
Medicine
Set (abstract data type)
Content analysis
Quality (philosophy)
Focus group
Nursing
Intervention (counseling)
Medical education
Health care
Psychology
Qualitative research
MEDLINE
Context (archaeology)
Applied psychology
Quality management
Enabling
Knowledge translation
Health professionals
Patient safety
Medication therapy management
Qualitative analysis
Test (biology)
Metadata
- Type
- article
- Landing Page
- https://doi.org/10.21203/rs.3.rs-7819002/v1
- https://www.researchsquare.com/article/rs-7819002/latest.pdf
- OA Status
- gold
- References
- 39
- OpenAlex ID
- https://openalex.org/W7106270670
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W7106270670Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.21203/rs.3.rs-7819002/v1Digital Object Identifier
- Title
-
Expert Validation and Refinement of a Tool for Assessing Patient Experiences with Deprescribing InterventionsWork title
- Type
-
articleOpenAlex work type
- Publication year
-
2025Year of publication
- Publication date
-
2025-11-21Full publication date if available
- Authors
-
Helen Omuya, Lauren Welch, Trisha Seys Raňola, Betty ChewningList of authors in order
- Landing page
-
https://doi.org/10.21203/rs.3.rs-7819002/v1Publisher landing page
- PDF URL
-
https://www.researchsquare.com/article/rs-7819002/latest.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.researchsquare.com/article/rs-7819002/latest.pdfDirect OA link when available
- Concepts
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Deprescribing, Delphi method, Psychological intervention, Relevance (law), CLARITY, Content validity, Delphi, Medicine, Set (abstract data type), Content analysis, Quality (philosophy), Focus group, Nursing, Intervention (counseling), Medical education, Health care, Psychology, Qualitative research, MEDLINE, Context (archaeology), Applied psychology, Quality management, Enabling, Knowledge translation, Health professionals, Patient safety, Medication therapy management, Qualitative analysis, Test (biology)Top concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
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39Number of works referenced by this work
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| referenced_works | https://openalex.org/W2153054970, https://openalex.org/W3158967570, https://openalex.org/W3179194167, https://openalex.org/W4375956052, https://openalex.org/W2131914658, https://openalex.org/W3024272353, https://openalex.org/W2727488199, https://openalex.org/W3107594151, https://openalex.org/W4386574640, https://openalex.org/W4402822758, https://openalex.org/W2891125414, https://openalex.org/W158160701, https://openalex.org/W4309567664, https://openalex.org/W3006405313, https://openalex.org/W2587777701, https://openalex.org/W4380483507, https://openalex.org/W4309288469, https://openalex.org/W2016660511, https://openalex.org/W2954017678, https://openalex.org/W2794918504, https://openalex.org/W4280502005, https://openalex.org/W1594672159, https://openalex.org/W2128582879, https://openalex.org/W2570117592, https://openalex.org/W2413457902, https://openalex.org/W3045735916, https://openalex.org/W4409481966, https://openalex.org/W2038160103, https://openalex.org/W2127460795, https://openalex.org/W2038722421, https://openalex.org/W2028401320, https://openalex.org/W4387306445, https://openalex.org/W4400100773, https://openalex.org/W3217398762, https://openalex.org/W1902591754, https://openalex.org/W4205337584, https://openalex.org/W4360956125, https://openalex.org/W2980120300, https://openalex.org/W4292745308 |
| referenced_works_count | 39 |
| abstract_inverted_index.1 | 133 |
| abstract_inverted_index.7 | 139 |
| abstract_inverted_index.A | 2, 136 |
| abstract_inverted_index.a | 45, 85, 127 |
| abstract_inverted_index.1. | 146 |
| abstract_inverted_index.2. | 135, 166 |
| abstract_inverted_index.37 | 105 |
| abstract_inverted_index.53 | 196 |
| abstract_inverted_index.58 | 209 |
| abstract_inverted_index.75 | 118 |
| abstract_inverted_index.An | 198 |
| abstract_inverted_index.In | 96, 111 |
| abstract_inverted_index.an | 151, 213 |
| abstract_inverted_index.by | 43 |
| abstract_inverted_index.in | 93, 130 |
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| abstract_inverted_index.The | 88 |
| abstract_inverted_index.and | 17, 24, 38, 56, 70, 76, 81, 108, 122, 134, 217, 236 |
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| abstract_inverted_index.new | 201 |
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| abstract_inverted_index.five | 200 |
| abstract_inverted_index.from | 224 |
| abstract_inverted_index.into | 20, 187 |
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| abstract_inverted_index.that | 6 |
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| abstract_inverted_index.(25%) | 149 |
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| abstract_inverted_index.There | 125 |
| abstract_inverted_index.after | 144, 164 |
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| abstract_inverted_index.below | 156, 171 |
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| abstract_inverted_index.index | 155 |
| abstract_inverted_index.input | 223 |
| abstract_inverted_index.items | 119, 148, 184, 202 |
| abstract_inverted_index.panel | 47 |
| abstract_inverted_index.rated | 117 |
| abstract_inverted_index.study | 30 |
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| abstract_inverted_index.(DEQI) | 41 |
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| abstract_inverted_index.assess | 51, 216 |
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| abstract_inverted_index.round, | 99, 114 |
| abstract_inverted_index.second | 113 |
| abstract_inverted_index.survey | 192 |
| abstract_inverted_index.(N=21), | 78 |
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| abstract_inverted_index.C&D | 140 |
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| abstract_inverted_index.improve | 218 |
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| abstract_inverted_index.reduced | 194 |
| abstract_inverted_index.revised | 178 |
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| abstract_inverted_index.validity | 154 |
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| abstract_inverted_index.Duplicates | 167 |
| abstract_inverted_index.Evaluation | 37 |
| abstract_inverted_index.additional | 199 |
| abstract_inverted_index.comprising | 74 |
| abstract_inverted_index.constructs | 107 |
| abstract_inverted_index.dimensions | 109 |
| abstract_inverted_index.discarded. | 169 |
| abstract_inverted_index.eliminated | 143, 163 |
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| abstract_inverted_index.instrument | 42, 214 |
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| abstract_inverted_index.professionals | 226 |
| abstract_inverted_index.self-management | 26 |
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| abstract_inverted_index.<bold>Results:</bold> | 124 |
| abstract_inverted_index.<title>Abstract</title> | 0 |
| abstract_inverted_index.<bold>Conclusion:</bold> | 211 |
| abstract_inverted_index.<bold>Introduction:</bold> | 1 |
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