Impact of home medication management review on medication adherence among Jordanian patients
Objectives This study was designed to evaluate the impact of Home Medication Management Review (HMMR) on self‐reported adherence, and to explore the effect of different patient factors on their medication adherence. Method Consecutive patients from outpatient clinics who were eligible for the study...
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| Veröffentlicht in: | Journal of pharmaceutical health services research 2018-09, Vol.9 (3), p.227-235 |
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| container_title | Journal of pharmaceutical health services research |
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| creator | Al‐Qudah, Rajaa A. Bulatova, Nailya R. Obeidat, Nathir M. Basheti, Iman A. |
| description | Objectives
This study was designed to evaluate the impact of Home Medication Management Review (HMMR) on self‐reported adherence, and to explore the effect of different patient factors on their medication adherence.
Method
Consecutive patients from outpatient clinics who were eligible for the study were recruited and randomly distributed into two groups. Patients in both groups were visited at home by the clinical pharmacist at baseline. For the intervention group only, the pharmacist delivered counselling regarding self‐reported adherence. After identifying treatment‐related problems (TRPs), the pharmacist sent a letter to the patients’ physician with certain recommendations (intervention group only). Both groups were reassessed for adherence after 3 months from baseline to measure the difference between the two groups.
Key findings
A total of 97 participants were included. Mean ages for the intervention and control groups were 63.13 and 58.39 respectively. The majority of patients were women. The study revealed significant association with the number of TRPs, and level of adherence in the intervention group at follow‐up (R2 = 0.348, P |
| doi_str_mv | 10.1111/jphs.12243 |
| format | Article |
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This study was designed to evaluate the impact of Home Medication Management Review (HMMR) on self‐reported adherence, and to explore the effect of different patient factors on their medication adherence.
Method
Consecutive patients from outpatient clinics who were eligible for the study were recruited and randomly distributed into two groups. Patients in both groups were visited at home by the clinical pharmacist at baseline. For the intervention group only, the pharmacist delivered counselling regarding self‐reported adherence. After identifying treatment‐related problems (TRPs), the pharmacist sent a letter to the patients’ physician with certain recommendations (intervention group only). Both groups were reassessed for adherence after 3 months from baseline to measure the difference between the two groups.
Key findings
A total of 97 participants were included. Mean ages for the intervention and control groups were 63.13 and 58.39 respectively. The majority of patients were women. The study revealed significant association with the number of TRPs, and level of adherence in the intervention group at follow‐up (R2 = 0.348, P < 0.001). Adherence score for patients diagnosed with hypertension, diabetes and other chronic conditions indicates that more than 70% of the participants have ‘medium adherence score’ in comparison with <10% having ‘high adherence’ at baseline. Three months postbaseline, 33% of patients in the intervention group were found to have high adherence compared to 14% in the control group. Adherence score significantly decreases in ‘low scores of adherence’ and increases in ‘high scores of adherence’ (P < 0.001) at follow‐up in the intervention group. No significate association between adherence and patient factors was found.
