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Intervention for a correct medication list and medication use in older adults: a non-randomised feasibility study among inpatients and residents during care transitions
Malmö University, Faculty of Health and Society (HS), Department of Biomedical Science (BMV).ORCID iD: 0009-0005-9526-4109
Department of Medicine and Optometry, eHealth Institute, Linnaeus University, Kalmar; Pharmaceutical Department, Region Kalmar County, Kalmar.
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0001-5493-8334
Department of Clinical Sciences Malmö, Center for Primary Health Care Research, Lund University.
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2024 (English)In: International Journal of Clinical Pharmacy, ISSN 2210-7703, E-ISSN 2210-7711Article in journal (Refereed) Epub ahead of print
Abstract [en]

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.

Place, publisher, year, edition, pages
Springer Nature, 2024.
National Category
Social and Clinical Pharmacy
Research subject
Health and society
Identifiers
URN: urn:nbn:se:mau:diva-66018DOI: 10.1007/s11096-024-01702-4ISI: 001159736600001Scopus ID: 2-s2.0-85184470244OAI: oai:DiVA.org:mau-66018DiVA, id: diva2:1838550
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Malmö UniversityAvailable from: 2024-02-16 Created: 2024-02-16 Last updated: 2024-02-26Bibliographically approved

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Al Musawi, AhmedAxelsson, MalinRämgård, MargaretaCheng, YuanjiEriksson, Tommy

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