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Intervention for a ...
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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- Al Musawi, Ahmed (author)
- Malmö universitet,Institutionen för biomedicinsk vetenskap (BMV),Malmö University, Sweden
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- Hellström, Lina, 1975- (author)
- Linnaeus University,Linnéuniversitetet,Institutionen för medicin och optometri (MEO),Region Kalmar County, Sweden,Department of Medicine and Optometry, eHealth Institute, Linnaeus University, Kalmar; Pharmaceutical Department, Region Kalmar County, Kalmar
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- Axelsson, Malin, 1964- (author)
- Malmö universitet,Institutionen för vårdvetenskap (VV),Malmö University, Sweden
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- Midlöv, Patrik (author)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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- Rämgård, Margareta, 1961- (author)
- Malmö universitet,Institutionen för vårdvetenskap (VV),Malmö University, Sweden
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- Cheng, Yuanji (author)
- Malmö universitet,Institutionen för materialvetenskap och tillämpad matematik (MTM),Malmö University, Sweden
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- Eriksson, Tommy, Professor, 1961- (author)
- Malmö universitet,Institutionen för biomedicinsk vetenskap (BMV),Biofilms Research Center for Biointerfaces,Malmö University, Sweden
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- 2024
- 2024
- English.
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In: International Journal of Clinical Pharmacy. - : Springer. - 2210-7703 .- 2210-7711.
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Abstract
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- BackgroundMedication 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.AimIn 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.MethodParticipants 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.ResultsOf 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.ConclusionBased 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Samhällsfarmaci och klinisk farmaci (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Social and Clinical Pharmacy (hsv//eng)
Keyword
- Aged
- Medication adherence
- Medication error
- Medication reconciliation
- Patient discharge summary
- Patient transfer
- Pharmacology
- Farmakologi
- Health and society
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Al Musawi, Ahmed
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Hellström, Lina, ...
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Axelsson, Malin, ...
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Midlöv, Patrik
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Rämgård, Margare ...
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Cheng, Yuanji
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Eriksson, Tommy, ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Basic Medicine
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and Social and Clini ...
- Articles in the publication
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International Jo ...
- By the university
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Linnaeus University
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Malmö University
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Lund University