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Journal articles on the topic 'Medication counseling'

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Published: 4 June 2021
Last updated: 14 February 2022

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1

Fatima, Sana, Ayesha Siddiqui, Saniya Kauser, Syeda Ayesha Maimoona Naba, Mirza Misba Ali Baig, and Ahrar Ahmed Feroz. "EDUCATION (COUNSELLING AND DIGITAL UPDATE) BY CLINICAL PHARMACIST IN PATIENTS WITH POLYPHARMACY IN CHRONIC DISEASES IN THE DEPARTMENT OF GENERAL MEDICINE." International Journal of Advanced Research 9, no. 07 (July 31, 2021): 813–23. http://dx.doi.org/10.21474/ijar01/13181.

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Background: As chronic diseases require treatment with an expanding number of medications, the issue of polypharmacy is getting more significant. Polypharmacy can lead to the danger of adverse events, drug interactions and medication non adherence. Objective: To improve patient medication compliance, check whether all the drugs prescribed are safe and appropriate to use, improve the knowledge about their medical state and poly-pharmacy and to check whether there is any drug-drug interaction. Materials And Methods: A prospective observational study was carried in 200 patients. The collected data was investigated for poly-pharmacy and analyzed for factors and consequences associated with poly-pharmacy. Patient information and relevant data is collected in data collection form directly by clinical pharmacist by interviewing the patient and the patient follow-up is done by digital counseling provided to the patient using various sources such as chats, calls, videos. Result: This study was designed to educate patients in poly-pharmacy for chronic diseases through digital counselling means. During the six months study period, a total of 200 patients among which Patients suffering from several diseases have been consumed multiple medicines (8.52±3.58) compared to patients with two types (8.15±4.05) or single type of disease (7.29±3.10), p 0.08. Knowledge assessment score was improved after education (counseling and digital update) by clinical pharmacist (2.75±1.21 7.15±0.94, p value 0.02). Morrisky medication Adherence scale (MMAS-8) score was significantly increased after education (counseling and digital update) by clinical pharmacist (2.83±1.79 7.60±0.66, p value 0.001). Quality of lifeED-5D-5L score was improved after education (counseling and digital update) by clinical pharmacist (1.01±0.78 2.94±1.25, p vale 0.003). We performed Pearson correlation coefficient test to analyze the correlation between poly-pharmacy and quality of life (QOL), We observed that, individuals who consumed poly pharmacy were found with decreased quality of life (r = -0.72 p value = 0.003). This might be due to adverse side effects caused by multiple medications. Among the 200 patients digital counselling by WHATSAPP along with Call and E-mail was done to 16% of patients, WHATASPP and Call was done to 44% of patients, WHATSAPP and E-mail was done to 2% of patients, WHATSAPP was done to 17% of patients, Call was done to 21% of the patients. Patient satisfaction score with clinical pharmacist by Direct counseling 42% (9.02±3.90) and Digital counseling58% (12.29±3.83). Conclusion: The utilization of digital counselling has become an inexorably well-known mode for giving counselling. Nonetheless, little is thought about its effectiveness.This study is an initial effectiveness study on digital counselling. Participants who had gotten digital counselling from a phone evaluated the viability of digital counselling and the quality of their counselling relationship. Generally, respondents showed that digital counselling was useful and that the participants were happy with the counselling they got. There was an improvement found in the quality of life of participants and their knowledge with respect to chronic condition and polypharmacy. The participants understood the significance of medication adherence for polypharmacy in chronic diseases. Participants were made mindful of the suspected adverse drug reactions, drug-to-drug interaction, medication errors, medication redundancy, and so on.
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Kalra, Sanjay, AG Unnikrishnan, Mangesh Tiwaskar, Rakesh Sahay, Banshi Saboo, Vijay Negalur, Deepak Khandelwal, et al. "Medication counseling for thyroxine." Indian Journal of Endocrinology and Metabolism 21, no. 4 (2017): 630. http://dx.doi.org/10.4103/ijem.ijem_91_17.

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&NA;. "Medication counseling is beneficial." Inpharma Weekly &NA;, no. 952 (August 1994): 14. http://dx.doi.org/10.2165/00128413-199409520-00036.

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Saruchera, Samson, Paul Gavaza, Charles Chiedza Maponga, and Dexter Tagwireyi. "Medication counseling in Zimbabwe." American Journal of Health-System Pharmacy 61, no. 15 (August 1, 2004): 1554–55. http://dx.doi.org/10.1093/ajhp/61.15.1554.

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Nguyen, Bobbie K. H., Benjamin S. Wu, Hanna K. Sanoff, and Jennifer Elston Lafata. "Patient-Oncologist Communication Regarding Oral Chemotherapy During Routine Office Visits." JCO Oncology Practice 16, no. 8 (August 2020): e660-e667. http://dx.doi.org/10.1200/jop.19.00550.

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PURPOSE: Although studies in other clinical areas have shown that patient-clinician communication can positively influence adherence to medications, little is known about how oncologists address medication counseling during routine office visits. We describe patient-oncologist office-based discussions of oral chemotherapy treatment. METHODS: Transcripts of 24 patient-oncologist office visits were obtained from a national database. Patients were aged ≥ 19 years and prescribed capecitabine for colorectal cancer. We developed a structured coding worksheet using medication-counseling concepts previously identified as important to medication adherence and a grounded approach. Two coders reviewed transcripts for oncologists’ provision of medication information, assessment of patients’ adherence to medication, and the provision of self-management support for management of adverse effects. We assessed interrater reliability with Cohen κ statistics. We describe the counseling concepts present within patient-oncologist conversations and present illustrative quotes to describe how they were discussed. RESULTS: Oncologists generally provided patients who had yet to initiate therapy comprehensive medication information; those in the midst of treatment received less information. Oncologists discussed patients’ continued use of the medication (or discontinuation) among all patients who had initiated therapy (N = 18). How the patient was taking the medication (ie, therapy implementation) was less commonly discussed. Medication adverse effects were also discussed in all encounters. Self-management strategies were commonly provided, albeit mostly in response to a presenting symptom and not preemptively. Patients’ use of concurrent medications, financial access to therapy, and assessments of logistical arrangements were discussed more sporadically. CONCLUSION: Using audio recordings from a national sample of patient-oncologist office visits, we identified several potentially important opportunities to enhance medication counseling among patients prescribed capecitabine for the treatment of colorectal cancer.
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Stroud, Alaina, Georges Adunlin, and Jessica W. Skelley. "Impact of a Pharmacy-Led Transition of Care Service on Post-Discharge Medication Adherence." Pharmacy 7, no. 3 (August 31, 2019): 128. http://dx.doi.org/10.3390/pharmacy7030128.

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This study assesses the effectiveness of a pharmacy-led transition of care (TOC) service on increasing patients’ understanding of, and reported adherence to, medication post hospital discharge. A cross-sectional survey was administered to patients who were discharged from the hospital with at least one medication received via bedside delivery from the TOC service. Adherence was assessed by asking the patient if they had taken their discharge medications as instructed by the prescriber. Satisfaction with the discharge medication counseling service was assessed through a five-point Likert scale. Descriptive statistics were conducted for all questionnaire items and qualitative data was examined using content analysis. The majority of patients (73%) were counseled on their medication(s) before leaving the hospital. Among those who received counseling, 76 patients had a better understanding of their medication(s). Ninety-five percent of the patients reported adherence, and all six of the patients reporting non-adherence claimed they were not counseled on their medications prior to discharge. Many patients had questions regarding their medication during the follow-up phone call, substantiating the need for further follow-up with patients once they have left the hospital environment. The implementation of medication bedside delivery and counseling services, followed by outpatient adherence monitoring via a transitional care management service, can result in higher levels of reported medication adherence.
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Tanzi, Maria G. "Counseling to enhance medication adherence." Pharmacy Today 18, no. 11 (November 2012): 29. http://dx.doi.org/10.1016/s1042-0991(15)31633-9.

