Building Community-Engaged Multidisciplinary Partnerships to Improve Medication Management in Elderly Patients With Multiple Chronic Conditions
Purpose: Many studies in preventing adverse drug events have been researcher-driven, yet few have engaged patients in the development of a project. This project aims to engage minority elderly patients with multiple chronic conditions in the development of research questions and strategies to improv...
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| Format: | Article |
| Language: | English |
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Advocate Aurora Health
2021-04-01
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| Series: | Journal of Patient-Centered Research and Reviews |
| Subjects: | |
| Online Access: | https://institutionalrepository.aah.org/cgi/viewcontent.cgi?article=1778&context=jpcrr |
| _version_ | 1797723735415848960 |
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| author | Ivy O. Poon Felicia Skelton Lena R. Bean Dominique Guinn Terica L. Jemerson Ngozi D. Mbue Creaque V. Charles Uche Anadu Ndefo |
| author_facet | Ivy O. Poon Felicia Skelton Lena R. Bean Dominique Guinn Terica L. Jemerson Ngozi D. Mbue Creaque V. Charles Uche Anadu Ndefo |
| author_sort | Ivy O. Poon |
| collection | DOAJ |
| description | Purpose: Many studies in preventing adverse drug events have been researcher-driven, yet few have engaged patients in the development of a project. This project aims to engage minority elderly patients with multiple chronic conditions in the development of research questions and strategies to improve medication safety.
Methods: Elderly patients (≥ 65 years old) who were prescribed 7 or more chronic medications were recruited through a university-based aging resource network in a historically African American community in Houston, Texas. Patients and a caregiver participated in a multidisciplinary workgroup comprised of a physician, pharmacists, a nurse, health educators, and a social worker. Patients were engaged by utilizing the 4 patient-centered outcomes research engagement principles. The workgroup created a strategic plan, completed an environmental scan, identified research problems, and reviewed current evidence-based approaches in the literature. Workgroup findings were presented to a broader audience within a community town hall setting, and input was collected from a community-wide survey.
Results: From April 2018 to July 2018, 3 patients and 1 caregiver participated in 5 multidisciplinary workgroup meetings. A total of 74 seniors attended the town hall meeting, and 69 completed the surveys. The most common drug-related problems among survey participants were doubts about drug advertisements (79%) and drug interactions (70%). Most participants (88%) were more comfortable in receiving face-to-face counseling compared to an app or virtual visits. Findings aided in developing 3 grant proposals.
Conclusion: This narrative provides a roadmap for conducting multidisciplinary, patient-centered participatory research to refine research strategies in minimizing drug-related problems. |
| first_indexed | 2024-03-12T10:07:03Z |
| format | Article |
| id | doaj.art-16ce1544954449d6af32d142e42c147c |
| institution | Directory Open Access Journal |
| issn | 2330-0698 |
| language | English |
| last_indexed | 2024-03-12T10:07:03Z |
| publishDate | 2021-04-01 |
| publisher | Advocate Aurora Health |
| record_format | Article |
| series | Journal of Patient-Centered Research and Reviews |
| spelling | doaj.art-16ce1544954449d6af32d142e42c147c2023-09-02T11:08:48ZengAdvocate Aurora HealthJournal of Patient-Centered Research and Reviews2330-06982021-04-018211312010.17294/2330-0698.1778Building Community-Engaged Multidisciplinary Partnerships to Improve Medication Management in Elderly Patients With Multiple Chronic ConditionsIvy O. Poon0Felicia Skelton1Lena R. Bean2Dominique Guinn3Terica L. Jemerson4Ngozi D. Mbue5Creaque V. Charles6Uche Anadu Ndefo7Texas Southern University, Houston, TXMichael E. DeBakey VA Medical Center, Houston, TX; Baylor College of Medicine, Houston, TXTexas Southern University, Houston, TXTexas Southern University, Houston, TXTexas Southern University, Houston, TXTexas Woman’s University, Houston, TXTexas Southern University, Houston, TXTexas Southern University, Houston, TXPurpose: Many studies in preventing adverse drug events have been researcher-driven, yet few have engaged patients in the development of a project. This project aims to engage minority elderly patients with multiple chronic conditions in the development of research questions and strategies to improve medication safety. Methods: Elderly patients (≥ 65 years old) who were prescribed 7 or more chronic medications were recruited through a university-based aging resource network in a historically African American community in Houston, Texas. Patients and a caregiver participated in a multidisciplinary workgroup comprised of a physician, pharmacists, a nurse, health educators, and a social worker. Patients were engaged by utilizing the 4 patient-centered outcomes research engagement principles. The workgroup created a strategic plan, completed an environmental scan, identified research problems, and reviewed current evidence-based approaches in the literature. Workgroup findings were presented to a broader audience within a community town hall setting, and input was collected from a community-wide survey. Results: From April 2018 to July 2018, 3 patients and 1 caregiver participated in 5 multidisciplinary workgroup meetings. A total of 74 seniors attended the town hall meeting, and 69 completed the surveys. The most common drug-related problems among survey participants were doubts about drug advertisements (79%) and drug interactions (70%). Most participants (88%) were more comfortable in receiving face-to-face counseling compared to an app or virtual visits. Findings aided in developing 3 grant proposals. Conclusion: This narrative provides a roadmap for conducting multidisciplinary, patient-centered participatory research to refine research strategies in minimizing drug-related problems.https://institutionalrepository.aah.org/cgi/viewcontent.cgi?article=1778&context=jpcrrdrugsside effectsadverse reactionselderlypolypharmacypatient-centered caremultiple chronic conditions |
| spellingShingle | Ivy O. Poon Felicia Skelton Lena R. Bean Dominique Guinn Terica L. Jemerson Ngozi D. Mbue Creaque V. Charles Uche Anadu Ndefo Building Community-Engaged Multidisciplinary Partnerships to Improve Medication Management in Elderly Patients With Multiple Chronic Conditions Journal of Patient-Centered Research and Reviews drugs side effects adverse reactions elderly polypharmacy patient-centered care multiple chronic conditions |
| title | Building Community-Engaged Multidisciplinary Partnerships to Improve Medication Management in Elderly Patients With Multiple Chronic Conditions |
| title_full | Building Community-Engaged Multidisciplinary Partnerships to Improve Medication Management in Elderly Patients With Multiple Chronic Conditions |
| title_fullStr | Building Community-Engaged Multidisciplinary Partnerships to Improve Medication Management in Elderly Patients With Multiple Chronic Conditions |
| title_full_unstemmed | Building Community-Engaged Multidisciplinary Partnerships to Improve Medication Management in Elderly Patients With Multiple Chronic Conditions |
| title_short | Building Community-Engaged Multidisciplinary Partnerships to Improve Medication Management in Elderly Patients With Multiple Chronic Conditions |
| title_sort | building community engaged multidisciplinary partnerships to improve medication management in elderly patients with multiple chronic conditions |
| topic | drugs side effects adverse reactions elderly polypharmacy patient-centered care multiple chronic conditions |
| url | https://institutionalrepository.aah.org/cgi/viewcontent.cgi?article=1778&context=jpcrr |
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