External support for collaborative problem solving in a simulated provider/patient medication scheduling task.

Morrow, Daniel G.; Raquel, Liza; Schriver, Angela; Redenbo, Seth; Rozovski, David; Weiss, Gillian

doi:10.1037/a0012809

Cited by 13 publications

(22 citation statements)

References 45 publications

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“…Participants created more accurate medication schedules when using the paper MedTable rather than the unstructured Medcard (similar to Morrow et al, 2008). However, all three tool conditions supported very accurate problem solving (above 90% accuracy).…”

Section: Structured Versus Unstructured Aidsmentioning

confidence: 92%

Collaborative Tools in a Simulated Patient-Provider Medication Scheduling Task

Waicekauskas

Kannampallil

Kopren

et al. 2010

Proceedings of the Human Factors and Ergonomics Society Annual

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Medication adherence is an essential activity for successful self-care, particularly for older adults who take multiple medications. Adherence depends on understanding how to take medication, which in turn depends on effective communication with providers. Unfortunately, physician and patient communication is often substandard and ineffective. Furthermore, successful adherence is often tied to supporting the patient's prospective memory by integrating medication taking with a daily routine. We have developed a paperbased tool (MedTable) for supporting provider-patient collaborative planning about taking medication, which has improved performance in a simulated medication scheduling task. The tool is used as an external workspace that reduces cognitive demands while also facilitating collaboration in a planning task. In the current study, the MedTable was redesigned and an electronic version was also developed. Both tools were compared to a less structured paper tool similar to medication reconciliation cards used in many health care settings (Medcard). 144 community dwelling older adults (aged 60 and over) participated in pairs in a simulated patient-provider medication scheduling task. Each pair solved four medication scheduling problems (2 simple and 2 complex) using one of the three tools (MedTable, e-MedTable, Medcard). Although all three tools supported highly accurate solutions, the MedTable produced significantly more accurate schedules than the Medcard (there were no tool differences in solution time). Moreover, participants rated workload associated with problem solving as lower for the two structured tools compared to the Medcard. The MedTable was also rated more usable than the non-structured aid. Finally, there was no evidence that older adults had difficulty using the computer-based tool, which suggests that a computerbased tool could be an effective intervention for improving provider-patient collaboration.

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Section: Structured Versus Unstructured Aidsmentioning

confidence: 92%

Collaborative Tools in a Simulated Patient-Provider Medication Scheduling Task

Waicekauskas

Kannampallil

Kopren

et al. 2010

Proceedings of the Human Factors and Ergonomics Society Annual

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“…We first evaluated a paper Medtable ™ prototype in the laboratory using a simulated patient-provider collaborative medication planning task [45]. Older adults were randomly assigned to serve as provider and patient, with the provider receiving information about several medications (e.g., number of times to take; whether to take with food) and the patient receiving information about their daily routine (e.g., when they wake, eat meals, work).…”

Section: Design and Methodsmentioning

confidence: 99%

An EMR-based tool to support collaborative planning for medication use among adults with diabetes: Design of a multi-site randomized control trial

Morrow

Conner-Garcia

Graumlich

et al. 2012

Contemporary Clinical Trials

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Patients with type II diabetes often struggle with self-care, including adhering to complex medication regimens and managing their blood glucose levels. Medication nonadherence in this population reflects many factors, including a gap between the demands of taking medication and the limited literacy and cognitive resources that many patients bring to this task. This gap is exacerbated by a lack of health system support, such as inadequate patient-provider collaboration. The goal of our project is to improve self-management of medications and related health outcomes by providing system support. The Medtable™ is an Electronic Medical Record (EMR)-integrated tool designed to support patient-provider collaboration needed for medication management. It helps providers and patients work together to create effective medication schedules that are easy to implement. We describe the development and initial evaluation of the tool, as well as the process of integrating it with an EMR system in general internal medicine clinics. A planned evaluation study will investigate whether an intervention centered on the Medtable™ improves medication knowledge, adherence, and health outcomes relative to a usual care control condition among type II diabetic patients struggling to manage multiple medications.

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“…14 In a series of previous experiments with older adults role-playing as patients as well as providers in a simulated medication scheduling task, we tested and redesigned the Medtable. 9 The results showed Medtable users created more accurate and optimal medication schedules. 9, 15 These results with simulated patients suggested it was appropriate to evaluate the Medtable with real patients.…”

mentioning

confidence: 98%

“…9 An example of the Medtable appears in Figure 1. The far left column of the Medtable provides a space for the medication to be listed as well as medication instructions.…”

mentioning

confidence: 99%

Outpatient Perceptions of the Medtable: A Medication Scheduling Tool

Conner-Garcia

Morrow

Graumlich

et al. 2012

Journal of Pharmacy Technology

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Self-management of chronic illness can be challenging for older adults. This is especially true for those with low health literacy. Health literacy is defined as the capacity to obtain, process, and understand information needed to make health decisions. 1 Approximately 47% of adults (90 million) in the US have inadequate or marginal health literacy skills. 2 Forty million of these adults have inadequate health literacy, which corresponds to a fifth-grade reading level or less. An additional 50 million are classified as having marginal health literacy, which corresponds to a seventh-to eighth-grade reading level. It is estimated that low health literacy results in an excess cost of $50-73 billion per year. 3 Poor health literacy is a stronger predictor of a person's health than is age, income, employment status, educational level, or race. The association between health literacy and health behaviors and outcomes may be due in part to the fact that patients with lower health literacy are less likely to understand the information they need for self-care. 2 Ideally, health care providers should help their patients better understand self-care information and plan how to take their medications when they are prescribed. Unfortunately, this collaboration is often inadequate, especially for lower-literacy patients. As a result, these pa-Background: Health literacy is the ability of patients to obtain, process, and understand information needed to make health decisions. Health literacy is a stronger predictor of a person's health than is age, income, employment status, educational level, or race. The Medtable is a paper-based tool that is designed to support comprehension of medication information by patients. A collaborative tool such as the Medtable might facilitate the comprehension of medication information by low-literacy patients and increase communication regarding medications between healthcare providers and their patients. Before evaluating the efficacy of the Medtable to improve health outcomes, it is important to confirm that patients find the tool easy to use and helpful in relevant clinical settings. Objective:To investigate whether patients think that the Medtable is a helpful and easy-to-use tool for organizing daily medication regimens.Methods: Sixty outpatients participated in this usability study. Patients filled in the Medtable with a healthcare provider. Opinions regarding the usability of the Medtable were elicited with a brief questionnaire afterward.Results: Fifty-five of the 60 (92%) patients thought the Medtable would be very or somewhat helpful when figuring out when to take their medications and would be very or somewhat helpful for assisting them with taking their medications at home. Fifty-nine of the 60 (98%) patients thought the Medtable would be very or somewhat easy to fill in with the assistance of their health care provider. Conclusions:Patients think that the Medtable is a helpful and easy-to-use tool for organizing their daily medication regimens. Future studies should evaluate Medtabl...

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External support for collaborative problem solving in a simulated provider/patient medication scheduling task.

Cited by 13 publications

References 45 publications

Collaborative Tools in a Simulated Patient-Provider Medication Scheduling Task

Collaborative Tools in a Simulated Patient-Provider Medication Scheduling Task

An EMR-based tool to support collaborative planning for medication use among adults with diabetes: Design of a multi-site randomized control trial

Outpatient Perceptions of the Medtable: A Medication Scheduling Tool

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