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&NA;. "STEPS for Effective Medication Counseling." Home Healthcare Nurse 18, no. 3 (March 2000): 157–60. http://dx.doi.org/10.1097/00004045-200003000-00004.

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Morris, Louis A., Ellen R. Tabak, and Kathleen Gondek. "Counseling Patients About Prescribed Medication." Medical Care 35, no. 10 (October 1997): 996–1007. http://dx.doi.org/10.1097/00005650-199710000-00002.

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10

George, Nimmy Elizabeth, Smrithy Sunny, Anitta Mariyam Sam, Aleena Susan Sabu, and Prudence A. Rodrigues. "EFFECT OF MEDICATION RELATED EDUCATIONAL INTERVENTIONS ON IMPROVING MEDICATION ADHERENCE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS." Asian Journal of Pharmaceutical and Clinical Research 11, no. 1 (January 1, 2018): 167. http://dx.doi.org/10.22159/ajpcr.2017.v11i1.22238.

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Objectives: To assess the patient medication adherence using 8 item morisky medication adherence scale (MMAS). To categorize patients based on their adherence to antidiabetic medications into low, medium, and high adherent. To provide educational interventions such as patient counseling using teach-back method, patient medication information leaflet, and audio-visual aids and thus to improve the patient medication adherence.Methods: After obtaining informed consent from the patients, data of the patients were recorded in data collection forms. Their adherence to antidiabetic medication was evaluated using 8 item MMAS and patients were categorized into low, medium, and high adherence groups based on the score. Counseling was done based on the categorization (high, medium, and low). During review, again adherence was rechecked using 8 item MMAS.Results: Medication adherence was measured using 8 item MMAS on review and adherence was found to be improved using different patient counseling methods according to their adherence category. Improvement in score within low adherence group was found to be 83.87%; improvement of the low adherence group to medium adherence group was 16.12%. Improvement within the medium adherence group was 82.14% and from medium adherence to high adherence group was 17.85%.Conclusion: Patient counseling can improve adherence in type 2 diabetes mellitus patients, which in turn help patients in achieving optimal glycemic control.
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George, Nimmy Elizabeth, Smrithy Sunny, Anitta Mariyam Sam, Aleena Susan Sabu, and Prudence A. Rodrigues. "EFFECT OF MEDICATION RELATED EDUCATIONAL INTERVENTIONS ON IMPROVING MEDICATION ADHERENCE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS." Asian Journal of Pharmaceutical and Clinical Research 11, no. 1 (January 1, 2018): 167. http://dx.doi.org/10.22159/ajpcr.2018.v11i1.22238.

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Objectives: To assess the patient medication adherence using 8 item morisky medication adherence scale (MMAS). To categorize patients based on their adherence to antidiabetic medications into low, medium, and high adherent. To provide educational interventions such as patient counseling using teach-back method, patient medication information leaflet, and audio-visual aids and thus to improve the patient medication adherence.Methods: After obtaining informed consent from the patients, data of the patients were recorded in data collection forms. Their adherence to antidiabetic medication was evaluated using 8 item MMAS and patients were categorized into low, medium, and high adherence groups based on the score. Counseling was done based on the categorization (high, medium, and low). During review, again adherence was rechecked using 8 item MMAS.Results: Medication adherence was measured using 8 item MMAS on review and adherence was found to be improved using different patient counseling methods according to their adherence category. Improvement in score within low adherence group was found to be 83.87%; improvement of the low adherence group to medium adherence group was 16.12%. Improvement within the medium adherence group was 82.14% and from medium adherence to high adherence group was 17.85%.Conclusion: Patient counseling can improve adherence in type 2 diabetes mellitus patients, which in turn help patients in achieving optimal glycemic control.
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차현경, 송영천, 김희세, 류수경, and 허영설. "Medication counseling improvement scheme by outpatients cancer center’s medication counseling conditions and satisfaction survey." Journal of Korean Society of Health-System Pharmacists 29, no. 2 (June 2012): 139–48. http://dx.doi.org/10.32429/jkshp.2012.29.2.002.

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Shrestha, Sumitra, Renu Karki, and Mamita Ghimire. "Impact of Pharmacist Counselling on Medication Adherence among Elderly Patients on Antihypertensive Therapy in a Tertiary Care Hospital of Nepal." Europasian Journal of Medical Sciences 1, no. 1 (December 11, 2019): 40–47. http://dx.doi.org/10.46405/ejms.v1i1.6.

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Background: Poor adherence (compliance) is common with antihypertensive medications among elderly patients. As the elderly people are prone to multiple comorbidities, they are at higher risk of polypharmacy and therefore may present with a higher risk of non-adherence to medications compared to the younger population. The study was conducted to investigate the impact of pharmacist counseling on medication adherence among elderly hypertensive patients. Methods: The elderly hypertensive patients who visited the out-patient department at Chitwan Medical College (CMC) between August to November 2018. The face-to-face interview was conducted among 332 elderly hypertensive patients, selected with the purposive sampling technique. A paired t-test was used to show the difference between pre-test and post-test medication adherence. Results: It was found that 13.85% of patients were poor adherent and 86.14% low adherent in the intervention and the control group. The major reason for non-adherence was found to be carelessness about taking medicine (97%). The adherence score for intervention group changed from 1.60±0.83 to 3.95±0.56 (p-value < 0.001) while in the control group the average score before and after follow up was 1.48±0.77 and 1.51±0.80 (p=0.373) respectively. Blood pressure status improved in the intervention group than the control group (p<0.001). Polypharmacy was 27.71%, 15.66% of whom experienced adverse drug reactions. Conclusion: The patient medication counseling had a good impact on hypertensive patients. All factors of the Morisky Green Levine adherence scale improved after counseling and motivation. Pharmacist-led counseling improved medication adherence among elderly hypertensive patients. Keywords: Blood Pressure, Counseling, Elderly, Hypertension, Medication Adherence, Pharmacist
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Narayana Goruntla, Vijayajyothi Mallela, and Devanna Nayakanti. "Impact of pharmacist directed counseling on knowledge, attitude, practices and medication adherence among hypothyroidism patients: a quasi-experimental design." International Journal of Research in Pharmaceutical Sciences 10, no. 3 (July 12, 2019): 1891–99. http://dx.doi.org/10.26452/ijrps.v10i3.1388.

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The pharmacist plays an important role in providing counseling services to patients suffering with various chronic disorders and to improve health outcomes. The study aims to evaluate the effect of pharmacist mediated counseling on Knowledge, Attitude, and Practice (KAP) and medication adherence (MA) among hypothyroidism patients attending outpatient department of a secondary care referral hospital. This is a Quasi-Experimental design without control. A total of 403 patients were enrolled and subjected for KAP assessment by pre-validated questionnaire, and medication adherence levels by pill count and visual analogue scale methods. All patients were counselled by the pharmacist regarding hypothyroidism and its management. After three months, post-KAP and medication adherence levels were measured. Chi-square test was used to compare the adequacy of KAP levels. The paired t-test was used to compare mean medication adherence and mean KAP percentage levels. The mean KAP percentage levels were significantly improved after counselling (80.5±16.4; 86.2±15.7; 67.5±13.8) compared to before (34.1±21.7; 33.8±22.9; 24.5±20.9) with a P value less than <0.0001. There was a significant improvement in mean medication adherence levels measured by visual analogue scale method and pill count method after counselling (92.4±4.8, 97.4±3.2) compared to before counselling (76.8±6.8, 80.3±6.4). The study illustrates how pharmacist plays an integral part in improving medication adherence and KAP towards hypothyroidism management. Improving KAP and medication adherence levels will promote positive clinical outcomes and prevents complications associated with hypothyroidism.
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Schneider, Carl R., Alan W. Everett, Elizabeth Geelhoed, Peter A. Kendall, and Rhonda M. Clifford. "Measuring the Assessment and Counseling Provided with the Supply of Nonprescription Asthma Reliever Medication: A Simulated Patient Study." Annals of Pharmacotherapy 43, no. 9 (August 18, 2009): 1512–18. http://dx.doi.org/10.1345/aph.1m086.

