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

Abstract

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.

Patient Partnership Tools to Support Medication Safety in Community-Dwelling Older Adults: Protocol for a Nonrandomized Stepped Wedge Clinical Trial

“…Secondary outcomes are a combination of patients’ and PCPs’ views on communication, collaborative work, and medication reviews. For patients, we will assess their views on collaborative work with seven items selected from five previously published instruments: (1) I know what each of my prescribed medications does (from Patient Activation Measure [ 37 ]); (2) I worry about drug interactions between the medications I take (from Medication-Related Problems [ 38 ]); (3) During the visit, I was asked to talk about any problems with my medicines or their effects (from Patient Assessment of Chronic Illness Care [ 39 ]); (4) During the visit, I was asked questions, either directly or on a survey, about my medicine habits (from Patient Assessment of Chronic Illness Care); (5) I understand what my doctor expects of me regarding my medicines (Psychological Safety Measure [ 40 ]); (6) If I make a mistake with my medicines, my doctor does not hold that against me (from Psychological Safety Measure); and (7) My doctor knows the vitamins and supplements I take (from Home Medication Experience Questionnaire [ 41 ]).…”