scholarly journals Adapting to Health Change: Aging Bias, Sensitivity, and Interprofessionalism in an Aging Sensitivity Training

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 882-883
Author(s):  
Keith Kleszynski ◽  
Lee Jennings ◽  
Thomas Teasdale ◽  
Carrie Ciro ◽  
Carol Rogers ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Interprofessional Education ◽  
Vision Loss ◽  
Medication Management ◽  
Care Providers ◽  
Age Related ◽  
High Satisfaction ◽  
Small Change ◽  
Aging Attitudes ◽  
Age Related Changes

Abstract Adapting to Health Change, a 2-hour aging sensitivity simulation to increase student sensitivity to age-related changes, was delivered to 148 health professions students in March 2020. Five small group stations (hearing loss, neuropathy and dexterity, vision loss and medication management, language and cognitive impairment, and mobility and balance) were facilitated by older adult volunteers and interdisciplinary faculty. Students completed (pre-post) Aging IQ Quiz, Aging Attitudes Assessment, Inter-professional Attitudes Scale (IPAS) Teamwork, Roles, and Responsibilities and Interprofessional Biases subscales, and an overall satisfaction rating. There was a statistically significant but small change in perceived knowledge of aging (mean Aging IQ score changed -0.025 points, p = 0.03). We also found a post-training increase in negative bias (mean Aging Attitudes Assessment score changed +2.68 points, p = 0.0001). While there was no change in attitudes about interprofessional education, this wasattributed to high baseline scores, suggesting students already valued interprofessional interactions. Multiple high satisfaction scores were encouraging. Ninety-four percent agreed that the simulation increased their understanding of age-related changes, while 97% indicated facilitators provided useful insights into the experiences of aging. A high majority (89%) felt they would be better health care providers for older patients than they would have been without the experience. This exercise to increase student empathy about age-related disabilities was well received, but did not achieve the usual intended aims. Simulation content should “re-aim” beyond empathy to teach new knowledge, highlight positive aspects of aging and professional care provision, and reinforce interprofessional roles toward wellness for older adults.

Aging, Genetic Variations, and Ethnopharmacology

2016 ◽  
Vol 28 (1) ◽  
pp. 56-62 ◽  
Author(s):  
Diana Lynn Woods ◽  
Janet C. Mentes ◽  
Mary Cadogan ◽  
Linda R. Phillips
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
Genetic Variations ◽  
Healthcare Research ◽  
Genetic Differences ◽  
Care Providers ◽  
Drug Responses ◽  
Age Related ◽  
Age Related Changes

Unique drug responses that may result in adverse events are among the ethnocultural differences described by the Agency for Healthcare Research and Quality. These differences, often attributed to a lack of adherence on the part of the older adult, may be linked to genetic variations that influence drug responses in different ethnic groups. The paucity of research coupled with a lack of knowledge among health care providers compound the problem, contributing to further disparities, especially in this era of personalized medicine and pharmacogenomics. This article examines how age-related changes and genetic differences influence variations in drug responses among older adults in unique ethnocultural groups. The article starts with an overview of age-related changes and ethnopharmacology, moves to describing genetic differences that affect drug responses, with a focus on medications commonly prescribed for older adults, and ends with application of these issues to culturally congruent health care.

Improving Medication Management by Understanding Patient and Caregiver Preferences for Medication Packaging

2020 ◽  
Vol 35 (10) ◽  
pp. 446-464
Author(s):  
Joshua Chou ◽  
Merton Lee ◽  
Taylor Kaminsky ◽  
Tarlan Namvar ◽  
Catherine E. Cooke ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Medication Management ◽  
The United States ◽  
Community Dwelling ◽  
Care Providers ◽  
Font Size ◽  
Visual Appearance ◽  
June July

OBJECTIVE: To assess older adults' perceptions and preferences when comparing multi-medication packaging products.<br/> DESIGN: Qualitative study involving focus group interviews (FGIs) and key informant interviews (KIIs).<br/> SETTING: Interviews were conducted in multiple cities within the United States during June-July 2019.<br/> PATIENTS, PARTICIPANTS: FGI participants (N=36) included community dwelling adults, 65 years of age or older, who took 5+ chronic medications, or their caregivers. KII participants (N=15) included health care professionals caring for similar populations.<br/> INTERVENTIONS: Participants were given samples of blister packs and pouches and asked about medication management and appearance and usability of medication packaging. Interviews were audio-recorded with participants' consent, then transcribed and coded using Atlas. ti. Recurrent and emergent themes were identified, and selected quotes served as examples of identified themes.<br/> MAIN OUTCOME MEASURE: Participants' perceptions regarding medication packaging.<br/> RESULTS: Participants' preferences varied for different multi-medication packaging systems. Similarly, most FGI participants did not communicate a strong attitude for or against their existing management systems. However, many FGI participants perceived a need for larger font size than seen on the either of the multimedication packaging samples. KII participants also preferred a larger font size on both packagings. KII participants thought the blister packs offered better visual organization and enabled caregivers to quickly assess adherence. However, KII participants expressed concern about integrating as-needed and short-term use medications and noted difficulty opening both types of packages.<br/> CONCLUSION: Visual appearance is important to both patients and health care providers. Continued research in this area is vital for tailoring packaging types and technology to patients.