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Background: Over one quarter of asthma reliever medications are provided without prescription by community pharmacies in Australia. Evidence that community pharmacies provide these medications with sufficient patient assessment and medication counseling to ensure compliance with the government's Quality Use of Medicines principles is currently tacking. Objective: To assess current practice when asthma reliever medication is provided in the community pharmacy setting and to identify factors that correlate with assessment of asthma control. Methods: Researchers posing as patients visited a sample of Perth metropolitan community pharmacies in May 2007. During the visit, the simulated patient enacted a standardized scenario of someone with moderately controlled asthma who wished to purchase a salbutamol (albuterol) inhaler without prescription. Results of the encounter were recorded immediately after the visit. Regression analysis was performed, with medication use frequency (a marker of asthma control) as the dependent variable. Results: One hundred sixty community pharmacies in the Perth metropolitan area were visited in May 2007. Pharmacists and/or pharmacy assistants provided some form of assessment in 84% of the visits. Counseling was provided to the simulated patients in 24% of the visits. Only 4 pharmacy staff members asked whether the simulated patient knew how to use the inhaler. Significant correlation was found between assessment and/or counseling of reliever use frequency and 3 independent variables: visit length (p < 0.001), number of assessment questions asked (p < 0.001), and the simulated patient who conducted the visit (p < 0.02). Conclusions: Both patient assessment and medication counseling were suboptimal compared with recommended practice when nonprescription asthma reliever medication was supplied in the community pharmacy setting. Pharmacy and pharmacist demographic variables do not appear to affect assessment of asthma control. This research indicates the need for substantial improvements in practice in order to provide reliever medication in line with Quality Use of Medication principles of ensuring safe and effective use of medication.
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Lee, Hae Yoon, Hye Seong Han, and Hyun Soon Sohn. "Community Pharmacists’ Medication Counseling and Perceptions of Private Counseling Areas." Yakhak Hoeji 64, no. 4 (August 30, 2020): 299–306. http://dx.doi.org/10.17480/psk.2020.64.4.299.

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JANCIN, BRUCE. "Psychotropic Medication Counseling Lacking in Elderly." Family Practice News 41, no. 4 (March 2011): 62. http://dx.doi.org/10.1016/s0300-7073(11)70206-7.

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Cannon-Breland, Michelle L., Salisa C. Westrick, Jan Kavookjian, Bruce A. Berger, David M. Shannon, and Raymond A. Lorenz. "Pharmacist self-reported antidepressant medication counseling." Journal of the American Pharmacists Association 53, no. 4 (July 2013): 390–99. http://dx.doi.org/10.1331/japha.2013.12112.

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Strobach, Dorothea, Cornelia Vetter-Kerkhoff, Johannes Bogner, Wolfgang Breugst, and Detlef Schlöndorff. "Patient Medication Counseling – Patientenberatung zur Entlassungsmedikation." Medizinische Klinik 95, no. 10 (October 2000): 548–51. http://dx.doi.org/10.1007/pl00002061.

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Cunningham, Savannah, and Joshua D. Kinsey. "Pharmacist-Led Discharge Medication Counseling and its Corresponding Impact on Medication Adherence and Hospital Readmission Rates." INNOVATIONS in pharmacy 11, no. 3 (August 6, 2020): 6. http://dx.doi.org/10.24926/iip.v11i3.3352.

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Objectives: Pharmacists have been shown to reduce hospital readmission rates and improve adherence rates by providing discharge medication counseling and offering services such as a bedside delivery program.1 Hospitals are now penalized by Medicare if patients are readmitted within 30 days of discharge, so implementation of these programs have the potential to be financially significant as well.2 The primary endpoint of this study is to evaluate the impact of a pharmacist discharge medication counseling bedside delivery program on medication adherence rates within a six-week period following discharge. The secondary endpoint focuses on hospital readmission rates. The objective of this study is to increase collaboration between community pharmacies and hospitals in order to improve the quality of patient care. Methods: This study was designed as intervention versus control, whereas the intervention patients were those who received counseling from a pharmacist or pharmacist intern and control patients were those who did not within the same time period. Collected patient data (n=81) included patients’ demographic data and all disease states, genders, and insurance coverage were encompassed by the included patients. Medication adherence was measured at follow-up intervals utilizing the proportion of days covered (PDC) equation, where a score of at least 80% is required for optimal therapeutic efficacy. Informed consent was obtained from all participants regarding a follow-up telephone call or retrieval of medication records through the pharmacy electronic medication records system and hospital electronic medical records system. Approximately 10-15-minute counseling sessions were performed at the time of discharge. Follow-up phone calls were conducted for the intervention group at four-weeks and six-weeks post-discharge using an eight-item Morisky medication adherence survey to discuss medication adherence and side effects experienced. Results: There was a total of 81 patients enrolled in this study. There were 27 patients in the intervention group and 54 patients in the control group. These pharmacist-led discharge counseling sessions made a statistically significant difference in medication adherence rates (P=<0.001) as calculated using PDC, showing adherence rates of 84.4% in the intervention group and 62.8% in the control group. The pharmacist-led discharge counseling sessions did not make a statistically significant difference in hospital readmission rates, though investigators do expect to see an impact on clinical and financial endpoints. Conclusion: Pharmacist involvement in a bedside delivery program helps to improve medication adherence in patients being discharged from a hospital. A PDC of at least 80% is required for optimal therapeutic efficacy in most classes of chronic medications, and only the intervention arm reached this threshold.13 Although this study’s sample size was not sufficient to show a statistically significant difference in reduced hospital readmission rates for patients receiving a pharmacist-led discharge counseling session, the findings show the potential for a clinical impact and improved patient outcomes due to increased adherence rates. Original Research
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Suryaputra, Grace, Adji Prayitno Setiadi, Yosi Irawati Wibowo, Eko Setiawan, and Bruce Sunderland. "Counselling practices in an East Javan district, Indonesia: what information is commonly gathered by pharmacy staff?" Journal of Pharmaceutical Health Services Research 12, no. 2 (February 26, 2021): 254–61. http://dx.doi.org/10.1093/jphsr/rmab001.

