Entwicklung einer maßgeschneiderten Intervention (Tailoring) am Beispiel der Implementierung von Empfehlungen zur Polypharmakotherapie bei multimorbiden Patienten (PomP)

Jäger, Cornelia; Szécsényi, Joachim; Freund, Tobias; Reichel, J.; Kuhlmey, Christina; Wensing, Michel; Steinhäuser, Jost

doi:10.1016/j.zefq.2013.08.014

Cited by 12 publications

(9 citation statements)

References 21 publications

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“…The finding suggests that also potential negative psychological effects of intensive medication counselling should be considered. This is in line with the concerns of some doctors to unsettle patients by giving too detailed information about medicines, especially about possible side-effects, which we identified as potential barrier for the implementation of medication counselling in previous qualitative studies [28, 29]. …”

Section: Discussionsupporting

confidence: 81%

Medication Lists and Brown Bag Reviews: Potential Positive and Negative Impacts on Patients Beliefs about Their Medicine

Jäger

Steinhaeuser

Freund

et al. 2015

BioMed Research International

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Introduction. Medication lists and structured medication counselling (SMC) including “brown bag reviews” (BBR) are important instruments for medication safety. The aim of this study was to explore whether patients' use of a medication list is associated with their beliefs about their medicine and their memory of SMC. Methods. Baseline data of 344 patients enrolled into the “Polypharmacy in Multimorbid Patients study” were analysed. Linear regression models were calculated for the “specific necessity subscale” (SNS) and the “specific concerns subscale” (SCS) of the German “Beliefs About Medicine Questionnaire,” including self-developed variables assessing patients' use of a medication list, their memory of SMC, and sociodemographic data. Results. 62.8% (n = 216) remembered an appointment for SMC and 32.0% (n = 110) BBR. The SNS correlated positively with regular receipt of a medication list (β = 0.286, p < 0.01) and negatively with memory of a BBR (β = −0.268; p < 0.01). The SCS correlated positively with memory of a BBR (β = 0.160, p = 0.02) and negatively with the comprehensiveness of the mediation list (β = −0.224; p < 0.01). Conclusions. A comprehensive medication list may reduce patients' concerns and increase the perceived necessity of their medication. A potential negative impact of BBR on patients' beliefs about their medicine should be considered and quality standards for SMC developed.

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Section: Discussionsupporting

confidence: 81%

Medication Lists and Brown Bag Reviews: Potential Positive and Negative Impacts on Patients Beliefs about Their Medicine

Jäger

Steinhaeuser

Freund

et al. 2015

BioMed Research International

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“…Implementation research suggests that implementation programs should be tailored to individual barriers to introduce evidence-based knowledge into practice [ 21 , 22 ]. This study is part of the “tailoring interventions for chronic diseases (TICD)” project [ 23 ], in which a four-step approach for tailoring is used [ 24 ]. In the context of this project we have developed a tailored intervention which aims at improving the implementation of the above mentioned recommendations into German primary care practices.…”

Section: Introductionmentioning

confidence: 99%

Design and Delivery of a Tailored Intervention to Implement Recommendations for Multimorbid Patients Receiving Polypharmacy into Primary Care Practices

Jäger

Szécsényi

Steinhäuser

2015

BioMed Research International

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Introduction. Managing polypharmacy is particularly demanding for general practitioners as coordinators of care. Recently, a German guideline for polypharmacy in primary care has been published. This paper describes the content and delivery of a tailored intervention, which aims at improving the implementation of guideline recommendations for polypharmacy into practice, considering individual barriers. Materials and Methods. Firstly, barriers for implementation and the corresponding strategies to address them have been identified. On this basis, an intervention consisting of a workshop for health care professionals and educational materials for patients has been developed. The workshop focused on knowledge, awareness, and skills. The educational materials included a tablet computer. Practice teams will elaborate individual concepts of how to implement the recommendations into their practice. The workshop has been evaluated by the participants by means of a questionnaire. Results. During the workshop 41 possible sources of medication errors and 41 strategies to improve medication management have been identified. Participants evaluated the workshop overall positively, certifying its relevancy to practice. Discussion. The concept of the workshop seemed appropriate to impart knowledge about medication management to the participants. It will have to be evaluated, if the intervention finally resulted in an improved implementation of the guideline recommendations.

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“…Ein zentraler Grund hierfür wird in der mangelnden Begleitevaluation gesehen [3]. Die Disziplin, die sich insbesondere um die Implementierung von evidenzbasiertem Wissen in die Routineversorgung befasst, ist die Implementierungswissenschaft [21].…”

Section: Diabetes Und Digitale Technologienunclassified

Diabetestherapie 2.0 – Telemedizin

2019

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Entwicklung einer maßgeschneiderten Intervention (Tailoring) am Beispiel der Implementierung von Empfehlungen zur Polypharmakotherapie bei multimorbiden Patienten (PomP)

Cited by 12 publications

References 21 publications

Medication Lists and Brown Bag Reviews: Potential Positive and Negative Impacts on Patients Beliefs about Their Medicine

Medication Lists and Brown Bag Reviews: Potential Positive and Negative Impacts on Patients Beliefs about Their Medicine

Design and Delivery of a Tailored Intervention to Implement Recommendations for Multimorbid Patients Receiving Polypharmacy into Primary Care Practices

Diabetestherapie 2.0 – Telemedizin

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