Managing expectations: How stress, social support, and aging attitudes affect awareness of age-related changes

2019 ◽  
Vol 37 (3) ◽  
pp. 986-1007
Author(s):  
Erica L. O’Brien ◽  
Neika Sharifian
Keyword(s):  
Social Support ◽  
Online Survey ◽  
Well Being ◽  
Age Related ◽  
Aging Attitudes ◽  
Amazon's Mechanical Turk ◽  
And Function ◽  
Gains And Losses ◽  
Future Work ◽  
Age Related Changes

The degree to which social support (SS) moderates the effects of stress on self-perceptions of aging may depend on individual differences in general aging attitudes. We examined how stress, different types of SS, and general expectations regarding aging (ERA) affect awareness of age-related changes (AARCs). The sample included 137 adults (21–76 years; 56.2% women) who took an online survey on Amazon’s Mechanical Turk. Regression analyses showed differential moderation of stress effects due to ERA and the SS measure (perceived and received) and function (emotional and instrumental). Received emotional SS was only associated with AARC losses, whereas perceived support—both emotional and instrumental—was associated with AARC gains and losses. Findings may help guide future work aimed at promoting health and well-being in adulthood.

scholarly journals Pharmacist to improve hypertension management: concordance between Europe and North America

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
D Anker ◽  
R T Tsuyuki ◽  
G Paradis ◽  
A Chiolero ◽  
V Santschi
Keyword(s):  
Health Care Providers ◽  
Blood Pressure Monitoring ◽  
Medication Management ◽  
The United States ◽  
European Countries ◽  
Hypertension Management ◽  
Care Providers ◽  
Hypertension Control ◽  
International Guidelines ◽  
Roles And Responsibilities

Abstract Problem Hypertension is highly prevalent but remains poorly controlled, notably in European countries where control rates are frequently worse than in Canada and the United States. One innovative solution for improving hypertension management is team-based care (TBC) with the involvement of a pharmacist. Description of the problem We systematically compared recommendations for TBC in hypertension management in recent European (ESC/ESH), American (ACC/AHA), and Canadian (Hypertension Canada) guidelines and pinpointed potential roles and responsibilities of pharmacists. Results The three guidelines recommend TBC for the management of hypertension, with the ACC/AHA Guidelines giving a stronger emphasis by providing a more exhaustive definition of TBC and by describing the composition of the team. The three guidelines assign roles and responsibilities in hypertension management at the team level, but no firm role is defined for each specific team member. The three guidelines also refer to evidence showing that the pharmacist’s involvement can embrace several activities, that is, diagnosis of hypertension, blood pressure monitoring, medication management, education of patient and health care providers, and communication and organization within the care team. Recent systematic reviews have shown that a pharmacist’s involvement in these steps in hypertension management improves hypertension control compared to standard of care. Lessons International guidelines, including European ones, recommend using TBC in hypertension management, based on strong evidence that a pharmacist’s involvement improves hypertension control. Key messages International guidelines recommend TBC and the involvement of pharmacists to improve hypertension management. Programs and policies to improve hypertension control in European countries should consider the involvement of pharmacists.

scholarly journals Identifying and describing a model region to evaluate the impact of telemedicine

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Harst ◽  
S Oswald ◽  
P Timpel
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Focus Groups ◽  
Health Care Providers ◽  
Rural Areas ◽  
Demographic Data ◽  
Care Providers ◽  
Age Related ◽  
Model Region ◽  
The Impact