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Abstract Counselling by pharmacy staff plays a key role in ensuring the quality use of medications in community settings. Information gathering is the first step and an essential part of counselling. Yet, data on information gathering during counselling in Indonesia is lacking. Objective To identify pharmacy staff’s practice of counselling and information gathered during counselling in an East Javan district, Indonesia. Methods A survey questionnaire was conducted in community-based health facilities in the district (i.e. 3 hospital outpatient clinics, 69 community pharmacies and 24 Community Health Centres [CHCs]); one health facility was represented by one pharmacy staff. Quantitative content analysis was used to summarise data regarding information gathering. Key findings Sixty-six pharmacy staff responded, giving a 69% response rate. Almost all staff reported providing counselling; those at CHCs and outpatient clinics mostly provided prescription medicine counselling (95.5% and 100.0%, respectively), while those at community pharmacies mostly provided non-prescription medicine counselling (symptom-based versus product-based requests: 94.9% versus 71.8%, respectively). For non-prescription counselling, the most frequent information gathered was details of symptoms (symptoms-based versus product-based requests: 97.3% versus 75.0%, respectively). While for prescription medication counseling, pharmacy staff mostly asked the patient’s identity (76.2%). Less than 20% of the pharmacy staff for non-prescription/prescription medication counselling gathered information on concurrent medications or history of allergies or adverse drug reactions. Conclusions Pharmacy staff in these Indonesian settings provided prescription/non-prescription counselling to some extent. Improved information gathering skills are required for effective counselling, especially for prescription medications, thus ensuring rational drug use among Indonesians.
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Szkiladz, Andrew, Katherine Carey, Kimberly Ackerbauer, Mark Heelon, Jennifer Friderici, and Kathleen Kopcza. "Impact of Pharmacy Student and Resident-Led Discharge Counseling on Heart Failure Patients." Journal of Pharmacy Practice 26, no. 6 (June 24, 2013): 574–79. http://dx.doi.org/10.1177/0897190013491768.

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Purpose: Many health systems have implemented interventions to reduce the rate of heart failure readmissions. Pharmacists have the training and expertise to provide effective medication-related education. However, few studies have examined the impact of discharge education provided by pharmacy students and residents on patients hospitalized with heart failure exacerbations. Methods: This was a nonrandomized intervention study evaluating the impact of a pharmacy student and resident-led discharge counseling program on heart failure readmissions. The primary end point was the 30-day heart failure readmission rate. Secondary end points included self-reported patient understanding of medications, number of medication errors documented, and estimated associated cost avoidance. Results: A total of 86 and 94 patients were enrolled into the intervention and control groups, respectively. No statistically significant difference in readmission rates was detected between the intervention and the control groups. Thirty-four medication errors and discrepancies were documented, or 1 for every 2.5 patients counseled, resulting in an estimated cost avoidance of $4241 for the institution. Eighty-nine percent of patients who received discharge counseling agreed they had a better understanding of their medications after speaking with a pharmacy resident or student. Conclusions: There was no statistically significant difference in readmission rates; however, several medication errors were prevented, and a large percentage of patients expressed an improved understanding of their medications.
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Sukumaran, Sathesh Kumar, and Ayswarya P. "A PROSPECTIVE STUDY ON IMPACT OF PATIENT COUNSELLING ON QUALITY OF LIFE AND MEDICATION ADHERENCE IN EPILEPTIC PATIENTS." Asian Journal of Pharmaceutical and Clinical Research 10, no. 1 (January 1, 2016): 67. http://dx.doi.org/10.22159/ajpcr.2017.v10i1.13106.

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ABSTRACTObjective: To study the impact of patient counseling on medication adherence and quality of life (QOL) in epileptic patients and to assess the factorsaffecting medication adherence.Methods: This study is a prospective observational study involving 100 patients with an age limit of 8-60 years and those taking Antiepilepticdrugs for at least 3 months. The study population received patient counseling during their first visit. The impact of patient counseling on QOL andmedication adherence was assessed using self-reported questionnaire QOLIE-31 and MMAS-8 between the first visit and the second visit. Statisticalanalysis (Paired t-test and Paired Chi-square test) was performed to analyze the impact of patient counseling on QOL and medication adherence inepileptic patients.Results: A total of 100 patients were included in the study. After providing patient counseling, it was observed that there was a statistically significant(p<0.05) improvement in all domains of QOLIE-31 and MMAS-8 scores. Before counseling, mean overall T-score of QOLIE-31 was 44.08±2.07whichwas changed to 49.14±1.27 after patient counseling with a mean change of 5.06 in overall T-score. In the case of medication adherence, beforecounseling 77% subjects were nonadherent to therapy, after counseling it was reduced to 41%. The common reasons for medication adherence wereforgetfulness, unawareness, therapy related, and economics related. Out of which forgetfulness along with unawareness was the major one.Conclusion: The study described that patient counseling plays a major role in improving QOL and medication adherence.Keywords: QOLIE-31, MMAS-8, Epilepsy, Antiepileptic drugs, Patient counseling.
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Evoy, Kirk E., Charles E. Leonard, Jordan R. Covvey, Leslie Ochs, Alyssa M. Peckham, Samantha Soprano, and Kelly R. Reveles. "Receipt of Substance Use Counseling Among Ambulatory Patients Prescribed Opioids in the United States." Substance Abuse: Research and Treatment 14 (January 2020): 117822181989458. http://dx.doi.org/10.1177/1178221819894588.

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Background: As opioid-related overdose deaths climb in the U.S., risk reduction measures are increasingly important. One such measure recommended involves provision of proactive substance use counseling regarding the risks of opioid analgesics. This is particularly important in patients at increased risk of overdose, such as those with substance use disorders (SUD) or those receiving concomitant medications that further increase the overdose risk (eg, benzodiazepines, gabapentinoids, or Z-hypnotics). However, previous research regarding the likelihood that such counseling is provided during outpatient prescriber visits is lacking. Objectives: To determine the percentage of U.S. ambulatory care visits in which patients taking prescription opioids received substance use counseling, and whether counseling was more common in patients with concomitant GABAergic medication(s) (benzodiazepine, gabapentinoid or Z-hypnotic) or substance use disorder (SUD) diagnosis. Methods: A cross-sectional analysis was conducted of all patients aged ⩾18 years identified as having a prescription opioid on their medication list within the 2014-2015 National Ambulatory Medical Care Survey data. Results: Among 162.7 million visits in which patients were taking opioid medication(s), substance use counseling was provided in 2.4%. During visits for patients receiving opioid(s) plus GABAergic(s), substance use counseling was marginally more common (3.1% versus 2.0%, P < .0001). Substance use counseling was also more common among visits for patients taking opioid(s) with SUD (18.9% versus 1.5%, P < .0001). Among visits in which a patient was diagnosed with SUD and taking opioid(s) plus GABAergic(s), counseling was more common (23.1% versus 1.4%, P < .0001) compared to patients taking opioid(s) plus GABAergic(s) without SUD. Conclusions: Among national ambulatory care visits in the United States, substance use counseling is provided infrequently for patients taking opioids, even when significant risk factors are present. Increasing patient education may help reduce opioid-related overdose mortality.
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Alang, Sirry, and Donna McAlpine. "Treatment Modalities and Perceived Effectiveness of Treatment Among Adults With Depression." Health Services Insights 13 (January 2020): 117863292091828. http://dx.doi.org/10.1177/1178632920918288.

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Patient-reported outcomes of mental health treatment, such as perceived effectiveness, are important. They indicate whether treatment is perceived to reduce symptoms and minimize psychiatric disability. Outpatient treatment for depression typically includes medication or counseling, either alone or in combination. This study examines the relationship between treatment modality and perceived effectiveness of treatment. Using a sample of adults who received outpatient treatment for depression from the 2015-2016 National Survey on Drug Use and Health (N = 4169), logistic regressions estimated the odds of rating treatment as effective among persons who received medication only, counseling only, and a combination of medication and counseling. There were no differences in perceived effectiveness between counseling only and medication only. However, receiving both was associated with greater odds of rating treatment as effective. Poor self-rated health and severe mental illness were associated with lower perceived effectiveness of medication. Those with substance use problems had lower odds of rating counseling and both counseling and medication as effective. A combined treatment for depression may be perceived as better than single-modality treatment. Therefore, there might be benefits to increasing access to both forms of treatment for persons less likely to rate either single modality as effective.
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McCarthy, MD, MS, Danielle M., Kenzie A. Cameron, PhD, MPH, D. Mark Courtney, MD, MS, James G. Adams, MD, and Kirsten G. Engel, MD. "Communication about opioid versus nonopioid analgesics in the emergency department." Journal of Opioid Management 11, no. 3 (May 1, 2015): 229. http://dx.doi.org/10.5055/jom.2015.0271.

