Ana Guimarães, Armanda Pereira, André Oliveira, Sílvia Lopes, Ana Rita Nunes, Cleia Zanatta, Pedro Rosário
Parenting in Cerebral Palsy: Understanding the Perceived Challenges and Needs Faced by Parents of Elementary School Children
International journal of environmental research and public health
polypharmacy use older adults increasing sometimes leads poor health outcomes influence health literacy managing polypharmacy making decisions stopping medication received limited attention mixed methods design used measure investigate influence health literacy management polypharmacy decisions deprescribing phase 1 involved two crosssectional surveys one older adults using five medications general practitioners gps older adult health literacy measured using aspects health literacy scale phase 2 employed individual interviews older adults gps explored reported use health literacy practice spss version 24 used conduct descriptive statistical analysis phase 1 survey responses phase 2 interviews analyzed using thematic analysis assistance nvivo 12 phase 1 survey responses received 85 gps 137 older adults phase 2 interviews conducted 16 gps 25 older adults phase 1 results indicated selfreported older adult health literacy high gps believed older patients could engage decisions deprescribing phase 2 findings showed older adults developed employed complex health literacy practices manage medications consultations however reported using health literacy skills consultations gps gps noted older adult involvement decisionmaking varied generally thought older adults low health literacy older adults reported using health literacy practices management sometimescomplex medication regimens however role health literacy deprescribing decisionmaking limited mixed methods approach allowed greater insight older adult gp practices influence acquisition use health literacy hlrp health literacy research practice 202371e14e25 plain language summary report explores health literacy use multiple medications decisions stop using medications older age older adults reported good heath literacy practiced many health literacy skills management medications however always report use health literacy skills discussing medications family doctor