[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-426650-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-426650-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","acceptance-of-deprescribing-recommendations-for-fall-risk-increasing-medications-study-results","ACCEPTANCE OF DEPRESCRIBING - Recommendations for Fall Risk Increasing Medications - Study Results","","Fall risk increasing medications (FRIMs) can impair balance and psychomotor function, elevating fall risk in older adults. A study assessed whether reporting the Drug Burden Index (DBI)—reflecting exposure to anticholinergic and sedative drugs—would change deprescribing decisions for FRIMs in older veterans at fall risk. From Jan 2020 to Sep 2024, a pharmacist reviewed FRIMs and notified primary care providers via the electronic medical record, with DBI shared in a subset.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/acceptance-of-deprescribing-recommendations-for-fall-risk-increasing-medications-study-results/426650/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/acceptance-of-deprescribing-recommendations-for-fall-risk-increasing-medications-study-results/426650.png","ImageObject",300,407,{"name":42,"@type":43},"Rainbow Cat","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-19","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",6,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What problem does the study address regarding FRIMs?","Question",{"text":63,"@type":64},"FRIMs negatively affect balance and psychomotor functioning, increasing the risk of falls in older adults. The study targets how deprescribing decisions may be influenced in veterans at fall risk.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How was the Drug Burden Index (DBI) used in the intervention?",{"text":68,"@type":64},"DBI was used to quantify total exposure to anticholinergic and sedative medications. In a subset of patients, DBI was reported to primary care providers alongside deprescribing recommendations.",{"name":70,"@type":61,"acceptedAnswer":71},"Did sharing DBI increase acceptance of FRIM deprescribing recommendations?",{"text":72,"@type":64},"No. Recommendation acceptance was higher when DBI was not shared (68% vs 43%), and DBI sharing did not appear to increase the acceptance of FRIM deprescribing recommendations by primary care providers.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},426650,1791266915,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":30},962090769181,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","932 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.3149  \nACCEPTANCE OF DEPRESCRIBING  \nRECOMMENDATIONS FOR FALL RISK INCREASING  \nMEDICATIONS  \nMichelle Paulsen1, Katherine Ritchey1, Karl Brown2, and Erica Martinez1, 1. Department of Veterans Affairs, Seattle, Washington, United States, 2. VA Puget Sound Health Care System, Seattle, Washington, United States  \nFall risk increasing medications (FRIMs) have negative effects on balance and psychomotor functioning which increase the risk of falling in older adults. The Drug Burden Index (DBI) measures total exposure to anticholinergic and sedative medications and has been associated with falling risk in older adults. We evaluated whether reporting DBI score would influence deprescribing of FRIMs in older veterans at risk of falling. From January 2020 to September 2024, a pharmacist conducted a medication review for FRIMs in older veterans at risk of falling. The primary care prescriber (PCP) was alerted to recommendations through the electronic medical record. DBI was reported to PCP in a subset of patients. Changes to FRIMs and DBI score were assessed for all participants three months after initial medication review.  \nAcross the 112 study participants, the mean age was 75, 93 (83%) were male, and 89 (80%) were White. Medication-related recommendations were given to 72 (64%) of the 112 participants, with a mean (SD) of 1.9 (1.2) recommendations per patient. Of these, 37 (51%) had a recommendation accepted.  \nThe DBI was shared with care providers for 47 (65%) of the 72 who received a recommendation. Recommendation acceptance was higher in the group that did not have their DBI shared (17/25, 68%) compared to the group that did have their DBI shared (20/47, 43%) . Though pharmacy intervention led to a reduction in FRIMs, DBI score did not appear to increase the acceptance of FRIM deprescribing recommendations by PCP.","cbCaioTP8LwAv2tF","https://ap.wps.com/l/cbCaioTP8LwAv2tF","pdf",46720,"English","# Background and Purpose\n# Methods\n# Participant Characteristics\n# Results\n## Recommendation and DBI Sharing Effects\n## Impact of Pharmacy Intervention\n# Conclusion","[{\"question\":\"What problem does the study address regarding FRIMs?\",\"answer\":\"FRIMs negatively affect balance and psychomotor functioning, increasing the risk of falls in older adults. The study targets how deprescribing decisions may be influenced in veterans at fall risk.\"},{\"question\":\"How was the Drug Burden Index (DBI) used in the intervention?\",\"answer\":\"DBI was used to quantify total exposure to anticholinergic and sedative medications. In a subset of patients, DBI was reported to primary care providers alongside deprescribing recommendations.\"},{\"question\":\"Did sharing DBI increase acceptance of FRIM deprescribing recommendations?\",\"answer\":\"No. Recommendation acceptance was higher when DBI was not shared (68% vs 43%), and DBI sharing did not appear to increase the acceptance of FRIM deprescribing recommendations by primary care providers.\"}]","ACCEPTANCE OF DEPRESCRIBING - Recommendations for Fall Risk Increasing Medications - Study Results | PDF",1790641307]