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Objective: The Medication Communication Index (MCI) was used to compare counseling about opioids to nonopioid analgesics in the Emergency Department (ED) setting.Design: Secondary analysis of prospectively collected audio recordings of ED patient visits.Setting: Urban, academic medical center (>85,000 annual patient visits). Participants: Patient participants aged >18 years with one of four low acuity diagnoses: ankle sprain, back pain, head injury, and laceration. ED clinician participants included resident and attending physicians, nursing staff, and ED technicians.Main outcome measures: The MCI is a five-point index that assigns points for communicating the following: medication name (1), purpose (1), duration (1), adverse effects (1), number of tablets (0.5), and frequency of use (0.5). Recording transcripts were scored with the MCI, and total scores were compared between drug classes.Results: The 41 patients received 56 prescriptions (27 nonopioids, 29 opioids). Nonopioid median MCI score was 3 and opioid score was 4.5 (p = 0.0008). Patients were counseled equally about name (nonopioid 100 percent, opioid 96.6 percent, p = 0.34) and purpose (88.9 percent, 89.7 percent, p = 0.93). However, patients receiving opioids were counseled more frequently about duration of use (nonopioid 40.7 percent, opioid 69.0 percent, p = 0.03) and adverse effects (18.5 percent, 93.1 percent, p < 0.001). In multivariable analysis, opioids (β = 0.54, p = 0.04), number of medications prescribed (β = −0.49, p = 0.05), and time spent in the ED (β = 0.007, p = 0.006) were all predictors of total MCI score.Conclusions: The extent of counseling about analgesic medications in the ED differs by drug class. When counseling patients about all analgesic medications, providers should address not only medication name and purpose but also the less frequently covered topics of medication dosing, timing, and adverse effects.
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Shah, Mansi, CaTanya A. Norwood, Sol Farias, Sonia Ibrahim, Pang H. Chong, and Leon Fogelfeld. "Diabetes Transitional Care from Inpatient to Outpatient Setting." Journal of Pharmacy Practice 26, no. 2 (July 13, 2012): 120–24. http://dx.doi.org/10.1177/0897190012451907.

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Purpose: Diabetes transitional care from the inpatient to outpatient setting is understudied. This study evaluated the effect of inpatient pharmacist discharge counseling on outpatient diabetes medication adherence. Research methods: Prospective, randomized, controlled study compared pharmacist discharge counseling (intervention) with usual patient care (control) in 127 patients with established diabetes and an A1C ≥8% who had a provider and medications filled within the county health system. The primary outcome was diabetes medication adherence rate measured using the prescription of days covered (PDC) method. Results: Patients in the intervention, compared with control group, had greater diabetes medication adherence rate 150 days after discharge (55.2% vs 34.8%; P = .002), rate of follow-up visits (60.5% vs 43.9%; P = .01) and reduction in A1C (−1.97% vs +0.114%; P = .003). Being in the intervention group and having greater adherence with follow-up visits correlated independently with lower follow-up A1C. Conclusion: Transitional care in the form of inpatient education geared to improve self-management after hospital discharge. This may serve as a paradigm to improve outpatient adherence rate with medications, follow-up visits, and A1C reduction.
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Ashbrook, James B. "Psychopharmacology and Pastoral Counseling: Medication and Meaning." Journal of Pastoral Care 49, no. 1 (March 1995): 5–17. http://dx.doi.org/10.1177/002234099504900103.

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Claims that emerging therapeutic approaches of psychiatrists and pastoral therapists need to combine medication for biochemical processes and meaning for framing experience. Observes that a pastoral therapist who finds a client resisting and/or rejecting referral for appropriate drug intervention can nevertheless use medication or soma as an explanatory scheme for soul-oriented treatment. Notes that treatment ought to focus on early detection of survival reactions and that drugs take the edge off unnecessary arousal, although dialogue remains necessary to reestablish a trusting relationship in an ambiguous world.
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Brown, Daniel L., David J. Wolff, Linda D. Smith, and Gary H. Gronau. "Computer-supported medication counseling for discharged patients." American Journal of Health-System Pharmacy 43, no. 9 (September 1, 1986): 2232–35. http://dx.doi.org/10.1093/ajhp/43.9.2232.

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Erickson, Amy K. "Medication counseling: An opportunity to reduce rehospitalizations." Pharmacy Today 22, no. 2 (February 2016): 5. http://dx.doi.org/10.1016/j.ptdy.2016.01.003.

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Kim, Sandy, Betty Tong, Jessica Lee, Darara Borodge, and Karanjit Kooner. "Lifestyle Counseling for Medication Adherence in Glaucoma." Clinical Ophthalmology Volume 15 (August 2021): 3521–29. http://dx.doi.org/10.2147/opth.s321351.

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Farahani, Imaneh, Samieh Farahani, Maira Anna Deters, Holger Schwender, and Stephanie Laeer. "Training Pharmacy Students in Self-Medication Counseling Using an Objective Structured Clinical Examination–Based Approach." Journal of Medical Education and Curricular Development 8 (January 2021): 238212052110164. http://dx.doi.org/10.1177/23821205211016484.

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Introduction: Pharmacists play an important role in ensuring the safe, effective, and rational use of drugs in self-medication. Given the potential risks of self-medication, adequate training on self-medication counseling should be provided to pharmacy students during their academic education. Objective structured clinical examinations (OSCEs) could be used to train pharmacy students in these skills. This study evaluated the efficacy of an OSCE-based approach for training pharmacy students in self-medication counseling and communication skills. Methods: This randomized controlled study was conducted among pharmacy students using a pre-post design. The intervention group completed OSCE-based self-medication training, while the control group collected counseling-relevant information from summaries of product characteristics of over-the-counter drugs. The counseling and communication skills of both groups before and after training were assessed by completing OSCEs. The participants completed a self-assessment questionnaire on self-confidence and self-perceived proficiency before each OSCE encounter and a satisfaction survey at the end of the seminar. Results: Students were generally satisfied with the seminar. While the OSCE-trained group demonstrated significantly greater increases in counseling skills and self-confidence and self-perceived proficiency than the control group, both groups had similar increases in communication skills. Conclusion: The present study suggests that applying OSCEs as a learning tool for self-medication counseling is beneficial for improving students’ counseling skills as well as self-confidence and self-perceived proficiency. These results support the inclusion of OSCEs in pharmacy education and highlight its potential to bridge gaps between knowledge and practice.
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Ip, Rosanna Nga Suet, Justin Wade Tenney, Angus Chun Kwok Chu, Pauline Lai Ming Chu, and Grace Wai Man Young. "Pharmacist Clinical Interventions and Discharge Counseling in Medical Rehabilitation Wards in a Local Hospital: A Prospective Trial." Geriatrics 3, no. 3 (August 23, 2018): 53. http://dx.doi.org/10.3390/geriatrics3030053.