Abstract Background Telemedicine solutions providing patient-centered care over distance need to be integrated into the regional setting. The acceptance by both providers and patients hat to be continuously evaluated using methods of participatory implementation research. In controlled trials, often taking place in laboratory settings, these methods cannot be applied. In the following, research in progress is presented. Methods Based on socio-demographic data, epidemiology prevalence of age-related chronic diseases and data on the value of health care provision in Saxony, Germany a model region was chosen. Then, a focus group (n = 6) was conducted to differentiate the results and analyze the health networks of patients. For this, network maps putting the individual in the middle and his/her sources of information and support in case of illness in concentric circles around it, were used. The focus group was audiotaped, transcribed and analyzed by two researchers using MaxQDA. Results With a mean age of 47.8 years (n = 17,431), high prevalence of diabetes (&gt;15.85 %) and hypertension (&gt;39.1%) and an expected shortage of primary physicians in 2030, the town of Kamenz is a mirror image of the current health care challenges in rural areas of Saxony. Participants of the focus groups also stated problems in finding a primary physician or a dentist. Compensatory behavior, such as traveling large distances, relying on self-researched online diagnoses and immediately going to the emergency room for medical support was described. According to the network maps, primary sources of support in case of illness are partners and relatives, yet there is little connection between those and health care providers, as well as between different medical specialists. Conclusions The results will lead to potential use cases of telemedicine to be included into a standardized questionnaire for the assessment of telemedicine readiness in the model region. Key messages Telemedicine implementation in a rural area can be studied using a participatory approach. Focus groups and network maps are useful qualitative methods for participatory research and can inform the design of quantitative measurements.

Interprofessional Intervention to Support Mature Women: A Case Study

2015 ◽  
Vol 21 (3) ◽  
pp. 134-143 ◽  
Author(s):  
Judith M. Pechacek ◽  
Diana Drake ◽  
Carrie Ann Terrell ◽  
Carolyn Torkelson
Keyword(s):  
Women’S Health ◽  
Women's Health ◽  
Health Care Providers ◽  
Interprofessional Education ◽  
Well Being ◽  
Collaborative Practice ◽  
Health Needs ◽  
Care Providers ◽  
The Impact

Understanding the impact interprofessional teamwork has on patient outcomes is of great interest to health care providers, educators, and administrators. This article describes one clinical team, Women’s Health Specialists, and their implementation of an interprofessional health intervention course: “Mindfulness and Well-being: The Mature Woman” (MW: MW) to support mature women’s health needs in midlife (age 40–70 years) and empower patient involvement in self-care. The provider team works to understand how their interprofessional education and collaborative practice (IPECP) interventions focused on supporting midlife women are associated with improved quality and clinical outcomes. This case study describes the work of the Women’s Health Specialists clinic in partnership with the National Center for Interprofessional Education and Collaborative Practice to study the impact an interprofessional team has on the health needs of women in midlife. This article summarizes the project structure, processes, outputs, and outcomes. Data collection, analysis, strategy, and next steps for future midlife women’s projects are also discussed.

Interprofessional Education and Practice: A Family-Centered Approach to Autism

2017 ◽  
Vol 38 (05) ◽  
pp. 360-367 ◽  
Author(s):  
Marie-Christine Potvin ◽  
Liliane Savard ◽  
Patricia Prelock
Keyword(s):  
Health Care Providers ◽  
Interprofessional Education ◽  
Core Competencies ◽  
Quality Care ◽  
Autism Spectrum ◽  
Care Providers ◽  
Interprofessional Team ◽  
The Core ◽  
Family Centered

AbstractThe article discusses the role of interprofessional education (IPE) and interprofessional collaborative practice (IPCP) in the delivery of service to a young child with autism spectrum disorder (ASD) and his family. An introduction to the concepts is provided with an outline of the strengths and challenges evident in implementing an IPCP approach to quality care. The core competencies for IPE and IPCP are also explained with examples of their application to children with ASD and their families. After reading this article, health care providers should be able to summarize their role in IPE and IPCP and identify their responsibility as a member of a collaborative team. The value of an interprofessional team in practice is emphasized, and ways to build successful teams are explained.

scholarly journals Behavioral, Environmental and Pharmacotherapy Challenges in Dementia during COVID-19 Pandemic: Solutions and Management Issues

2021 ◽  
Author(s):  
Fatemeh Mohammadian ◽  
Marjan Moghadamnia ◽  
Ali Talebi ◽  
Niayesh Mohebbi
Keyword(s):  
Health Care Providers ◽  
Elderly Population ◽  
Cognitive Disorders ◽  
Behavioral Symptoms ◽  
Care Providers ◽  
Medical Centers ◽  
Dementia Patients ◽  
Age Related ◽  
Cognitive Disorders And Dementia ◽  
Management Issues

