scholarly journals Evaluation of a Revised Home Medication Experience Questionnaire (HOME-Qv2)

Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 169
Author(s):  
Matthew J. Witry ◽  
Olajide O. Fadare ◽  
Kassi Pham
Keyword(s):  
Pharmacist Intervention ◽  
Chronic Illnesses ◽  
Prescription Medications ◽  
Home Medication ◽  
Patient Medication ◽  
Patient Responses ◽  
Medication Experience ◽  
Patient Disclosure ◽  
Experience Questionnaire

The Home Medication Experience Questionnaire (HOME-Qv2) was developed to identify patient medication experience issues for pharmacist intervention. The study objectives were to (1) evaluate patient responses to the HOME-Qv2 medication experience questionnaire and (2) describe recommendations made by pharmacists in response to the identified medication experience issues and adoption of recommendations. The study sample was comprised of older adults, 55 years and above, who have one or more chronic illnesses for which they routinely take 4+ prescription medications. The HOME-Qv2 was administered to patients and a pharmacist made recommendations based on the responses. At 3 months, the research team followed up with participants via telephone, during which the HOME-Qv2 was again administered and participants shared their adoption of recommendations. Twenty-four patients completed the questionnaire, and twenty-one were available for follow-up. At 3 months, there was a significant decrease in patient self-reported HOME-Qv2 medication experience issues. There were 31 interventions/recommendations provided by the pharmacists, and 64.5% reported adopted. The HOME-Qv2 appears to facilitate patient disclosure of medication experience issues and informed targeted pharmacist recommendations.

scholarly journals The Initial Use of the Home Medication Experience Questionnaire (HOME-Q) in Community-Based Pharmacy

2020 ◽  
Vol 7 (6) ◽  
pp. 1658-1664 ◽  
Author(s):  
Matthew J Witry ◽  
Kassi Pham ◽  
Brahmendra Viyyuri ◽  
William Doucette ◽  
Korey Kennelty
Keyword(s):  
Community Pharmacies ◽  
Single Group ◽  
Community Based ◽  
Convenience Sample ◽  
Group Design ◽  
Home Medication ◽  
Medication Experience ◽  
The Impact ◽  
Experience Questionnaire

The Home Medication Experience Questionnaire (HOME-Q) was developed to systematically gather information on the medication experience of patients. The objectives of this study were to (1) assess the frequencies of medication experience issues for a sample of patients and (2) report pharmacist recommendations to address issues and patient implementation of recommendations. This study used a single-group design with 3-month follow-up. A convenience sample of patients aged 55 years and older and taking 4 or more chronic medications self-administered the HOME-Q and discussed responses with a pharmacist from 2 community pharmacies. A researcher called or visited participants at 3 months to readminister the HOME-Q and inquire about recommendations. Thirty-three patients completed questionnaires, and 30 participated in the follow-up. At 3 months, the HOME-Q median did not decrease (4 at both administrations). There were 51 pharmacist interventions/recommendations, and 47% were reported adopted. The HOME-Q prompted pharmacists to respond to medication experience issues that may not have been identified otherwise. More work is needed to test the impact of the HOME-Q and better understand medication experience discussions between patients and pharmacists.

Potential Medication-Related Problems in Noninstitutionalized Elderly

1985 ◽  
Vol 19 (10) ◽  
pp. 766-772 ◽  
Author(s):  
Leslie A. Shimp ◽  
Frank J. Ascione ◽  
Howard M. Glazer ◽  
Beverly F. Atwood
Keyword(s):  
Drug Therapy ◽  
Elderly Patients ◽  
Health Professionals ◽  
Drug Toxicity ◽  
Chronic Illnesses ◽  
Prescription Medications ◽  
Patient Medication ◽  
Potential Problems ◽  
Specific Potential ◽  
Physician Prescribing

The extent of potential medication-related problems was examined using a thorough review of drug therapy for 53 elderly patients who averaged five chronic illnesses and who used a mean of 11 drugs. An average of 11 specific potential medication-related problems was identified for each patient. These problems fell into three broad categories: Drug toxicity, physician prescribing, and patient medication behaviors. The strongest predictor of the total number of potential problems was the number of prescription medications. The type of drug therapy review used in this study can help health professionals identify and prevent the types of medication-related problems occurring in multiple medication users.

scholarly journals Development, Testing and Results of a Patient Medication Experience Documentation Tool for Use in Comprehensive Medication Management Services