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Patients undergoing rehabilitation experience numerous changes in medication regimens during care transitions, exposing these patients to an increased risk of drug-related problems (DRPs). A prospective, non-randomized, quasi-experimental study was conducted in medical rehabilitation wards to evaluate the impact of pharmacist-delivered interventions and counseling on 30-day unplanned health care utilization and medication adherence for selected rehabilitation patients. A pharmacist provided medication reconciliation and counseling before discharge. Phone follow-up was completed 30 days after discharge to assess for unplanned health care utilization rate and medication adherence. A total of 85 patients (n = 43 in prospective intervention group and n = 42 in historical usual care group) were included. Among the intervention group, 23 DRPs were identified in 14 (32.6%) patients, resulting in 51 interventions. The intervention group had a significantly lower unplanned health care utilization rate than the usual care group (25.6% vs. 47.6%, p = 0.035). The risk of unplanned health care utilization was reduced by over 60% (Odds ratio (OR) = 0.378; 95% CI = 0.15–0.94). Patients reporting medium to high medication adherence increased from 23.6% to 88.4% 30 days after counseling (p < 0.05). Pharmacist medication reconciliation and discharge counseling reduced unplanned health care utilization 30 days after discharge and improved medication adherence.
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Sam, Gloria K., Jobin Thomas, Riya Alexander, and Sheen Ann Varughese. "ASSESSMENT & EVALUATION ON THE KNOWLEDGE, ATTITUDE & PRACTICE TOWARDS MEDICATION THERAPY MANAGEMENT AMONG COMMUNITY OF DAVANGERE CITY." Asian Journal of Pharmaceutical and Clinical Research 10, no. 4 (April 1, 2017): 380. http://dx.doi.org/10.22159/ajpcr.2017.v10i4.16889.

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Objectives: The prime objective of this study is to assess knowledge, attitude, and practice (KAP) toward medications in a community of Davangere city.Methods: This community-based study was conducted for 6 months using medication therapy management aspects. Ethical clearance was obtainedfrom the Institutional Ethical Committee. Patients above 18 years of age who were willing to participate were included in the study. The data werecollected using specific data collection forms, and KAP toward medications of each patient was assessed using KAP questionnaire. Medicationadherence was analyzed using Morisky Medication Adherence Scale 4. Patient counseling about disease, medication, and lifestyle modification wasgiven, and the orally taking household drugs were segregated according to class and specific clinical uses.Results: Out of 129 patients, 58.1% were male. Out of 19 diseases encountered during the study, diabetes mellitus (32.56%) and hypertension(25.58%) were most prevalent. Majority of patients (63.57%) were prescribed with cardiovascular agents. Paracetamol was found as a commonhousehold drug. Sixty-nine percent of patients were procuring medication directly from the pharmacy and the remaining 31% were procuring theirmedication after consulting the physician. Mean scores of KAP in basal and endpoint assessment were compared using Student’s t-test. p value wasfound to be <0.000.Conclusion: The study tried to entitle the name of pharmacist as a patient educator who gives proper guidance to the patient and family membersabout the disease, domestic drug management, lifestyle modification, etc. The result of efficient patient counseling will be reflected on the properadherence of patient toward the medication and improved quality of life.Keywords: Knowledge, attitude and practice (KAP), Medication therapy management (MTM), Morisky medication adherence Scale – 4 (MMAS-4),patient education.
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Alodhaib, Ghaida, Imtinan Alhusaynan, Ahmer Mirza, and Yasser Almogbel. "Qualitative Exploration of Barriers to Medication Adherence Among Patients with Uncontrolled Diabetes in Saudi Arabia." Pharmacy 9, no. 1 (January 11, 2021): 16. http://dx.doi.org/10.3390/pharmacy9010016.

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Uncontrolled diabetes is associated with macrovascular and microvascular complications that compromise the quality of life; however, the patients’ perspectives about medication non-adherence are unclear. We aimed to understand patient behavior and explore the barriers to medication adherence in uncontrolled diabetes patients. We employed a qualitative method of face-to-face interviews conducted with adult patients in Saudi Arabia who had uncontrolled diabetes mellitus (glycosylated hemoglobin >7% or fasting blood glucose >7.2 mmol/L). All interviews were audio-recorded and analyzed using thematic analysis. The interviews were conducted for 68 patients. Sixty-seven patients were suffering from Diabetes Mellitus Type 2, and one patient was suffering from Diabetes Mellitus Type 1. We identified the barriers to medication adherence and classified them under six main factors: patients-, medications-, healthcare-, provider-, social-, and disease-related factors. The main barriers identified were the use of alternatives, hard-pressed for time, polypharmacy, bad relationship with the physician, cultured beliefs, self-alteration of the dose, exposed side effects, ineffective medications, refusal of insulin, multiple doctor visits, uncontrolled diet, and forgetfulness. Multiple barriers that prevented the patients from medication adherence were related to poor knowledge, counseling, psychological management, and social support. Appropriate educational programs, suitable patient-specific counseling, and close follow-ups would be required to improve the knowledge, outcomes, and quality of life in uncontrolled diabetes patients.
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Alodhaib, Ghaida, Imtinan Alhusaynan, Ahmer Mirza, and Yasser Almogbel. "Qualitative Exploration of Barriers to Medication Adherence Among Patients with Uncontrolled Diabetes in Saudi Arabia." Pharmacy 9, no. 1 (January 11, 2021): 16. http://dx.doi.org/10.3390/pharmacy9010016.

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Uncontrolled diabetes is associated with macrovascular and microvascular complications that compromise the quality of life; however, the patients’ perspectives about medication non-adherence are unclear. We aimed to understand patient behavior and explore the barriers to medication adherence in uncontrolled diabetes patients. We employed a qualitative method of face-to-face interviews conducted with adult patients in Saudi Arabia who had uncontrolled diabetes mellitus (glycosylated hemoglobin >7% or fasting blood glucose >7.2 mmol/L). All interviews were audio-recorded and analyzed using thematic analysis. The interviews were conducted for 68 patients. Sixty-seven patients were suffering from Diabetes Mellitus Type 2, and one patient was suffering from Diabetes Mellitus Type 1. We identified the barriers to medication adherence and classified them under six main factors: patients-, medications-, healthcare-, provider-, social-, and disease-related factors. The main barriers identified were the use of alternatives, hard-pressed for time, polypharmacy, bad relationship with the physician, cultured beliefs, self-alteration of the dose, exposed side effects, ineffective medications, refusal of insulin, multiple doctor visits, uncontrolled diet, and forgetfulness. Multiple barriers that prevented the patients from medication adherence were related to poor knowledge, counseling, psychological management, and social support. Appropriate educational programs, suitable patient-specific counseling, and close follow-ups would be required to improve the knowledge, outcomes, and quality of life in uncontrolled diabetes patients.
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Rangkuti, Saru Noliqo, Azizah Nasution, Azizah Nasution, Khairunnisa Khairunnisa, and Khairunnisa Khairunnisa. "IMPACT OF COUNSELING ON IMPROVING ADHERENCE TO DYSLIPIDEMIA PATIENT." Asian Journal of Pharmaceutical and Clinical Research 11, no. 13 (April 26, 2018): 22. http://dx.doi.org/10.22159/ajpcr.2018.v11s1.26556.

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Objective: The objective of this study was to determine the impact of counseling on adherence of dyslipidemia outpatients to the prescribed medications in An-Nisa Hospital Tangerang period July 2016–November 2016.Methods: This prospective a quasi-experimental design with pre- and post-test design was done to analyze the impact of counseling in An-Nisa Hospital Tangerang. Patients’ characteristics were statistically analyzed using Chi-square. The patient adherence toward therapy was analyzed using Morisky Medication adherence scale-8.Results: The present study indicated that most of the patients (70%) were females with ages: ˃50.70%; ≤50.30%. The counseling significantly affected the adherence level on dyslipidemia patients, p<0.001.Conclusion: This research proved that counseling had a positive impact on the patients’ adherence.
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Widowati, I. Gusti Ayu Rai, I. Made Ady Wirawan, Ni Made Sri Nopiyani, and Komang Ayu Kartika Sari. "Pharmacist counseling intervention to improve patient antibiotic compliance." Public Health and Preventive Medicine Archive 6, no. 2 (December 1, 2018): 128. http://dx.doi.org/10.15562/phpma.v6i2.158.

