Development of video animations to encourage patient-driven deprescribing: A Team Alice Study.
Jennifer A Stoll, Molly Ranahan, Michael T Richbart and 7 others
PMID 33994020WHAT IT FOUND
Older adults and caregivers helped create three videos about medication risks and self-advocacy.
Participants reported feeling more knowledgeable and comfortable discussing medications with doctors, though the study did not test if the videos actually changed prescribing.
Key findings
01The videos were developed through a partnership with older adults, caregivers, and healthcare providers, focusing on three themes: new medication risks, 'Never Meds' (medications to avoid), and hospital medication safety.
02Stakeholders reported a perceived increase in knowledge about medication safety and felt more comfortable initiating conversations with their doctors about medications after participating in the development process.
03The study explicitly states that no inference can be made about the effectiveness of the videos themselves, as the reported benefits may have come from the participation process rather than the videos.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study did not test the videos' effectiveness in changing actual prescribing behavior or health outcomes. Reported improvements in knowledge and self-advocacy may be due to the participatory process itself rather than the videos. The sample was small (53 stakeholders) and predominantly female (92%), limiting generalizability. Participants were recruited from established senior programs, which may have higher health literacy than the general population. Survey responses were self-reported and not verified against clinical records.
Declared interests
The authors declared no relevant conflicts of interest. The study was supported by NIH and non-U.S. government grants.
The easy way to misread this
Do not assume these videos are proven to reduce inappropriate prescribing or improve patient outcomes. The study only measured participants' satisfaction and perceived confidence during the development process, not the videos' clinical effectiveness.