Conclusion
HMMR service has resulted in significant improvements in patients’ adherence when compared to control group patients who did not receive the service. Besides receiving the service, no other patient factors played a role in patients’ improvement in adherence.</description><identifier>ISSN: 1759-8885</identifier><identifier>EISSN: 1759-8893</identifier><identifier>DOI: 10.1111/jphs.12243</identifier><language>eng</language><publisher>London: Wiley Subscription Services, Inc</publisher><subject>adherence ; clinical pharmacist ; home medication management reviews ; hospital based‐clinic ; Jordan ; Patient compliance ; Patients ; Pharmacists</subject><ispartof>Journal of pharmaceutical health services research, 2018-09, Vol.9 (3), p.227-235</ispartof><rights>2018 Royal Pharmaceutical Society</rights><rights>JPHSR © 2018 Royal Pharmaceutical Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3013-7787bf44d17312b8a78ef2c04ed03a8571e3e6e632c43ae82ef792cb3c56c173</citedby><cites>FETCH-LOGICAL-c3013-7787bf44d17312b8a78ef2c04ed03a8571e3e6e632c43ae82ef792cb3c56c173</cites><orcidid>0000-0002-9572-9739 ; 0000-0002-8460-1158</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjphs.12243$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjphs.12243$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids></links><search><creatorcontrib>Al‐Qudah, Rajaa A.</creatorcontrib><creatorcontrib>Bulatova, Nailya R.</creatorcontrib><creatorcontrib>Obeidat, Nathir M.</creatorcontrib><creatorcontrib>Basheti, Iman A.</creatorcontrib><title>Impact of home medication management review on medication adherence among Jordanian patients</title><title>Journal of pharmaceutical health services research</title><description>Objectives
This study was designed to evaluate the impact of Home Medication Management Review (HMMR) on self‐reported adherence, and to explore the effect of different patient factors on their medication adherence.
Method
Consecutive patients from outpatient clinics who were eligible for the study were recruited and randomly distributed into two groups. Patients in both groups were visited at home by the clinical pharmacist at baseline. For the intervention group only, the pharmacist delivered counselling regarding self‐reported adherence. After identifying treatment‐related problems (TRPs), the pharmacist sent a letter to the patients’ physician with certain recommendations (intervention group only). Both groups were reassessed for adherence after 3 months from baseline to measure the difference between the two groups.
Key findings
A total of 97 participants were included. Mean ages for the intervention and control groups were 63.13 and 58.39 respectively. The majority of patients were women. The study revealed significant association with the number of TRPs, and level of adherence in the intervention group at follow‐up (R2 = 0.348, P < 0.001). Adherence score for patients diagnosed with hypertension, diabetes and other chronic conditions indicates that more than 70% of the participants have ‘medium adherence score’ in comparison with <10% having ‘high adherence’ at baseline. Three months postbaseline, 33% of patients in the intervention group were found to have high adherence compared to 14% in the control group. Adherence score significantly decreases in ‘low scores of adherence’ and increases in ‘high scores of adherence’ (P < 0.001) at follow‐up in the intervention group. No significate association between adherence and patient factors was found.
Conclusion
HMMR service has resulted in significant improvements in patients’ adherence when compared to control group patients who did not receive the service. Besides receiving the service, no other patient factors played a role in patients’ improvement in adherence.</description><subject>adherence</subject><subject>clinical pharmacist</subject><subject>home medication management reviews</subject><subject>hospital based‐clinic</subject><subject>Jordan</subject><subject>Patient compliance</subject><subject>Patients</subject><subject>Pharmacists</subject><issn>1759-8885</issn><issn>1759-8893</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kE9LAzEQxYMoWGovfoKAN2Fr_uxuskcpalsKCvYohDQ7227pJmuytfTbN3VFb77LDDO_NwMPoVtKxjTqYdtuwpgylvILNKAiKxIpC37528vsGo1C2JIoLmWeFwP0MWtabTrsKrxxDeAGytrornYWN9rqNTRgO-zhq4YDPg__9rrcgAdrAOvG2TWeO19qW2uL2whEW7hBV5XeBRj91CFaPj8tJ9Nk8foymzwuEsMJ5YkQUqyqNC2p4JStpBYSKmZICiXhWmaCAocccs5MyjVIBpUomFlxk-Umeoborj_beve5h9Cprdt7Gz8qRqSkueScROq-p4x3IXioVOvrRvujokSd81Pn_NR3fhGmPXyod3D8h1Tzt-l77zkBW3JzFw</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>Al‐Qudah, Rajaa A.</creator><creator>Bulatova, Nailya R.