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Background and objectives: Reported microbial resistance to antibiotics is increasing. One of the main factors is patient non-compliance in use of antibiotics. Pharmacist counseling has been shown to be effective in increasing compliance with the use of several types of medications, but its effectiveness of on compliance with antibiotic use has not been widely published. The purpose of this study was to determine the effectiveness of pharmaceutical counseling in a pharmacy setting to increase compliance with antibiotic use.Method: A randomized controlled trial was conducted on 104 adult patients aged 18 years and over who purchased antibiotics by prescription at a pharmacy in Denpasar City, Bali Province. The number of subjects was determined with a confidence level of 95% and a power of 90% with the effect size of 20%. Subjects were divided into two groups using the block randomization method, namely 52 subjects in the intervention group and 52 subjects in the control group. The intervention group was provided with pharmaceutical counseling by a pharmacist at the time of delivery of the drug at the pharmacy, while the control group was provided drug information according to the pharmacy service standard. Subject compliance was measured by telephone interview using the Morisky Medication Adherence Scale-8 questionnaire within 3-5 days after purchasing the medication. Statistical analysis with the Mann Whitney U Test was performed to determine the difference in mean rank of compliance scores between the intervention group and the control group. The proportion of compliance among the intervention group was divided by proportion of compliance in the control group to get the compliance ratio. Logistic regression analysis was conducted to determine the adjusted compliance ratio.Results: The number of subjects analyzed was 98, as 5 subjects could not be contacted by telephone and 1 subject was hospitalized. The mean rank of compliance scores in the intervention group (61.05) was significantly higher (p<0.001) than the comparison group (37.95). The proportion of compliance in the intervention group was 65.3% and the control group was 18.4%, with the proportion ratio (PR) of 3.56 (95%CI=1.90-6.64). Logistic regression analysis showed that variables which significantly increased compliance with antibiotic use were pharmacist counseling (APR=9.33; 95%CI: 3.24-26.87), frequency of taking medication (APR=6.94; 95%CI: 2.01-23.92) and method of payment (APR=4.30; 95%CI: 1.18-15.66).Conclusion: Pharmaceutical counseling at a pharmacy setting was found to increase compliance of antibiotic use. Compliance of antibiotic use is also influenced by the frequency of taking medication and the method of payment. Pharmacist counseling when accessing medication at a pharmacy is crucial for improving patient compliance of antibiotic use.
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Mekonnen, Gashaw Binega, and Dessalegn Asmelashe Gelayee. "Low Medication Knowledge and Adherence to Oral Chronic Medications among Patients Attending Community Pharmacies: A Cross-Sectional Study in a Low-Income Country." BioMed Research International 2020 (January 11, 2020): 1–8. http://dx.doi.org/10.1155/2020/4392058.

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Objective. To investigate the level of knowledge, medication adherence, and the relationship among patients taking chronic oral medication and attending community pharmacies in Gondar, Northwest Ethiopia. Methods. A cross-sectional study was conducted among adult chronic disease patients who were taking oral medications and getting service in 19 community pharmacies in Gondar City, Northwest Ethiopia. Patients’ medication knowledge and adherence were assessed using interviewer-administered validated questionnaires. Results. Of the 402 study participants (mean ± SD age = 44.7 ± 16.9 years, range = 18–86 years), 53.2% were males, 84.8% were aged <65 years, and 60.7% had high school education and above. About 348 (88.6%) respondents have used oral medications for more than one year. Less than half of respondents have good medication knowledge (n = 54, 38.3%) and were adherent to their medication (n = 158, 39.3%). Chronic disease patients with high school and above education are 5.35 times (95% CI: 3.231–8.857, p<0.001) more likely to have good knowledge of their medication and having good medication knowledge was linked to higher medication adherence (AOR, 95% CI = 10.300 [6.16517.209]; p<0.001). A statistically significant correlation was observed between the scores of medication knowledge and adherence (r = −0.471, p<0.001). Conclusion. The majority of patients on oral chronic medications and attending community pharmacies in Gondar town do not have good medication knowledge and were nonadherent. Community pharmacists need to engage in medication counseling to improve medication knowledge and adherence of chronic disease patients.
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Rosen, Marc I., Michael O. Rigsby, Jamelah T. Salahi, Caitlin E. Ryan, and Joyce A. Cramer. "Electronic monitoring and counseling to improve medication adherence." Behaviour Research and Therapy 42, no. 4 (April 2004): 409–22. http://dx.doi.org/10.1016/s0005-7967(03)00149-9.

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Rupp, Michael T. "Improving medication delivery and counseling in community pharmacy." Journal of the American Pharmacists Association 49, no. 2 (March 2009): 151–52. http://dx.doi.org/10.1331/japha.2009.09010.

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Flynn, Elizabeth A., Kenneth N. Barker, Bruce A. Berger, Kimberly Braxton Lloyd, and Patrick D. Brackett. "Improving medication delivery and counseling in community pharmacy." Journal of the American Pharmacists Association 49, no. 5 (September 2009): 580–82. http://dx.doi.org/10.1331/japha.2009.09087.

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43

El-Rachidi, Sarah, Joseph M. Larochelle, and Jill A. Morgan. "Pharmacists and Pediatric Medication Adherence: Bridging the Gap." Hospital Pharmacy 52, no. 2 (February 2017): 124–31. http://dx.doi.org/10.1310/hpj5202-124.

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Pediatric medication nonadherence is a major problem in the United States health care system. Age of the child, lack of understanding about the disease or treatment, culture, socioeconomic status, family structure, schedule of medications, and taste can all contribute to this problem. Strategies that target interventions to the individual patient and family can be most effective. Pharmacists are at the forefront of patient care and can help children become more adherent to their medications through counseling and building a trusting relationship with the family. This article highlights some common problems to adherence and some solutions to increase adherence.
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Jarosewich, Tania, and Vicki B. Stocking. "Medication and Counseling Histories of Gifted Students in a Summer Residental Program." Journal of Secondary Gifted Education 14, no. 2 (November 2002): 91–99. http://dx.doi.org/10.4219/jsge-2003-423.

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Many gifted students are served through special programming. However, little large-scale information is available regarding the incidence of psychological disorders, medication requirements, and counseling histories in that population. This type of information is important to ensuring the well-being of gifted students, particularly those served through residential programming. This study reports the results of a review of medical information forms for over 1,900 gifted 8th–11th graders participating in a 3-week residential academic programs. Rates of diagnosed psychological disorders, medication prescriptions, and counseling needs are presented. In general, this sample reported low rates of psychological disorders, medication use, and counseling. Results are discussed in terms of program development and program policy issues.
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Ferreira, Tatyana Xavier Almeida Matteucci, Luciana Resende Prudente, Nathalie de Lourdes Souza Dewulf, Mércia Pandolfo Provin, Patrícia de Carvalho Mastroianni, Erika Aparecida da Silveira, and Rita Goreti Amaral. "Medication dispensing as an opportunity for patient counseling and approach to drug-related problems." Brazilian Journal of Pharmaceutical Sciences 52, no. 1 (March 2016): 151–62. http://dx.doi.org/10.1590/s1984-82502016000100017.

