Intervention for a correct medication list and medication use in older adults: a non-randomised feasibility study among inpatients and residents during care transitions.

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  • Additional Information
    • Source:
      Publisher: Springer Country of Publication: Netherlands NLM ID: 101554912 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2210-7711 (Electronic) NLM ISO Abbreviation: Int J Clin Pharm Subsets: MEDLINE
    • Publication Information:
      Original Publication: Dordrecht : Springer
    • Subject Terms:
      Feasibility Studies* ; Medication Adherence* ; Medication Reconciliation*/methods ; Inpatients* ; Patient Discharge*; Humans ; Female ; Male ; Aged ; Aged, 80 and over ; Pharmacists ; Middle Aged ; Medication Errors/prevention & control
    • Abstract:
      Background: Medication discrepancies in care transitions and medication non-adherence are problematic. Few interventions consider the entire process, from the hospital to the patient's medication use at home.
      Aim: In preparation for randomised controlled trials (RCTs), this study aimed (1) to investigate the feasibility of recruitment and retention of patients, and data collection to reduce medication discrepancies at discharge and improve medication adherence, and (2) to explore the outcomes of the interventions.
      Method: Participants were recruited from a hospital and a residential area. Hospital patients participated in a pharmacist-led intervention to establish a correct medication list upon discharge and a follow-up interview two weeks post-discharge. All participants received a person-centred adherence intervention for three to six months. Discrepancies in the medication lists, the Beliefs about Medicines Questionnaire (BMQ-S), and the Medication Adherence Report Scale (MARS-5) were assessed.
      Results: Of 87 asked to participate, 35 were included, and 12 completed the study. Identifying discrepancies, discussing discrepancies with physicians, and performing follow-up interviews were possible. Conducting the adherence intervention was also possible using individual health plans for medication use. Among the seven hospital patients, 24 discrepancies were found. Discharging physicians agreed that all discrepancies were errors, but only ten were corrected in the discharge information. Ten participants decreased their total BMQ-S concern scores, and seven increased their total MARS-5 scores.
      Conclusion: Based on this study, conducting the two RCTs separately may increase the inclusion rate. Data collection was feasible. Both interventions were feasible in many aspects but need to be optimised in upcoming RCTs.
      (© 2024. The Author(s).)
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    • Grant Information:
      20190063 Stiftelsen för Kunskaps- och Kompetensutveckling
    • Contributed Indexing:
      Keywords: Aged; Medication adherence; Medication error; Medication reconciliation; Patient discharge summary; Patient transfer
    • Publication Date:
      Date Created: 20240210 Date Completed: 20240529 Latest Revision: 20240531
    • Publication Date:
      20240531
    • Accession Number:
      PMC11133128
    • Accession Number:
      10.1007/s11096-024-01702-4
    • Accession Number:
      38340241