Pharmacy ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 71 ◽  
Author(s):  
Stephanie Redmond ◽  
Nicole Paterson ◽  
Sarah J. Shoemaker-Hunt ◽  
Djenane Ramalho-de-Oliveira
Keyword(s):  
Subjective Experience ◽  
Medication Management ◽  
Teaching Tool ◽  
Patient Centered ◽  
Patient Medication ◽  
Raising Awareness ◽  
Medication Experience ◽  
Documentation Tool ◽  
Drug Therapy Problems

The medication experience is an individual’s subjective experience of taking a medication in daily life and can be at the root of drug therapy problems. It is recommended that the patient-centered approach to comprehensive medication management (CMM) starts with an understanding of the patient’s medication experience. This study aims to develop a medication experience documentation tool for use in CMM services, and to understand the usefulness and challenges of using the tool in practice. The tool was developed based on previous research on patients’ medication experiences. It was tested in two rounds by ten CMM pharmacists utilizing the tool as they provided care to patients. Focus groups were conducted to revise the tool after each round and to understand pharmacists’ experiences. The tool was tested for 15 weeks in 407 patient encounters. There was at least one medication experience documented in the electronic medical record 62% of the time. Pharmacists found the tool helpful in raising awareness of the medication experience and motivational interviewing strategies, planning for follow-up visits, as a teaching tool, and making pharmacists realize the fluidity of the medication experience. The tool offered pharmacists a better way to recognize and address medication experiences affecting medication taking behaviors.

scholarly journals IMPACT OF PHARMACIST INTERVENTION IN SCREENING AND EDUCATION ON BLOOD PRESSURE IN A RURAL AREA IN SOUTHERN INDIA

2016 ◽  
Vol 9 (9) ◽  
pp. 339
Author(s):  
Shanmuga Sundaram Rajagopal ◽  
Krishnaveni Kandasamy ◽  
Agilan Natarajan ◽  
Joyal Sebastian ◽  
Manikanta Konakalla ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Health Care ◽  
Intervention Group ◽  
Pharmacist Intervention ◽  
Health Concern ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

ABSTRACTObjective: Hypertension (HTN) expends a consequential public health concern on cardiovascular health status and health-care systems in India. Theeffectuation of the pharmaceutical care program in the health care is an extremely important need to achieve the optimum therapeutic effect. Theobjective of the study was to assess the impact of pharmacist intervention on patient’s blood pressure (BP) level, quality of life (QOL), and knowledge,attitude, and practice (KAP) of hypertensive patients.Methods: A randomized controlled pilot study was carried out for 6 months. The hypertensive patients were randomized into control and interventiongroup based on age, and both the groups were interviewed using KAP and WHO QOL-BREF questionnaires, screened BP, respectively, at baseline andeach follow-up after post counseling section to the intervention group. The effect of pharmacist intervention on QOL and KAP among control andintervention was statistically analyzed by paired t-test using SPSS version 16.Results: The total sample studied was 60, of which 20 (33.33%) were males and 40 (66.67%) were females. In our study, the QOL score for eachdomain of both intervention and control groups were almost poor (p˃0.05) at baseline and for the intervention group, a highly significant improvement(p<0.001) was observed for all domains in final follow-up. KAP score of intervention group also showed a significant improvement (p<0.001) frombaseline to final follow-up. In this study, intervention group showed a significant mean reduction of systolic BP from baseline 150.13±25.670 to finalfollow-up 145.33±12.914.Conclusion: The results of the study showed a significant improvement in the patient’s KAP toward different aspects of HTN and QOL followingpharmacist mediated counseling. Involvement of pharmacy practitioners in the management of HTN significantly improves QOL and KAPs.Keywords: Hypertension, Quality of life, Knowledge, Attitude and practice, Pharmacist intervention, Patient counseling.

scholarly journals The Prognosis and Treatment of Headaches in Children – a Ten Year Follow-up

1995 ◽  
Vol 22 (1) ◽  
pp. 47-49 ◽  
Author(s):  
Joseph Dooley ◽  
Alexa Bagnell
Keyword(s):  
Early Education ◽  
Medication Use ◽  
Initial Diagnosis ◽  
Prescription Medications ◽  
Childhood Onset

ABSTRACT:The prognosis and methods of treating headaches were studied in a group of children, 10 years after their initial diagnosis in 1983. Follow-up was achieved for 77 patients (81%). Headaches persisted in 72.7% but were much improved in 81.3%. Medication use was uncommon, with non-prescription medications used by 30.3% and prescription medications by only two. These data suggest that although childhood onset headaches are likely to persist, children who receive early education regarding the use of non-pharmaceutical methods of headache control appear to rely on these methods even after an interval of 10 years.

