Physicians’ beliefs and attitudes about Benzodiazepines : a cross-sectional study

Detalhes bibliográficos
Autor(a) principal: Neves, Inês
Data de Publicação: 2019
Outros Autores: Oliveira, Joana Sara Silva, Fernandes, Milene, Santos, Osvaldo, Maria, Vasco
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/38408
Resumo: © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
id RCAP_529da8125730b849afd179920f0a4f87
oai_identifier_str oai:repositorio.ul.pt:10451/38408
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Physicians’ beliefs and attitudes about Benzodiazepines : a cross-sectional studyBenzodiazepinesPhysiciansBeliefsAttitudes© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.Background: In 2015, Portugal was the OECD country with the highest reported consumption of BZD. Physician’s perceptions and attitudes regarding BZD are main determinants of related prescription habits. This study aimed to characterize beliefs and attitudes of Portuguese physicians regarding the prescription, management challenges, benefits, risks and withdrawal effects of BZD. Methods: A cross-sectional, observational study with online data collection through anonymous self-administered questionnaire. Physicians registered with the Portuguese Medical Association were invited to participate through direct e-mail message. Physicians were asked to give their opinion (using a 5-points Likert scale) regarding the prescription of BZD, their benefits and risks in the management of insomnia and anxiety, the possible adverse effects of chronic use and alternative non-pharmacologic approaches. Descriptive statistics were used and groups were compared through logistic regression. Results: A total of 329 physicians participated in the study (56% family physicians). Mean age was 44.10 ± 15.2 years, with 19.03 ± 14.9 years of clinical experience. Fifty eight percent of participants were female. Physicians reported BZD’s negative impact on cognitive function (89%), association with road traffic accidents (88%) and falls (79%). Also, 58% shared the belief that chronic use is justified if the patient feels better and without adverse events. Although 68% reported to feel capable of helping patients to reduce or stop BZD, 55% recognized difficulties in motivating them. Compared to other medical specialists (altogether), family physicians were significantly more aware about the adverse effects of BZD and considered that chronic use may not be justified. Conversely, more family physicians expressed concerns about their skills to motivate patients engaging in withdrawal programs and to support them during the process. Conclusion: Our results show that physicians’ awareness about risks of BZD chronic use is adequate though their attitudes and self-perceived skills towards promoting BZD withdrawal can be improved. Interventions in primary care are needed to capacitate physicians to better motivate patients for BZD withdrawal.Calouste Gulbenkian Foundation funded this study. The funder had no role in the study design, data collection, data analysis, interpretation of data, presentation of results, or decision to submit for publication.BioMedRepositório da Universidade de LisboaNeves, InêsOliveira, Joana Sara SilvaFernandes, MileneSantos, OsvaldoMaria, Vasco2019-05-27T10:15:59Z20192019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/38408engBMC Family Practice (2019) 20:711471-229610.1186/s12875-019-0965-0info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:36:11Zoai:repositorio.ul.pt:10451/38408Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:52:13.918302Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Physicians’ beliefs and attitudes about Benzodiazepines : a cross-sectional study
title Physicians’ beliefs and attitudes about Benzodiazepines : a cross-sectional study
spellingShingle Physicians’ beliefs and attitudes about Benzodiazepines : a cross-sectional study
Neves, Inês
Benzodiazepines
Physicians
Beliefs
Attitudes
title_short Physicians’ beliefs and attitudes about Benzodiazepines : a cross-sectional study
title_full Physicians’ beliefs and attitudes about Benzodiazepines : a cross-sectional study
title_fullStr Physicians’ beliefs and attitudes about Benzodiazepines : a cross-sectional study
title_full_unstemmed Physicians’ beliefs and attitudes about Benzodiazepines : a cross-sectional study
title_sort Physicians’ beliefs and attitudes about Benzodiazepines : a cross-sectional study
author Neves, Inês
author_facet Neves, Inês
Oliveira, Joana Sara Silva
Fernandes, Milene
Santos, Osvaldo
Maria, Vasco
author_role author
author2 Oliveira, Joana Sara Silva
Fernandes, Milene
Santos, Osvaldo
Maria, Vasco
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Neves, Inês
Oliveira, Joana Sara Silva
Fernandes, Milene
Santos, Osvaldo
Maria, Vasco
dc.subject.por.fl_str_mv Benzodiazepines
Physicians
Beliefs
Attitudes
topic Benzodiazepines
Physicians
Beliefs
Attitudes
description © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
publishDate 2019
dc.date.none.fl_str_mv 2019-05-27T10:15:59Z
2019
2019-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/38408
url http://hdl.handle.net/10451/38408
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv BMC Family Practice (2019) 20:71
1471-2296
10.1186/s12875-019-0965-0
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioMed
publisher.none.fl_str_mv BioMed
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799134459547615232

Registros relacionados