Exploring the enablers and barriers to implementing the Medication Appropriateness Tool for Comorbid Health conditions during Dementia (MATCH-D) criteria in Australia: a qualitative study

BMJ Open. 2017 Aug 23;7(8):e017906. doi: 10.1136/bmjopen-2017-017906.

Abstract

Objectives: The Medication Appropriateness Tool for Comorbid Health conditions in Dementia (MATCH-D) criteria provide expert consensus guidance about medication use for people with dementia. This study aimed to identify enablers and barriers to implementing the criteria in practice.

Setting: Participants came from both rural and metropolitan communities in two Australian states.

Participants: Focus groups were held with consumers, general practitioners, nurses and pharmacists.

Outcomes: data were analysed thematically.

Results: Nine focus groups were conducted. Fifty-five participants validated the content of MATCH-D, appraising them as providing patient-centred principles of care. Participants identified potential applications (including the use of MATCH-D as a discussion aid or educational tool for consumers about medicines) and suggested supporting resources.

Conclusion: Participants provided insights into applying MATCH-D in practice and suggested resources to be included in an accompanying toolkit. These data provide external validation of MATCH-D and an empiric basis for their translation to practice. Following resource development, we plan to evaluate the feasibility and efficacy of implementation in practice.

Keywords: cognitive impairment; dementia; deprescribing; inappropriate prescribing; potentially inappropriate medication list.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Australia
  • Comorbidity
  • Consensus
  • Dementia / drug therapy*
  • Female
  • Focus Groups
  • Humans
  • Interviews as Topic
  • Male
  • Medication Therapy Management / standards*
  • Middle Aged
  • Practice Guidelines as Topic
  • Qualitative Research
  • Surveys and Questionnaires