Work

Tailoring the Patient Deprescribing Typology to prescribing decisions: diabetes-specific versus standard versions in an online survey

Year: 2026

Type: article

Abstract: Background Deprescribing is the process of reducing or stopping medicines that may no longer be needed or helpful. Effective deprescribing depends on understanding patients’ beliefs, concerns, and preferences, which influence how they participate in decisions about their medicines. Clear, patient-centered communication is important to make sure decisions about medicines are understood, supported, and safely implemented. The Patient Deprescribing Typology (PDT) offers a novel, preference-based approach that categorizes patients into distinct groups based on their beliefs and preferences regarding medicine use and deprescribing.Aims The PDT was adapted for this exploratory study to compare responses to a diabetes-specific version (administered to participants with diabetes) or a standard version (administered to all other participants).Methods We surveyed adults aged 65 years and older in Australia and the United States (n = 2,199), and compared responses to standard versus diabetes-specific PDT questions.Results Participants answering the diabetes-specific version perceived their medicine as more important, favored physician-led decision-making, and were less open to deprescribing compared to those receiving the general PDT. Preferences for starting or stopping a hypothetical diabetes medicine were associated with distinct attitudes and decision-making styles, suggesting the importance of aligning communication strategies with patients’ typologies.Discussion This study represents a first step toward exploring how condition-specific versions of the PDT may better capture nuanced, medicine-specific patient attitudes and preferences.

Source: Health Literacy and Communication Open

DOI: 10.1080/28355245.2026.2618844

Authors: Sarah E. Vordenberg, Kristie Rebecca Weir

Institutions: University of Michigan, Michigan Medicine, University of Bern, The University of Sydney

Language: English

Topic: Pharmaceutical Practices and Patient Outcomes

Subfield: Geriatrics and Gerontology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funders: National Science Foundation, Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung, National Health and Medical Research Council