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ABSTRACT The objective was to describe and evaluate a model of drug dispensing developed and implemented in a community pharmacy in Brazil. This was a descriptive, observational, quasi-experimental study performed in the period between 21 January 2013 and 20 April 2013. The model was evaluated and described in terms of three parameters: structure, process and outcome. The description and assessment of each parameter was performed as follows: (I) Structure: profile of patients, pharmacist's professional profile, physical facility, informational material; (II) Process: drug-related problems, pharmaceutical interventions performed, results of pharmaceutical interventions; (III) Outcome: patient knowledge of medications. Dispensing service improved patient knowledge of medications (p < 0.05), which was associated with pharmacotherapy complexity (p < 0.05). The main problems identified were related to lack of patient knowledge regarding their medication (52.9%). Pharmaceutical interventions were mostly performed directly to the patients (86.3%) by verbal (95.4%) and written (68.2%) information, and most of the problems were completely solved (62.7%). The medicine dispensing model was able to identify and solve drug-related problems and promote an improvement in patient knowledge about medication.
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Abraham, Olufunmilola, Dayna S. Alexander, Loren J. Schleiden, and Delesha M. Carpenter. "Identifying Barriers and Facilitators at Affect Community Pharmacists' Ability to Engage Children in Medication Counseling: A Pilot Study." Journal of Pediatric Pharmacology and Therapeutics 22, no. 6 (December 1, 2017): 412–22. http://dx.doi.org/10.5863/1551-6776-22.6.412.

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OBJECTIVES This study aimed to describe the barriers and facilitators that influence community pharmacists' ability to provide medication counseling to pediatric patients. METHODS Semistructured interviews (n = 16) were conducted with pharmacy staff at 3 community pharmacies in 2 Eastern states. The interview guide elicited pharmacy staff experiences interacting with children and their perceived barriers and facilitators to providing medication counseling. Transcripts were reviewed for accuracy and a codebook was developed for data analysis. NVivo 10 was used for content analysis and identifying relevant themes. RESULTS Ten pharmacists and 6 pharmacy technicians were interviewed. Most participants were female (69%), aged 30 to 49 years (56%), with ≥5 years of pharmacy practice experience. Eight themes emerged as barriers to pharmacists' engaging children in medication counseling, the most prevalent being the child's absence during medication pickup, the child appearing to be distracted or uninterested, and having an unconducive pharmacy environment. Pharmacy staff noted 7 common facilitators to engaging children, most importantly, availability of demonstrative and interactive devices/technology, pharmacist demeanor and communication approach, and having child-friendly educational materials. CONCLUSIONS Findings suggest that pharmacy personnel are rarely able to engage children in medication counseling because of the patient's absence during medication pickup; however, having child-friendly materials could facilitate interactions when the child is present. These findings can inform programs and interventions aimed at addressing the barriers pharmacists encounter while educating children about safe and appropriate use of medicines.
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YIP, Shirley Wai Ying, and Gary Chung Hong Chong. "The Role and Responsibility of Clinical Pharmacists in Rheumatology Clinic: An exploratory study in Hong Kong." Asia Pacific Journal of Health Management 15, no. 2 (May 21, 2020): S85–90. http://dx.doi.org/10.24083/apjhm.v15i2.391.

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In Hong Kong, arthritis is the third leading chronic disorder among the older people. It could create a huge amount of burden on the health care system if patients cannot achieve good diseases control and have recurrent flare up of diseases. To maintain stable control and minimize acute flare up, medication adherence is essential. Studies revealed that drug education has the highest evidence in improving medication adherence. Pharmacists who are expert in drugs can provide counseling to arthritis patients, improving their drug adherence and disease activities. As a result, research evaluating the effectiveness of pharmacist counseling service on improving arthritis patients’ medication adherence and disease activities in Hong Kong has been initiated in a specialist out-patient clinic of a local acute hospital. This research aims to improve patient medication adherence and enhance medication safety. A validated Compliance Questionnaire on Rheumatology (CQR-19) is used to measure the medication adherence. From the preliminary data, over 90% of the recruited subjects are non-adherence at baseline and thus, detailed drug counseling is necessary. During the first visit, pharmacists will provide a 20 minutes drug counseling service to the referred patients. This includes discussion on drug administration schedule, importance of drug adherence, side effects management and pain management. Besides, pharmacists also have different roles in other aspects such as drug information and procurement. Pharmacists would assist in providing evidence-based information and recommendations to physicians and nurses for drug-related enquiries. These attempts to improve therapeutic outcomes and minimize medication errors, enhance medication safety and reduce hospitalization. Design of the multidisciplinary care model and results of this study would provide a reference for the future development of clinical pharmacist service in rheumatology.
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Khadka, Sushmita, Bikal Lamichhane, Anjana Maharjan, Manisha Bhardwaj, Anushree Jha, and Milan Bajracharya. "Adherence to Anti- Hypertensive Medications among Patients in Selected Health Facilities of Nepal." Journal of Nepal Health Research Council 19, no. 1 (April 23, 2021): 83–86. http://dx.doi.org/10.33314/jnhrc.v19i1.1395.

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Background: Hypertension is a non-communicable disease and one of the most prominent modifiable risk factors for cardiovascular diseases. 7.6 million premature deaths are attributed to high blood pressure around the world. Better adherence with antihypertensive medications improves quality and length of life. This research focuses on the extent of adherence towards prescribed antihypertensive treatment, and identify factors influencing non-adherence.Methods: Descriptive cross-sectional study design was undertaken in various health care centers (2 primary health care center and 3 hospitals) of Nepal. A total of 348 individuals (age above 30) who suffered from hypertension visiting health institutes were included in the study. Adherence was calculated using Morisky Medication Adherence scale.Results: Adherence level to the antihypertensive medication as per the morisky adherence scale, 38.8% had medium level of adherence, 37.4% had a low adherence level, and 23.9% had a high adherence level among 348 participants. From the total participants, 89 admitted to be irregular in medication use. 56% of them claimed to do so because of forgetfulness, 12.4 % because of consistent exercise and low-salt diet, 10.1% due to the lack of affordability.Conclusions: Our study had concluded that the majority of participants had medium to low levels of adherence to anti-hypertensive drugs. Forgetfulness was major cause for irregular medication. Patient education and counseling, family support also seem to be important for proper adherence to drugs. Thus, health care providers should allocate ample time in educating, counseling clients and family.Keywords: Adherence; hypertension; medication; patients
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Christy, Shannon, Billy Sin, and Suzanna Gim. "Impact of an Integrated Pharmacy Transitions of Care Pilot Program in an Urban Hospital." Journal of Pharmacy Practice 29, no. 5 (July 9, 2016): 490–94. http://dx.doi.org/10.1177/0897190014568674.

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Purpose: To evaluate the effectiveness of an integrated Pharmacy Transitions of Care (PTC) pilot program on reducing hospital readmissions and improving patient satisfaction. Methods: This prospective observational cohort study compares patients who participated in the PTC program to a control of usual hospital discharged patients during January through April 2014. The PTC program provided discharge medication review, medication counseling, delivery of medications to bedside, clinic scheduling, and follow-up phone calls. The primary outcome measure was 30-day readmissions. Secondary outcomes included emergency department (ED) visits, pharmacist interventions, and patient satisfaction. Results: Seventy patients participated in the PTC program. Compared to the control (n = 725), the study group had decreased 30-day all-cause readmissions (5.7% vs 13.8%, P = .08), 30-day readmissions for the same diagnosis (2.9% vs 8.1%, P = .18), and ED visits (18.6% vs 25%, P = .82). Twenty-five interventions during discharge medication review included discontinuation of unnecessary medications and correction of medication dose or frequency. The majority of patients were satisfied with the medication education provided (94%) and the timely delivery of prescriptions to bedside (96%). Conclusion: There was no significant difference in 30-day readmission rates. However, pharmacists were able to make a positive impact on patient satisfaction and improve understanding of medications during discharge.
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성장미, SooJin Park, 정의태, and 김민지. "Design Improvement for PM2000 Medication Instruction and Counseling Sheet." Journal of Integrated Design Research 14, no. 2 (June 2015): 31–40. http://dx.doi.org/10.21195/jidr.2015.14.2.003.

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