Information on actual medication use and drug-related problems in older patients: questionnaire or interview?

Abstract

Background Information on medication use and drug-related problems is important in the preparation of clinical medication reviews. Critical information can only be provided by patients themselves, but interviewing patients is time-consuming. Alternatively, patient information could be obtained with a questionnaire. Objective In this study the agreement between patient information on medication use and drug-related problems in older patients obtained with a questionnaire was compared with information obtained during an interview. Setting General practice in The Netherlands. Method A questionnaire was developed to obtain information on actual medication use and drug-related problems. Two patient groups C65 years were selected based on general practitioner electronic medical records in nine practices; I. polypharmacy and II. C1 predefined general geriatric problems. Eligible patients were asked to complete the questionnaire and were interviewed afterwards. Main outcome measure Agreement on information on medication use and drug-related problems collected with the questionnaire and interview was calculated. Results Ninety-seven patients participated. Of all medications used, 87.6 % (95 % CI 84.7-90.5) was reported identically in the questionnaire and interview. Agreement for the complete medication list was found for 45.4 % (95 % CI 35.8-55.3) of the patients. On drug-related problem level, agreement between questionnaire and interview was 75 %. Agreement tended to be lower in vulnerable patients characterized by C4 chronic diseases, C10 medications used and low health literacy. Conclusion Information from a questionnaire showed reasonable agreement compared with interviewing. The patients reported more medications and drug-related problems in the interview than the questionnaire. Taking the limitations into account, a questionnaire seems a suitable tool for medication reviews that may replace an interview for most patients.

Patients and Healthcare Providers’ Attitudes and Perceptions of Drug-related Problems in Saudi Arabia

“…The occurrences of all drug-related problems resemble what reported by Kjeldsen, LJ et al [10] The perceptions of occurrences of medication errors of nurses almost the same or little lower than what reported by You, M et al [11] The perceptions of occurrences of adverse drug reaction and drug non-compliance was higher than what reported by Willeboordse, F et al That's related absent of patient medications counseling and program at healthcare organizations and week health knowledge with emphasis on the medicines information, with lower number of clinical pharmacist to reduce or stop those problems. [6] The most drug-related problems knowledge gained from the internet and drug leaflet and last resources were healthcare professionals because there are not patient medications education programs or drug-related problems follow up the system at Ministry of health hospitals. The knowledge and perception of drugrelated problems are not appropriate that may lead to void prevent those problems and the consequences of complications with the high economic burden on healthcare system at hospitals.…”

“…It seldom to find a study to explore drug-related problems healthcare professionals and patient attitudes perspectives in Saudi Arabia or Gulf and Middle East counties or even worldwide. [6] The objective of the study to explore the drug-related problems healthcare professionals and patient attitudes in Kingdom of Saudi Arabia.…”

Patient-reported common symptoms as an assessment of interventions in medication reviews: a randomised, controlled trial

“…Although using PROMISE within CMRs had no detectable effect on the number of DAS at follow-up, we believe that the PROMISE instrument could be useful to draw the attention of healthcare professionals to common DAS as symptom management is a cornerstone of care for patients with chronic conditions [ 39 ]. Furthermore, Willeboordse et al [ 40 ] reported that except for vulnerable patients (characterized by > 4 chronic diseases, > 10 drugs used, and low health literacy) a questionnaire may be as effective as an interview in determining the patient perspective. Hence, the use of PROMISE may improve the feasibility of a CMR as a replacement for or in support of the patient interview.…”

Multimorbiditeit en polyfarmacie

“…), over eerdere ervaringen met geneesmiddelen en over ervaren bijwerkingen. Deze informatie kan verkregen worden tijdens een consult, of door het gebruik van een vragenlijst [17]. Maar ook in de laatste fase van de medicatiebeoordeling, als het behandelplan wordt besproken en afspraken gemaakt worden over het medicatieregime, zijn betrokkenheid en instemming van de patiënt essentieel.…”