Community Medication Education, Data, &amp; Safety (<scp>C‐MEDS</scp>): Findings from a Pilot Project

Meyer, Marsha; Enguídanos, Susan; Zhu, Yujun; Likar, Denise; Batra, Radhika

doi:10.1111/jgs.16981

Cited by 5 publications

(13 citation statements)

References 30 publications

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“…Where reported (in 26 out of 33 articles), the mean age of the participants varied from 67.8 years (SD = 7.8) 47 to 82.7 (SD = 6.4). 46 In a minority of studies, the intervention explicitly targeted patients taking multiple medicines 39 , 52 , 55 , 57 , 61 , 70 or living with multiple chronic conditions. 42 , 55 , 66 Some interventions targeted people with specific conditions such as congestive heart failure, 44 hypertension, 49 , 59 diabetes 69 and COPD 62 or taking specific types of medicines, e.g., anticholinergic, 47 anticoagulants 71 or antacids.…”

Section: Resultsmentioning

confidence: 99%

“… 46 In a minority of studies, the intervention explicitly targeted patients taking multiple medicines 39 , 52 , 55 , 57 , 61 , 70 or living with multiple chronic conditions. 42 , 55 , 66 Some interventions targeted people with specific conditions such as congestive heart failure, 44 hypertension, 49 , 59 diabetes 69 and COPD 62 or taking specific types of medicines, e.g., anticholinergic, 47 anticoagulants 71 or antacids. 58 Only one of the studies identified explicitly targeted older people living with frailty.…”

Section: Resultsmentioning

confidence: 99%

“…In eight articles, education was delivered in conjunction with a medicines review. 39 , 40 , 41 , 45 , 52 , 55 , 70 , 71 In five studies, 47 , 50 , 51 , 68 , 69 education followed assessment of anticholinergic risk, 47 safe management of medicines, 50 ability to manage medicines, 51 diabetes self‐care abilities 69 and comprehensive assessment. 68 Education was delivered both one to one 39 , 40 , 41 , 45 , 48 , 49 , 50 , 51 , 52 , 53 , 55 , 59 , 60 , 64 , 66 , 68 , 70 , 71 and in groups.…”

Section: Resultsmentioning

confidence: 99%

“… 39 , 40 , 41 , 45 , 52 , 55 , 70 , 71 In five studies, 47 , 50 , 51 , 68 , 69 education followed assessment of anticholinergic risk, 47 safe management of medicines, 50 ability to manage medicines, 51 diabetes self‐care abilities 69 and comprehensive assessment. 68 Education was delivered both one to one 39 , 40 , 41 , 45 , 48 , 49 , 50 , 51 , 52 , 53 , 55 , 59 , 60 , 64 , 66 , 68 , 70 , 71 and in groups. 42 , 54 , 56 , 60 , 67 Techniques and tools included coaching, 41 , 48 , 49 , 66 role play, 54 teach‐back/show‐back, 53 , 60 , 66 group discussion, 58 , …”

Section: Resultsmentioning

confidence: 99%

“…Most interventions were delivered by either a pharmacist, 39 , 52 , 53 , 56 , 57 , 64 , 67 , 70 , 71 a nurse 45 , 48 , 49 , 50 , 51 , 59 or a team of two or more HCPs. 42 , 55 , 61 , 63 , 68 In two articles, 54 , 66 the intervention was led by trained lay people recruited in the community.…”

Section: Resultsmentioning

confidence: 99%

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A rapid review of interventions to improve medicine self‐management for older people living at home

Previdoli

Cheong

Alldred

et al. 2023

Health Expectations

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Background: As people age, they are more likely to develop multiple long-term conditions that require complicated medicine regimens. Safely self-managing multiple medicines at home is challenging and how older people can be better supported to do so has not been fully explored. Aim: This study aimed to identify interventions to improve medicine self-management for older people living at home and the aspects of medicine self-management that they address. Design: A rapid review was undertaken of publications up to April 2022. Eight databases were searched. Inclusion criteria were as follows: interventions aimed at people 65 years of age or older and their informal carers, living at home. Interventions needed to include at least one component of medicine self-management. Study protocols, conference papers, literature reviews and articles not in the English language were not included. The results from the review were reported through narrative synthesis, underpinned by the Resilient Healthcare theory. Results: Database searches returned 14,353 results. One hundred and sixty-seven articles were individually appraised (full-text screening) and 33 were included in the review. The majority of interventions identified were educational. In most cases, they aimed to improve older people's adherence and increase their knowledge of medicines. Only very few interventions addressed potential issues with medicine supply. Only a minority of interventions specifically targeted older people with either polypharmacy, multimorbidities or frailty.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

