scholarly journals Impact of a pilot community pharmacy system redesign on reducing over-the-counter medication misuse in older adults

2021 ◽  
Author(s):  
Aaron M. Gilson ◽  
Jamie A. Stone ◽  
Ashley O. Morris ◽  
Roger L. Brown ◽  
Ka Z. Xiong ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Pharmacy ◽  
Over The Counter ◽  
Medication Misuse ◽  
Counter Medication ◽  
Pharmacy System

scholarly journals A preliminary examination of over-the-counter medication misuse rates in older adults

2017 ◽  
Vol 13 (1) ◽  
pp. 187-192 ◽  
Author(s):  
Jamie A. Stone ◽  
Corey A. Lester ◽  
Ephrem A. Aboneh ◽  
Cynthia H. Phelan ◽  
Lauren L. Welch ◽  
...  
Keyword(s):  
Older Adults ◽  
Over The Counter ◽  
Medication Misuse ◽  
Preliminary Examination ◽  
Counter Medication

scholarly journals Older Adult Shopping Persona Types and its Impact on Over-the-Counter Medication Misuse

2020 ◽  
Vol 9 (1) ◽  
pp. 124-128
Author(s):  
Shweta Shah ◽  
Ashley O. Morris ◽  
Jamie A. Stone ◽  
Michelle A. Chui
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Older Adult ◽  
Preliminary Analysis ◽  
Over The Counter ◽  
Medication Misuse ◽  
Safe Medication ◽  
Counter Medication ◽  
Medication Selection ◽  
The Relationship

Older adult selection and use of over-the-counter (OTC) medications is informed by a range of motivations and rationales-forming different older adult personas. Holden et al. (2019) categorized older adults seeking OTC medications into two personas: habit followers and deliberators. The goal of this paper is to 1) operationalize and expand on the persona types proposed by Holden et al. 2) use these definitions to characterize the types of older adult personas and 3) explore the relationship between over the counter medication misuse and persona type. Our preliminary analysis identified 3 persona types with differing rates of misuse: 1) deliberators (m=1.8 (range 0-3) instances of misuse), 2) habit followers- formal source dependent (m=0 instances of misuse), 3) habit followers- informal source dependent (m=2.1 (range 1-3) instances of misuse). Information about safe medication choices, provided by physician or pharmacist recommendation, was seen to be critical in safe decision-making about OTC medication selection and use.

scholarly journals Aspirin misuse: a case report

BJPsych Open ◽  
2019 ◽  
Vol 5 (5) ◽  
Author(s):  
David Goldrich ◽  
Anita Sreedhar ◽  
Rehan Aziz ◽  
Kenneth R. Kaufman ◽  
Anthony Tobia ◽  
...  
Keyword(s):  
At Risk ◽  
Emergency Department ◽  
Case Report ◽  
Signs And Symptoms ◽  
Over The Counter ◽  
Medication Misuse ◽  
Counter Medication ◽  
History Of ◽  
Salicylate Intoxication ◽  
At Risk Populations

Aspirin-use disorder is an underreported condition. Identification of the signs and symptoms of aspirin misuse are important in light of prevalent non-prescribed medicine/over-the-counter medication (NPM/OTC) misuse. We discuss here the case of a patient with a history of chronic aspirin misuse who presented to the emergency department with salicylate intoxication and described elation secondary to deliberate aspirin consumption. This case highlights the importance of screening for NPM/OTC medication misuse in at-risk populations.

scholarly journals Over the Counter Medication and Dietary Supplements Use Among Older Adults

2014 ◽  
Vol 17 (7) ◽  
pp. A506
Author(s):  
H. Lee ◽  
S.E. Choi ◽  
J. Lim ◽  
D. Kang ◽  
E.A. Lim ◽  
...  
Keyword(s):  
Older Adults ◽  
Dietary Supplements ◽  
Over The Counter ◽  
Counter Medication

scholarly journals Impact of a pilot community pharmacy system redesign on reducing over-the-counter medication misuse in older adults

2019 ◽  
Author(s):  
Aaron M. Gilson ◽  
Jamie A. Stone ◽  
Ashley O. Morris ◽  
Roger L. Brown ◽  
Ka Z Xiong ◽  
...  
Keyword(s):  
Older Adults ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Older Adult ◽  
Drug Misuse ◽  
Pharmacy Staff ◽  
Drug Label ◽  
Over The Counter ◽  
Medication Misuse ◽  
Hypothetical Scenario

AbstractObjectivesThis pilot study examines effectiveness of an innovative pharmacy design change on over-the-counter (OTC) medication misuse in older adults (ages ≥65). Few interventions have attempted to decrease older adult OTC misuse, and none have addressed system barriers. A structural redesign of the pharmacy (the Senior Section™) was conceptualized to increase awareness of higher-risk OTC medications. The Senior Section contains a curated selection of OTC medications (for pain, cough/cold, allergy, sleep) and is close to the prescription department to facilitate pharmacy staff/patient engagement to reduce misuse.MethodsA pre-/post-implementation design was used to recruit 87 older adults from three pharmacies. Using a hypothetical scenario, participants selected an OTC medication, which was compared to their medication list and health conditions, and their reported use was compared against the product labeling. Four misuse outcomes were determined: (1) Drug/Drug, (2) Drug/Disease, (3) Drug/Age, and (4) Drug/Label with five sub-types. Patient characteristics were collected and compiled into a propensity-score matching logistic regression model to estimate their effects on the Senior Section’s association with misuse outcomes at pre-/post-implementation.ResultsPatient characteristic were uniform between pre-/post-implementation and, once entered into a propensity-score matching model, Drug/Disease Misuse significantly lessened over time (z=-2.09, p=0.037). The Senior Section reduced Drug/Drug Misuse, but not significantly. Drug/Label Misuse varied according to the sub-type, with reduced Daily-Dosage (z=-2.42, p=0.016) and Single-Dosage misuse (z=-5.82, p=0.001); however, Timing/Frequency misuse increased (z=2.16, p=0.031).ConclusionsThese nascent outcomes support a well-conceived pharmacy-based OTC aisles redesign as valuable for reducing older adult OTC medication misuse. The Senior Section, when broadly implemented, would create new permanent structures and processes to assist older adults in accessing risk information for confidently selecting safer OTC medications.

scholarly journals A pilot study of decision factors influencing over-the-counter medication selection and use by older adults

2020 ◽  
Vol 16 (8) ◽  
pp. 1117-1120
Author(s):  
Jamie A. Stone ◽  
Cynthia H. Phelan ◽  
Richard J. Holden ◽  
Nora Jacobson ◽  
Michelle A. Chui
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Over The Counter ◽  
Decision Factors ◽  
Factors Influencing ◽  
Counter Medication ◽  
Medication Selection
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