{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T08:29:06Z","timestamp":1784017746965,"version":"3.55.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,6,21]],"date-time":"2022-06-21T00:00:00Z","timestamp":1655769600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"National Institute for Health Research (NIHR) Biomedical Research Centre at the South London"},{"name":"Maudsley NHS Foundation Trust and King\u2019s College London"},{"name":"National Institute for Health Research (NIHR) Applied Research Collaboration South London (NIHR ARC South London) at King\u2019s College Hospital NHS Foundation Trust"},{"name":"DATAMIND HDR UK Mental Health Data Hub","award":["MR\/W014386"],"award-info":[{"award-number":["MR\/W014386"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Anticholinergic burden refers to the cumulative effects of taking multiple medications with anticholinergic effects. This study was carried out in a public hospital in Singapore, aimed to improve and achieve a 100% comprehensive identification and review of measured, anticholinergic burden in a geriatric psychiatry liaison service to geriatric wards. We evaluated changes in pre-to post-assessment anticholinergic burden scores and trainee feedback.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Plan Do Study Act methodology was employed, and Anticholinergic Effect on Cognition scale (AEC) was implemented as the study intervention. A survey instrument evaluated trainee feedback.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There was no measured anticholinergic burden in a baseline of 170 assessments. 75 liaison psychiatry assessments were conducted between June and November 2021 in two cycles. 94.7% of pre-assessments (at the time of assessment) and 71.1% of post-assessments (following assessment) had a record of AEC scores in clinical documentation in cycle one, improving in the second cycle to 100%, 94.6%, respectively. A high post-assessment AEC score of 3 and over reduced from 15.8% in cycle one to 5.4% in cycle two. The trainee feedback suggested an enriching educational experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Using the AEC scale, the findings support the feasibility of comprehensive identification and review of measured anticholinergic burden in older people with neurocognitive disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562221103117","type":"journal-article","created":{"date-parts":[[2022,6,21]],"date-time":"2022-06-21T03:50:25Z","timestamp":1655783425000},"page":"535-540","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Improving quantification of anticholinergic burden using the Anticholinergic Effect on Cognition Scale \u2013 a healthcare improvement study in a geriatric ward setting"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7312-4632","authenticated-orcid":false,"given":"Bharathi","family":"Balasundaram","sequence":"first","affiliation":[{"name":"Department of Psychological Medicine, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy Swee Tee","family":"Ang","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Stewart","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Kings College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delia","family":"Bishara","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Kings College London, Institute of Psychiatry, Psychology and Neuroscience, Mental Health of Older Adults & Dementia, South London & Maudsley NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun How","family":"Ooi","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuyin","family":"Li","sequence":"additional","affiliation":[{"name":"Advanced Practice Nurse Development, Department of Nursing, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farooq","family":"Akram","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew Boon","family":"Eu Kwek","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,6,21]]},"reference":[{"key":"bibr1-10398562221103117","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-015-0029-9"},{"key":"bibr2-10398562221103117","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.04.019"},{"key":"bibr3-10398562221103117","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa090"},{"key":"bibr4-10398562221103117","doi-asserted-by":"publisher","DOI":"10.1177\/20420986211016645"},{"key":"bibr5-10398562221103117","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5330"},{"key":"bibr6-10398562221103117","doi-asserted-by":"publisher","DOI":"10.1177\/2010105819869031"},{"key":"bibr7-10398562221103117","unstructured":"http:\/\/www.ihi.org\/resources\/Pages\/Tools\/PlanDoStudyActWorksheet.aspx \u201dReprinted from www.IHI.org with permission of the Institute for Healthcare Improvement (IHI), \u00a92022.\u201c (accessed 22 March 2022)."},{"key":"bibr8-10398562221103117","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4507"},{"key":"bibr9-10398562221103117","unstructured":"Medichec. South London Maudsley NHS Trust. http:\/\/www.medichec.com (accessed 18 February 2022)."},{"key":"bibr10-10398562221103117","unstructured":"FormSG. https:\/\/form.gov.sg (accessed 29 November 2021)."},{"key":"bibr11-10398562221103117","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2019.01309"},{"key":"bibr12-10398562221103117","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2501"},{"key":"bibr13-10398562221103117","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2019.0677"},{"key":"bibr14-10398562221103117","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004411"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562221103117","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10398562221103117","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562221103117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:51:35Z","timestamp":1777377095000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10398562221103117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,21]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["10.1177\/10398562221103117"],"URL":"https:\/\/doi.org\/10.1177\/10398562221103117","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,21]]}}}