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Background: Older adults are susceptible to opioid related harm, yet long term opioid use is nearly five times higher among those aged ≥80 years than younger adults. Despite this, few resources are available to support older Australians engage in shared decision making about opioid deprescribing (dose reduction or cessation). We adapted Canadian-developed opioid deprescribing resources to the Australian context with clinician and consumer input. Their usability and implementation have not yet been evaluated. Aim: To explore clinicians’ and older adults’ perspectives on opioid deprescribing resources and identify factors influencing usability and implementation in practice. Methods: Semi-structured interviews were conducted with a purposive sample of clinicians and older adults. Interviews were recorded and transcribed verbatim, with data analysed using directed content analysis, informed by the Six Implementability Domains framework. Results: Seventeen interviews have been completed. Clinicians and older adults valued the resources but emphasised the need for clearer clinical guidance (e.g. tapering and withdrawal management) to better support decision-making. Participants described tensions between the desire for detailed guidance and concise, point of care tools, with suggestions to streamline the format. Older adults particularly valued supportive, non-fear inducing information and imagery, identified general practitioners and pharmacists as trusted sources for delivering resources, and emphasised the importance of appropriate timing of delivery. Conclusions: Targeted resource refinements and context specific implementation strategies were identified. Tiered resource designs combining concise summaries with optional detailed content may enhance usability. Integration into primary care workflows and clinician communication skills training may further support uptake.
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