Clinical Scenarios and Bioethical and Pragmatic Factors for Best-Worst Scaling Questions
fracture, dementia, BWS
ADVERSE DRUG EVENT
Deprescribing scenarios: (1) increased risk of ADE: “There is evidence for increased risk of a serious acute adverse drug event (eg, fall or fracture) that could happen at any time if this drug is continued,” and (2) limited benefit: “There is no evidence of benefit for this medication in the older adult dementia population.”We used the best-worst scaling (BWS) method to assess respondents’ rankings of perceived barriers to deprescribing a medication in this population.Best-worst scaling was chosen because the task is known to be easily understood by respondents, and because it asks the respondent to make comparisons over multiple sets of questions instead of 1 single set.