With the increase in the world's elderly population, age-related disorders such as cognitive disorders and dementia have increased in this group, and with the onset of the COVID-19 pandemic in 2019, many of the world's rules and regulations have changed, and personal protection recommendations against infection have been recommended by various medical centers, which is very challenging for patients with dementia and can even lead to the development or exacerbation of behavioral symptoms in their everyday life. On the other hand, caregivers of dementia patients are exposed to the burden of disease caused by the stress of transmitting infection along with the usual care needed for dementia patients, which has definitely increased this time during the pandemic. Therefore, caregivers of dementia patients, both at home and in care centers, need the advice to care for patients and prevent pandemic physical and psychological complications on themselves and their patients. Regarding the administration of drugs effective on COVID-19 infection and the possibility of their interaction with drugs prescribed in patients with dementia or cognitive complications, delirium, and exacerbation of dementia, there is a need for solutions that are briefly reviewed in this report. It is hoped to provide assistance and support in providing services and care to dementia patients, health care providers, and physicians.

scholarly journals Effect of Interactive eHealth Interventions on Improving Medication Adherence in Adults With Long-Term Medication: Systematic Review

10.2196/18901 ◽  
2021 ◽  
Vol 23 (1) ◽  
pp. e18901
Author(s):  
Bart P H Pouls ◽  
Johanna E Vriezekolk ◽  
Charlotte L Bekker ◽  
Annemiek J Linn ◽  
Hein A W van Onzenoort ◽  
...  
Keyword(s):  
Health Care ◽  
Medication Adherence ◽  
Health Care Providers ◽  
Evidence Synthesis ◽  
Medication Management ◽  
Care Providers ◽  
Management Skills ◽  
Best Evidence Synthesis ◽  
Positive Effect

Background Medication nonadherence leads to suboptimal treatment outcomes, making it a major priority in health care. eHealth provides an opportunity to offer medication adherence interventions with minimal effort from health care providers whose time and resources are limited. Objective The aim of this systematic review is twofold: (1) to evaluate effectiveness of recently developed and tested interactive eHealth (including mHealth) interventions on medication adherence in adult patients using long-term medication and (2) to describe strategies among effective interventions. Methods MEDLINE, EMBASE, Cochrane Library, PsycINFO, and Web of Science were systematically searched from January 2014 to July 2019 as well as reference lists and citations of included articles. Eligible studies fulfilled the following inclusion criteria: (1) randomized controlled trial with a usual care control group; (2) a total sample size of at least 50 adult patients using long-term medication; (3) applying an interactive eHealth intervention aimed at the patient or patient’s caregiver; and (4) medication adherence as primary outcome. Methodologic quality was assessed using the Cochrane risk of bias tool. Selection and quality assessment of studies were performed by 2 researchers (BP and BvdB or JV) independently. A best evidence synthesis was performed according to the Cochrane Back Review Group. Results Of the 9047 records screened, 22 randomized clinical trials were included reporting on 29 interventions. Most (21/29, 72%) interventions specified using a (mobile) phone for calling, SMS text messaging, or mobile apps. A majority of all interactive interventions (17/29) had a statistically significant effect on medication adherence (P<.05). Of these interventions, 9 had at least a small effect size (Cohen d ≥ 0.2) and 3 showed strong odds for becoming adherent in the intervention group (odds ratio > 2.0). Our best evidence synthesis provided strong evidence for a positive effect of interventions using SMS text messages or interactive voice response, mobile app, and calls as mode of providing adherence tele-feedback. Intervention strategies “to teach medication management skills,” “to improve health care quality by coordinating medication adherence care between professionals,” and “to facilitate communication or decision making between patients and health care providers” also showed strong evidence for a positive effect. Conclusions Overall, this review supports the hypothesis that interactive eHealth interventions can be effective in improving medication adherence. Intervention strategies that improve patients’ treatment involvement and their medication management skills are most promising and should be considered for implementation in practice.

scholarly journals Alternative payment approaches for advancing comprehensive medication management in primary care

2020 ◽  
Vol 18 (4) ◽  
pp. 2238
Author(s):  
Katherine Pham
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Delivery ◽  
Medication Management ◽  
Fee For Service ◽  
Care Providers ◽  
Care Community ◽  
Improved Outcomes ◽  
And Performance ◽  
Value Based Care

The increasing prevalence of complex, chronic conditions has profound implications on the growing demand and cost of health care. The Center for Medicare and Medicaid Innovation is testing data-driven approaches to care delivery and payment that are drawn from innovative practices of health care providers and other partners in the health care community. The shift from fee-for-service to value-based care and performance-based payment places increased priority on improved outcomes at lower costs. To advance comprehensive medication management, pharmacists need to understand the opportunities in the evolving value-based payment models and align medication optimization with the specific goals and incentives of these models.

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