Do multidose compliance aids do more harm than good?

Chaplin, Steve

doi:10.1002/psb.1582

Prescriber

2017

DOI: 10.1002/psb.1582

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Do multidose compliance aids do more harm than good?

Steve Chaplin¹

Abstract: Use of multidose compliance aids (MCAs) is becoming more widespread, yet there is little evidence for their benefit and a recent UK study suggests that they are associated with a high rate of potentially inappropriate medication use and drug interactions.

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Cited by 4 publications

(1 citation statement)

References 12 publications

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“…Depending on who you talk to or what you read, you may find two extreme views on OTC hearing aids 2: either they provide affordable solutions 3, or they won’t work at all and do more harm than good. 4 Our aim is to present a balanced view on what is known about the OTC hearing aids from academic research as well as provide some tips for consumers (for hearing health care clients) on what to consider when considering these devices.…”

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confidence: 99%

Over-The-Counter Hearing Aids: What Do Consumers Need To Know?

Manchaiah

Portnuff

Sharma

et al. 2023

The Hearing Journal

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confidence: 99%

Over-The-Counter Hearing Aids: What Do Consumers Need To Know?

Manchaiah

Portnuff

Sharma

et al. 2023

The Hearing Journal

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Medication-related harm (MRH) in Egyptian older adults post-hospital discharge: a health-care challenge

Jamil,

Sweed,

Abou-Hashem

et al. 2024

QAOA

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Purpose Ageing is associated with multi-morbidity, polypharmacy and medication-related harm (MRH). There is limited published literature on MRH in older Egyptian adults. This study aims to determine the incidence and risk factors associated with MRH in an Egyptian cohort of older patients in the 8-weeks period after hospital discharge. Design/methodology/approach This study recruited 400 Egyptian patients, aged = ≥ 60 years from 3 hospitals in Cairo and followed them up 8 weeks after discharge using a semi-structured telephone interview to verify MRH events (type, probability, severity and preventability) and related factors. Findings The participants’ ages ranged from 60 to 95 years with 53% females. In the final cohort of 325 patients analyzed, MRH occurred in 99 patients (incidence of 30.5%), of which 26 MRH cases (26.2%) were probable, serious and preventable. MRH included adverse drug reactions (ADRs), non-adherence and medication errors. Multivariate regression analysis showed that non-adherence and inappropriate prescription had highly significant association with MRH (P < 0.001), history of previous ADR, living alone and presence of paid caregiver had significant association (P 0.008, 0.012, 0.02 respectively), while age, medications number, length of stay (LOS) and cognitive impairment were not significantly associated with MRH. Practical implications These findings demonstrate the magnitude of MRH in Egypt affecting almost a third of older adults after leaving the hospital. These original data could guide decision-makers to enhance older patients’ medication safety through education, quality improvement and policy. Originality/value MRH in Egyptian older adults post-hospital discharge has not been adequately reported in scientific literature.

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Medication adherence: understanding the issues and finding solutions

While

2020

Journal of Prescribing Practice

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Medication is the most frequent treatment intervention, and its success depends on patients taking their medicines in line with their prescribed regimen to yield the full benefit of the treatment. Adherence is especially difficult to ensure in those with multimorbidity, who take multiple medications to manage their conditions. Non-adherence is costly for the health service, both through wastage and increased ill health. Non-adherence may be intentional or non-intentional, and many factors affect an individual's compliance with a medication regimen. There are a variety of aids that may be helpful; however, the interaction with a health professional is very important, both for understanding the reason for non-adherence and for promoting adherence.

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Do multidose compliance aids do more harm than good?

Abstract: Use of multidose compliance aids (MCAs) is becoming more widespread, yet there is little evidence for their benefit and a recent UK study suggests that they are associated with a high rate of potentially inappropriate medication use and drug interactions.

Cited by 4 publications

References 12 publications

Over-The-Counter Hearing Aids: What Do Consumers Need To Know?

Over-The-Counter Hearing Aids: What Do Consumers Need To Know?

Medication-related harm (MRH) in Egyptian older adults post-hospital discharge: a health-care challenge

Medication adherence: understanding the issues and finding solutions

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