{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T12:14:39Z","timestamp":1766146479627,"version":"3.48.0"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Gender inequality in mental health is a persistent challenge that requires innovative solutions for its resolution. Interventions in primary care can be useful in narrowing the gap in the consumption of psychotropic drugs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study proposes female empowerment as a non\u2010medical alternative for facing women's daily lives, which are often pathologised, and aims to develop a group intervention in primary care that promotes female empowerment and reduces the use of benzodiazepines and Z\u2010hypnotics (BDZ\/ZH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Co\u2010creation is presented as a novel methodology for developing health interventions. Participatory workshops will be organised involving women who use BDZ\/ZH and health professionals, including family doctors, primary care pharmacists, and nurses. These workshops will collectively identify the needs of participants and contribute to the design of the intervention, which will be developed as a nurse\u2010led initiative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This methodology is essential for designing interventions that respond effectively to the particularities of women who use BDZ\/ZH and is valuable in adapting to the actual clinical context of the health professionals involved in their care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nurses' ongoing patient relationships, deep knowledge of individual life contexts, and expertise in health promotion and education make them especially suited to lead empowerment\u2010based interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>This study protocol outlines a co\u2010creation process involving patients and healthcare professionals from diverse fields of primary care\u2014pharmacists, family physicians and nurses\u2014to collaboratively design an intervention aimed at empowering women as a strategy for discontinuing benzodiazepines (BDZ) and hypnotics. The goal is to leverage both the lived experiences of patients and the clinical expertise of healthcare providers to develop a tailored, effective intervention. In the future implementation of the intervention, nurses are expected to take a leading role.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Clinical Trial Registration:<\/jats:bold>\n                      This manuscript outlines a protocol for a participatory process and, as such, it has not been registered as a clinical trial.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70361","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T14:59:41Z","timestamp":1758207581000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Co\u2010Creation Study Protocol for Developing a Nurse\u2010Led Intervention to Deprescribe Benzodiazepines and Z\u2010Hypnotics in Primary Care Aimed at Empowering Women"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8854-5695","authenticated-orcid":false,"given":"Amaia","family":"Cuesta\u2010Zigorraga","sequence":"first","affiliation":[{"name":"Nursing Department, Faculty of Health Sciences University of Deusto San Sebastian Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlota","family":"Las Hayas Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Health Sciences University of Deusto Bilbao Spain"},{"name":"Network for Research on Chronicity Primary Care and Health Promotion (RICAPPS) Bilbao Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00292-3"},{"volume-title":"Report on Health and Well\u2010Being","year":"2024","author":"Organization for Economic Cooperation and Development","key":"e_1_2_14_3_1"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494820944736"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1726-6"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-018-0136-9"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1300\/J375v15n01_05"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2000.12088.x"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.3.4.609"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.3205\/000229"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2022.04.025"},{"key":"e_1_2_14_12_1","unstructured":"Beijing Declaration. 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