</creator><creator>Obeidat, Nathir M.</creator><creator>Basheti, Iman A.</creator><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0002-9572-9739</orcidid><orcidid>https://orcid.org/0000-0002-8460-1158</orcidid></search><sort><creationdate>201809</creationdate><title>Impact of home medication management review on medication adherence among Jordanian patients</title><author>Al‐Qudah, Rajaa A. ; Bulatova, Nailya R. ; Obeidat, Nathir M. ; Basheti, Iman A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3013-7787bf44d17312b8a78ef2c04ed03a8571e3e6e632c43ae82ef792cb3c56c173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>adherence</topic><topic>clinical pharmacist</topic><topic>home medication management reviews</topic><topic>hospital based‐clinic</topic><topic>Jordan</topic><topic>Patient compliance</topic><topic>Patients</topic><topic>Pharmacists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al‐Qudah, Rajaa A.</creatorcontrib><creatorcontrib>Bulatova, Nailya R.</creatorcontrib><creatorcontrib>Obeidat, Nathir M.</creatorcontrib><creatorcontrib>Basheti, Iman A.</creatorcontrib><collection>CrossRef</collection><jtitle>Journal of pharmaceutical health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al‐Qudah, Rajaa A.</au><au>Bulatova, Nailya R.</au><au>Obeidat, Nathir M.</au><au>Basheti, Iman A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of home medication management review on medication adherence among Jordanian patients</atitle><jtitle>Journal of pharmaceutical health services research</jtitle><date>2018-09</date><risdate>2018</risdate><volume>9</volume><issue>3</issue><spage>227</spage><epage>235</epage><pages>227-235</pages><issn>1759-8885</issn><eissn>1759-8893</eissn><abstract>Objectives
This study was designed to evaluate the impact of Home Medication Management Review (HMMR) on self‐reported adherence, and to explore the effect of different patient factors on their medication adherence.
Method
Consecutive patients from outpatient clinics who were eligible for the study were recruited and randomly distributed into two groups. Patients in both groups were visited at home by the clinical pharmacist at baseline. For the intervention group only, the pharmacist delivered counselling regarding self‐reported adherence. After identifying treatment‐related problems (TRPs), the pharmacist sent a letter to the patients’ physician with certain recommendations (intervention group only). Both groups were reassessed for adherence after 3 months from baseline to measure the difference between the two groups.
Key findings
A total of 97 participants were included. Mean ages for the intervention and control groups were 63.13 and 58.39 respectively. The majority of patients were women. The study revealed significant association with the number of TRPs, and level of adherence in the intervention group at follow‐up (R2 = 0.348, P < 0.001). Adherence score for patients diagnosed with hypertension, diabetes and other chronic conditions indicates that more than 70% of the participants have ‘medium adherence score’ in comparison with <10% having ‘high adherence’ at baseline. Three months postbaseline, 33% of patients in the intervention group were found to have high adherence compared to 14% in the control group. Adherence score significantly decreases in ‘low scores of adherence’ and increases in ‘high scores of adherence’ (P < 0.001) at follow‐up in the intervention group. No significate association between adherence and patient factors was found.
Conclusion
HMMR service has resulted in significant improvements in patients’ adherence when compared to control group patients who did not receive the service. Besides receiving the service, no other patient factors played a role in patients’ improvement in adherence.</abstract><cop>London</cop><pub>Wiley Subscription Services, Inc</pub><doi>10.1111/jphs.12243</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-9572-9739</orcidid><orcidid>https://orcid.org/0000-0002-8460-1158</orcidid></addata></record> |
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| ispartof | Journal of pharmaceutical health services research, 2018-09, Vol.9 (3), p.227-235 |
| issn | 1759-8885 1759-8893 |
| language | eng |
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| source | Wiley-Blackwell Journals; Oxford Academic Journals (OUP) |
| subjects | adherence clinical pharmacist home medication management reviews hospital based‐clinic Jordan Patient compliance Patients Pharmacists |
| title | Impact of home medication management review on medication adherence among Jordanian patients |
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