Building community-engaged multidisciplinary partnerships to improve medication management in elderly patients with multiple chronic conditions

Date

2021

Authors

Poon, Ivy O.
Skelton, Felicia
Bean, Lena R.
Guinn, Dominique
Jemerson, Terica L.
Mbue, Ngozi D.
Charles, Creaque V.
Ndefo, Uche Anadu

Journal Title

Journal ISSN

Volume Title

Publisher

Advocate Aurora Health

Abstract

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.

Description

This project was funded by the Patient-Centered Outcomes Research Institute Pipeline to Proposal Award (PA133-7709677). Additional funding disclosure for Dr. Poon: Research reported in this publication was supported in part by the National Institute on Minority Health and Health Disparities of the National Institutes of Health under award no. U54MD007605. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Additional funding disclosures for Dr. Skelton: This material is based on work supported (or supported in part) by the U.S. Department of Veterans Original Research120 JPCRR • Volume 8, Issue 2 • Spring 2021 Affairs, Veterans Health Administration, Office of Research and Development, and the Center for Innovations in Quality, Effectiveness and Safety (CIN 13-413), Health Services Research & Development Career Development Award (1 IK2 HX00248403), and the Health Resources & Services Administration for the project titled “Baylor College of Medicine Center of Excellence in Health Equity, Training & Research” (1 D34 HP31024-01-00).

Keywords

Drugs, Side effects, Adverse reactions, Elderly, Polypharmacy, Patient-centered care, Multiple chronic conditions

Citation

This is a published version of an article that is available at https://doi.org/10.17294/2330-0698.1778. Recommended citation: Poon, I. O., Skelton, F., Bean, L. R., Guinn, D., Jemerson, T. L., Mbue, N. D., Charles, C. V., & Ndefo, U. A. (2021). Building community-engaged multidisciplinary partnerships to improve medication management in elderly patients with multiple chronic conditions. Journal of Patient-Centered Research and Reviews, 8(2), 113–120.This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.

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