Table 3

Contexts associated with positive outcomes

ContextsSuccessful deprescribing (n=7)Failed deprescribing (n=7)No attempt to deprescribe (n=7)Supporting citation
Previous support from physician/positive attitude towards discontinuation5 (71%)4 (57%)1 (14%) ‘He (my doctor) told me the drug was not good for me and that I could experience side effects while taking it’. (72-year-old man, successful taper)
Stable health status5 (71%)4 (57%)2 (29%) ‘I don’t have as much pain as I used to. It’s now under control so it was easier for me to stop. Before—no way’. (68-year-old woman, successful taper)
Certainty and confidence about tapering (postintervention)6 (86%)4 (57%)1 (14%) ‘I persuaded myself that I needed to get rid of this, no matter what’. (84-year-old man, successful taper)
Perception of increased risk6 (86%)5 (71%)1 (14%) ‘My physician told me it (the drugs) could cost me my memory. My memory has become very important to me’. (79-year-old man, successful taper)
Lack of psychological attachment5 (71%)3 (43%)1 (14%) ‘I understood I could stop taking it (after I read the brochure), that it was not an obligation (to take it)’. (72-year-old woman, successful taper)
Positive outlook on ageing3 (43%)1 (14%)0 ‘At my age I don’t believe in miracles such as being able to sleep for 8, 9 or 10 hours each night. It would be impossible for me, so I content myself with the hours of sleep I get’. (84-year-old man, successful taper)
Tapering tool provides support5 (71%)3 (43%)0 ‘In the past I tried to stop the pill all at once. But using the tapering tool, I understood that it need to be a gradual and not a drastic process’. (84-year-old man, successful taper)
Supportive healthcare provider3 (43%)2 (29%)0 ‘When I told my doctor I wanted to stop, he said, ‘no problem, let’s do it’. (87-year-old woman, successful taper)