A rapid review of interventions to improve medicine self‐management for older people living at home

Previdoli

Cheong

Alldred

et al. 2023

Health Expectations

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People and sites as community resources for preventing and managing chronic health conditions: A conceptual analysis

Agrawal,

Abimbola

2024

PLOS Glob Public Health

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The prevention and management of chronic non-communicable diseases (NCDs) require community-based efforts–especially as their burden grows, and recognition of the need for engaging diverse stakeholders in care grows. The aim of this conceptual analysis was to categorise existing community resources (people and sites) used to support such efforts, the mechanisms by which they work, and the conditions that constrain their effectiveness. We developed an initial framework for categorising community resources. We then used a sample of the literature– 24 studies from 12 countries–to refine and enrich the framework. We identified seven categories of sites (’where’: House, Meeting place, Community health centre, Primary health care centre, Mobile clinic, Pharmacy, and Hospital) and ten categories of people (‘who’: Community Health Worker, Nurse/Midwife, Health educator, Physician, Primary Health Care Worker, Peer Group, Navigator, Pharmacist, Cultural Advisor, Family caregiver). We identified eight mechanisms through which those resources improve NCD prevention and management: Context specific engagement, Personalised and integrated care, Community health worker led knowledge dissemination, Social support through family and/or friends, Extending the reach of the health system, Social support through peer groups, Task shifting, and Training of health workforce. We identified two broad categories of constraints on these mechanisms: (i) health system barriers such as inadequate workforce, training, coordination and engagement; and (ii) socio-economic, political, and cultural barriers to care. The conceptual categories (of people and sites as resources, the mechanisms through which they work and the contextual constraints on their effectiveness) identified in this analysis may be useful in further analysing current approaches in NCD efforts using community resources, in informing the development of community-based efforts, and in exploring the commonalities and transferable insights between different locations or settings around the world and between different efforts to prevent and manage NCDs within communities.

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WeChat official accounts’ posts on medication use of 251 community healthcare centers in Shanghai, China: content analysis and quality assessment

Liang

Yan

et al. 2023

Front. Med.

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BackgroundThe dissemination of online health information (OHI) on medication use via WeChat Official Accounts (WOAs) is an effective way to help primary care practitioners (PCPs) address drug-related problems (DRPs) in the community. Although an increasing number of primary care institutions in China have published WOA posts on medication use, their content and quality have not yet been assessed.ObjectiveThis study aimed to explore the general features and content of WOA posts on medication use published by community healthcare centers (CHCs) in Shanghai, China and to assess their quality of content. It also aimed to explore the factors associated with the number of post views.MethodsFrom June 1 to October 31, 2022, two coauthors independently screened WOA posts on medication use published throughout 2021 by the CHCs in Shanghai. Content analysis was performed to analyze their general features (format, length, and source, etc.) and content (types of medicines and diseases). The QUEST tool was used to assess the quality of the posts. We compared the differences among posts published by CHCs in central urban areas and suburban areas, and used multiple linear regression to explore the factors associated with the number of post views.ResultsA total of 236 WOAs of interest published 37,147 posts in 2021, and 275 (0.74%) of them were included in the study. The median number of post views was 152. Thirty percent of the posts were reviewed by the CHCs’ staff before publication and only 6% provided information on PCPs’ consultations. The most commonly mentioned medicines and diseases in the posts were Chinese patent medicines (37.1%) and respiratory diseases (29.5%). The posts frequently provided information on indications (77%) and usage (56%) but rarely on follow-up (13%) and storage (11%). Of the posts, 94.9% had a total QUEST score < 17 (full score = 28). The median number of post views and total post quality scores did not significantly differ among the CHCs in central urban and suburban areas. In the multiple linear regression model, the number of post views was associated with scores of complementarity (B = 56.47, 95% CI 3.05, 109.89) and conflict of interest (B = −46.40, 95% CI -56.21, −36.60).ConclusionThe quantity and quality of WOA posts on medication use published by CHCs in China need improvement. The quality of posts may partially impact the dissemination effect, but intrinsic causal associations merit further exploration.

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Community Medication Education, Data, & Safety (C‐MEDS): Findings from a Pilot Project

Cited by 5 publications

References 30 publications

A rapid review of interventions to improve medicine self‐management for older people living at home

A rapid review of interventions to improve medicine self‐management for older people living at home

People and sites as community resources for preventing and managing chronic health conditions: A conceptual analysis

WeChat official accounts’ posts on medication use of 251 community healthcare centers in Shanghai, China: content analysis and quality assessment

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