Pharmacists and patients sharing decisions about medicines: Development and feasibility of a conversation guide

Research in Social & Administrative Pharmacy : RSAP
Kristie Rebecca WeirJesse Jansen

Abstract

In Australia, the Home Medicines Review (HMR) is a nationally-funded program, led by pharmacists to optimize medication use for older people. A Medicines Conversation Guide was developed for pharmacists to use in the context of a HMR. The Guide aims to increase patient involvement and support discussions about: general health understanding, decision-making and information preferences, health priorities related to medicines, patient goals and fears, views on important activities and trade-offs. This study describes the development and feasibility testing of a Medicines Conversation Guide in HMRs with pharmacists and older patients. The Guide was developed using a systematic and iterative process, followed by testing in clinical practice with 11 pharmacists, 17 patients (aged 65+) and their companions. A researcher observed HMRs, surveyed and qualitatively interviewed patients and pharmacists to discuss feasibility. Transcribed recordings of the interviews were thematically coded and a Framework Analysis method used. Pharmacists found the Guide to be an acceptable and useful component to the HMR, especially among patients with limited knowledge of their medicines. The Guide seemed most effective when integrated with the HMR and t...Continue Reading

Citations

Oct 22, 2020·Journal of Evaluation in Clinical Practice·Georgia TobianoElizabeth Manias
Jan 10, 2021·BMC Family Practice·Kristie Rebecca WeirJesse Jansen
Mar 7, 2021·Pharmacy : Journal of Pharmacy, Education and Practice·Lewis H Glinert
Mar 17, 2021·Research in Social & Administrative Pharmacy : RSAP·Amanda J CrossAmy T Page

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