Impact of passive and active promotional strategies on patient acceptance of medication therapy management services

Huet, Alison L.; Frail, Caitlin K.; Lake, Leslie M.; Snyder, Margie E.

doi:10.1331/japha.2015.14091

Cited by 24 publications

(28 citation statements)

References 11 publications

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“…Participant acceptance rates were similar among the personal ask and interview methods and both were higher than the bag stuffer method. Patient acceptance rate of the bag stuffer method was similar to that found in the study conducted by Huet et al 20 Though the interview method yielded a higher response than the other methods, it did require more time commitment from the pharmacist. The majority of patients in the interview method were waiting to pick up a prescription or waiting for a previously scheduled comprehensive medication review appointment.…”

Section: Discussionsupporting

confidence: 83%

Conducting depression screenings in a community pharmacy: A pilot comparison of methods

Ballou

Chapman²,

Roark³

et al. 2019

J Am Coll Clin Pharm

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Background Depression is one of the most common mental health disorders in the United States. Routine screening of all adult patients for depression is recommended, but current screening rates are in the single digits. Community pharmacists are the most accessible health care providers, making them uniquely positioned to screen patients for depression and, when necessary, refer patients to local health care providers. Objective The purpose of this study was to compare methods for administration of a depression screening tool in an independent, community pharmacy. Methods Fifty Patient Health Questionnaire‐9 (PHQ‐9) depression screening questionnaires were distributed to participants through each of three different methods: (1) as a bag stuffer with written instructions at prescription pick‐up, (2) personal ask with verbal instructions at prescription drop‐off, or (3) one‐on‐one conversation with the pharmacist at prescription pick‐up or during a previously scheduled medication therapy management appointment. Results There was a difference in the participation rate among each of the three methods: 1/50 in the bag stuffer group, 36/50 in the personal ask group, and 40/50 in the interview group. Of the 77 participants, 18 required referral for additional treatment. Of the participants surveyed, 93% indicated that offering depression screening in a community pharmacy was a valuable service. The average amount of time spent with each participant was approximately 4 minutes. Conclusion Administration of the PHQ‐9 screening tool that involved direct pharmacist intervention elicited a higher response from participants than bag stuffers and may be an effective strategy to engage patients in a conversation regarding their mental health.

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Section: Discussionsupporting

confidence: 83%

Conducting depression screenings in a community pharmacy: A pilot comparison of methods

Ballou

Chapman²,

Roark³

et al. 2019

J Am Coll Clin Pharm

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“…This finding builds upon the results of Huet et al as we were able to show significantly increased patient enrollment in MTM with in-person education, whereas Huet et al was unable to detect a significant difference of passive and active promotional strategies on MTM enrollment. 18 These results support the finding that the impersonal brochure intervention was a less effective means of educating participants about MTM and impacting their enrollment of MTM. This is supported by results of a similar study performed in a TriCare beneficiary population that used mailing as a means of requesting participation in a medication review.…”

Section: Discussionsupporting

confidence: 74%

“…While telephone calls resulted in the most amount of respondents participating in an MTM with a pharmacist, no significant differences between the four strategies was detected. 18 As previous research exposes the need for greater education of payers regarding MTM and inconclusive results as to effective means of education, our study served to help fill this gap by comparing personal and impersonal educational interventions. Findings from our data analysis indicated that while there were no significant differences within the two groups regarding differences in the pre-and post-surveys, the in-person education group reported significant differences in 11 post-survey questions all showing changes from disagreement toward neutral or agreement.…”

Section: Discussionmentioning

confidence: 99%

“…The group that received a "bag stuffer" with information about MTM saw no response. 18 Thus, the purpose of this project was to determine the most beneficial method of educating patients about MTM services and which method increases enrollment the most. An educational event was planned with the intent of creating a face-to-face opportunity for patients to learn more about what MTM services entail, interact with that information by asking questions, and enroll in an MTM session if desired.…”

Section: Introductionmentioning

confidence: 99%

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Changing Patient Perceptions of MTM: Determining an Effective Method of Education

et al. 2018

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“…Additionally, it is possible that personal relationships between community pharmacists and their patients resulted in more rapid patient acceptance of CMR offers. Recent literature has evaluated strategies, such as the use of scripted language, as well as phone calls and bag stuffers, for encouraging patients to accept CMR offers . As these practices become more common, research should examine whether changes in time from offer to CMR completion occur across provider types or are unique to specific provider types.…”

Section: Discussionmentioning

confidence: 99%

Medication therapy management delivery by community pharmacists: Insights from a national sample of Medicare Part D beneficiaries

Adeoye

Farley

Coe

et al. 2019

J Am Coll Clin Pharm

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Introduction The Medicare Part D medication therapy management (MTM) program positions pharmacists to optimize beneficiaries' medications and improve care. Little is known regarding Part D MTM delivery by community pharmacists and other pharmacist provider types. Objectives To (a) characterize Medicare Part D MTM delivery by community pharmacists, (b) compare MTM delivery by community pharmacists to other pharmacists, and (c) generate hypotheses for future research. Methods A descriptive cross‐sectional study using merged data from a 20% random sample of Medicare beneficiary enrollment data with a 100% sample of recently available 2014 Part D MTM files was conducted. Andersen's Behavioral Model was applied to describe MTM delivery across beneficiary characteristics. Descriptive and bivariate statistics were used to compare delivery of MTM between community and other pharmacist providers. Results Among beneficiaries sampled, community pharmacists provided comprehensive medication reviews (CMRs) to 22% (n = 26 337) of beneficiaries receiving at least one CMR. Almost half (49.4%) were provided face‐to‐face. Across pharmacist cohorts, median days to CMR offer of post‐MTM program enrollment were within the 60‐day policy requirement. The community pharmacist cohort had fewer days from CMR offer to receipt (median 47 days). Community pharmacists provided more medication therapy problem (MTP) recommendations (mean [SD] of 1.8 [3.5]; P < .001), but resolved less MTPs (0.2 [0.7]; P < .001), and most commonly served beneficiaries that were in the south but less in the west/northeast. Additionally, community pharmacists served a smaller proportion of black beneficiaries, yet a larger proportion of Hispanic beneficiaries (P < .001). Conclusion Community pharmacists provided approximately one in five CMRs for MTM eligible beneficiaries in 2014, with CMRs occurring more quickly, resulting in more MTP recommendations, but resolving less MTPs than those provided by noncommunity pharmacists. Future research should explore geographic/racial‐ethnic disparities in beneficiaries served and strategies to increase negligible MTP resolution by community pharmacists.

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Impact of passive and active promotional strategies on patient acceptance of medication therapy management services

Cited by 24 publications

References 11 publications

Conducting depression screenings in a community pharmacy: A pilot comparison of methods

Conducting depression screenings in a community pharmacy: A pilot comparison of methods

Changing Patient Perceptions of MTM: Determining an Effective Method of Education

Medication therapy management delivery by community pharmacists: Insights from a national sample of Medicare Part D beneficiaries

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