Effective Pharmacist led interventional strategies to improve outcomes in hypertensive patients: a narrative review

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Samra Bashir ◽  
Akash Syed
Keyword(s):  
Pharmaceutical Care ◽  
Cost Effective ◽  
Pharmacist Intervention ◽  
Care Plan ◽  
Hypertensive Patients ◽  
Disease Outcomes ◽  
Cost Effective Alternative ◽  
The Impact

The role of pharmacist intervention as a cost-effective alternative to physician in disease management is increasingly been recognized. Studies have demonstrated that pharmaceutical care can improve drug therapy as well as patient satisfaction in chronic health conditions including cardiovascular diseases. This study is aimed to review and outline a comprehensive pharmaceutical care plan from the randomized controlled trials previously conducted to assess the impact of pharmacist-managed care on disease outcomes in hypertensive patients. Compared with usual care, the pharmaceutical intervention involved patient evaluation, patient education and counselling, medication review and management, patient monitoring and follow-up, and feedback to the primary physician as major strategies.

Use of Histamine2-Receptor Blocking Agents and Sucralfate in a Health Maintenance Organization following Continued Clinical Pharmacist Intervention

1988 ◽  
Vol 22 (6) ◽  
pp. 466-469 ◽  
Author(s):  
Robert A. Mead ◽  
William F. McGhan
Keyword(s):  
Clinical Pharmacist ◽  
Inappropriate Prescribing ◽  
Health Maintenance Organization ◽  
Pharmacist Intervention ◽  
Cost Ratio ◽  
Health Maintenance ◽  
Receptor Blocking ◽  
Blocking Agents ◽  
Clinical Pharmacist Intervention

The effect of continued clinical pharmacist intervention on the proper use of histamine2-receptor blocking agents and sucralfate in a health maintenance organization was studied. New prescriptions written for Cimetidine, famotidine, ranitidine, and sucralfate in January 1986 (preintervention), October 1986 (postintervention), and February 1987 (follow-up), and the medical record of each patient were analyzed for appropriateness using approved criteria. Clinical pharmacist intervention occurred throughout the study. There was a significant decrease (p < 0.005) in the rate of inappropriate prescribing in the postintervention (42.4 percent) and follow-up (48.7 percent) periods versus the preintervention period (81.5 percent), and in the average number of refills authorized per patient in the postintervention (1.2 ± 1.54) and follow-up (1.3 ± 1.00) periods versus the preintervention period (3.0 ± 3.67). There were no significant differences in these areas between the postintervention and follow-up periods (p > 0.05). A benefit-to-cost ratio of 4.3:1 was generated from this study which demonstrated that continued clinical pharmacy interventions can have a positive, cost-effective impact on the proper use of these commonly prescribed medications.

scholarly journals The use of videoconferencing in nursing for people in their homes

2018 ◽  
Author(s):  
Bente Nordtug ◽  
Hildfrid V. Brataas ◽  
Lisbeth Ø. Rygg
Keyword(s):  
Literature Review ◽  
Chronic Illnesses ◽  
Bibliographic Databases ◽  
Network Access ◽  
Inclusion Criteria ◽  
Nursing Service ◽  
Suitable Alternative ◽  
Support Person ◽  
Conventional Content Analysis

The aim of this literature review is to bring to the forefront knowledge about the suitability of videoconferencing in nursing for patients and their families living at home. A systematic literature review that included studies of videoconferencing in nursing care. Inclusion criteria were original studies relevant to concept of study. Computerized bibliographic databases (PubMed, CINAHL and PsycINFO) were searched from January 2008 to October 2016. In total, 325 articles were identified. Eight articles (1539 participants) met the inclusion criteria, and were finally included. The eight articles covered videoconferencing used in follow-up care for patients living in their homes after surgery, postpartum, chronic illnesses, families with premature infants, and children with cancer. A conventional content analysis was conducted. The results show that the success of videoconferencing depends on satisfying network access. Nurses as well as patients thought videoconferencing was similar to meeting in person. Videoconferencing seems to support person-centred nursing, promote selfmanagement and motivate patients and families to engage in their health. The use of videoconferencing requires further organization of the nursing practice. The study indicates that videoconferencing can be a suitable alternative to traditional nursing follow-up when network access and technology function properly and the nursing service is well organized. Videoconferencing seems to underpin person-centred nursing. Knowledge gaps identified, more research needed as bases for assessment of videoconferencing suitability in nursing for individual persons in different treatment situations.

scholarly journals Osteochondral Allograft Transplantation of the Knee in Patients with an Elevated Body Mass Index

Cartilage ◽  
2018 ◽  
Vol 10 (2) ◽  
pp. 214-221 ◽  
Author(s):  
Dean Wang ◽  
Brian J. Rebolledo ◽  
David M. Dare ◽  
Mollyann D. Pais ◽  
Matthew R. Cohn ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Short Form ◽  
International Knee Documentation Committee ◽  
Osteochondral Allograft ◽  
Cartilage Defects ◽  
Elevated Body Mass Index ◽  
Allograft Transplantation ◽  
Patient Responses

Objective To characterize the graft survivorship and clinical outcomes of osteochondral allograft transplantation (OCA) of the knee in patients with an elevated body mass index (BMI). Design Prospective data on 38 consecutive patients with a BMI ≥30 kg/m2 treated with OCA from 2000 to 2015 were reviewed. Complications, reoperations, and patient responses to validated outcome measures were examined. Failures were defined by any removal/revision of the allograft or conversion to arthroplasty. Results Thirty-one knees in 31 patients (mean age, 35.4 years [range, 17-61 years]; 87% male) met the inclusion criteria. Mean BMI was 32.9 kg/m2 (range, 30-39 kg/m2). Mean chondral defect size was 6.4 cm2 (range, 1.0-15.3 cm2). Prior to OCA, 23 patients (74%) had undergone previous surgery to the ipsilateral knee. Mean duration of follow-up was 4.1 years (range, 2-11 years). After OCA, 5 knees (13%) underwent conversion to unicompartmental (1) or total (4) knee arthroplasty. Two- and 5-year graft survivorship were 87% and 83%, respectively. At final follow-up, clinically significant improvements were noted in the pain (49.3-72.6) and physical functioning (52.9-81.3) subscales of the Short Form–36 ( P ≤ 0.001), International Knee Documentation Committee subjective form (43.5-67.0; P = 0.002), Knee Outcome Survey–Activities of Daily Living (58.2-80.4; P = 0.002), and overall condition subscale of the Cincinnati Knee Rating System (4.7-6.9; P = 0.046). Conclusions OCA can be a successful midterm treatment option for focal cartilage defects of the knee in select patients with a BMI ≥30 kg/m2.

Patient Expectations about Communication in the Perioperative Setting of Elective Knee Surgery – a Questionnaire-based Cross-sectional Study

2019 ◽  
Vol 158 (05) ◽  
pp. 490-496
Author(s):  
Sebastian G. Walter ◽  
Florian Naal ◽  
Franco M. Impellizzeri ◽  
Berthold Moser ◽  
Frank A. Schildberg ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Patient Expectations ◽  
Knee Surgery ◽  
Sectional Study ◽  
Single Center ◽  
Cross Sectional ◽  
Item Questionnaire ◽  
Patient Responses ◽  
Answer Option

Abstract Background Patient expectations are an issue which is attracting increased interest in outcome research for knee surgery procedures. So far, research into patient expectations has mainly focused on the procedure and postoperative functional improvements. The purpose of this study was to identify patient expectations in the perioperative setting. Material and Methods This was a single-center prospective study. A 17-item questionnaire (ordinal answer scale) about patientsʼ perioperative expectations was developed and completed by patients undergoing elective joint-preserving knee surgery. The study covered a period of 3 months and included all patients consecutively undergoing knee surgery. Subgroup analysis was performed for gender, age and type of insurance. Results 111 consecutive patients completed the questionnaire on admission. Significant preferences for one answer option were found for 13 out of 17 items. Patients considered it “unimportant” whether or not the physician wore a white coat during the consultation and “very important” that the first medical consultation after the patient was discharged from hospital was with the surgeon who had performed their operation. A concise explanation of the surgical procedure using images, talking to the surgeon the day before surgery and immediately after surgery, having their wound personally inspected by the surgeon, and, finally, the availability of the surgeon by phone were regarded as “important”. There were no differences in patient responses between the different subgroups. Conclusion Patients expect a high personal commitment and availability of the surgeon during the entire perioperative setting, starting from the first consultation and continuing during follow-up examinations.

Sign in / Sign up

Export Citation Format

Share Document