Medication Management, Mild Cognitive Impairment and Occupational Therapy: A Scoping Review

Allen, Denise D.; Jaffe, L. D.; Pfleghaar, Allison

doi:10.1080/02703181.2022.2079800

Cited by 4 publications

(2 citation statements)

References 55 publications

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“…Some of the tasks that do fall under the domain of OT include reading labels, opening pill bottles, and remembering to take medication on time. However, there is minimal guidance on the role of OT in medication management (Allen et al, 2022; Schwartz and Smith, 2017), especially outside of the U.S., in areas including the United Kingdom and Australia (Cole, 2011; Sanders and Van Oss, 2013; Yau, 1995).…”

Section: Introductionmentioning

confidence: 99%

Tailored medication management intervention delivered by occupational therapists for older adults: A study protocol

Somerville

Bollinger

Keleman

et al. 2023

British Journal of Occupational Therapy

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Introduction: Medication management is an essential instrumental activity of daily living for older adults; however, 40–70% of older adults fail to take their medications correctly. Addressing medication management falls under the scope of occupational therapy, but there is a lack of evidence supporting occupational therapy interventions to improving medication management. This study’s primary aims are to examine the feasibility, acceptability, and preliminary efficacy of a Tailored Intervention for Medication Management delivered by occupational therapists to improve medication management. Method/Design: Single-blind, parallel-group randomized controlled equivalency trial, with two phases. Thirty community-dwelling older adults will be enrolled in this study. In Phase 1, participants in the treatment group will receive Tailored Intervention for Medication Management delivered remotely; those in the waitlist control will receive attention visits. In Phase 2, waitlist control participants will receive Tailored Intervention for Medication Management in person. The primary outcomes are feasibility and acceptability; secondary outcomes include preliminary efficacy of the intervention delivered by an occupational therapist remotely and in person. Additionally, the remote and in-person delivery methods will be compared to each other for equivalency. Discussion: Inability to manage medication and inappropriate polypharmacy are significant and prevalent problems that must be addressed so older adults can safely perform this essential instrumental activity of daily living. Trial Registration: ClinicalTrials.gov identifier NCT04717297.

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Section: Introductionmentioning

confidence: 99%

Tailored medication management intervention delivered by occupational therapists for older adults: A study protocol

Somerville

Bollinger

Keleman

et al. 2023

British Journal of Occupational Therapy

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“…The Occupational Therapist is responsible for assisting patients to engage in meaningful and purposeful Activities of Daily Living (Brown and Bussell, 2011). Medication management has been flagged as an ADL essential for allowing an individual to live independently in the community (Allen et al, 2023). Therefore, this study aims to investigate the knowledge, attitudes, beliefs, and challenges faced by HCPs (specifically, Pharmacists, Occupational Therapists and Speech and Language Therapists) in the continuity of care post-discharge from a hospital stroke ward, and its impact on medication adherence.…”

Section: Introductionmentioning

confidence: 99%

Healthcare professional perspectives on medication challenges in the post-stroke patient

Bell,

Kelly,

Hennessy

et al. 2023

Front. Pharmacol.

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Background: Medications play an essential role in the management of patients who have experienced a stroke. Despite the recognised importance and widespread availability of secondary prevention guidelines, Irish research has shown a continuous failure to meet secondary prevention targets upon discharge. While complex interventions involving healthcare professionals (HCPs) such as Speech and Language Therapists (SLT), Occupational Therapists (OTs) and Pharmacists have been effective in combatting medication non-adherence, community multidisciplinary teams (MDTs) are not as well defined as in the acute setting, leading to wide variation in patient care. Therefore, this study aims to investigate the knowledge, attitudes, beliefs, and challenges faced by HCPs in the continuity of care post-discharge from a hospital stroke ward, and its impact on medication adherence.Methods: Semi-structured interviews and one focus group with HCPs were conducted, and data were analysed using Braun & Clarke’s reflexive Thematic Analysis.Results: Fourteen HCPs (6 Pharmacy, 4 SLT, 4 OTs) participated in this study. Participants discussed their views under two main themes 1) continuity of care and 2) medication adherence. Sub-themes observed regarding continuity of care include management and organisation, interpersonal continuity, and informational continuity. Themes generated which impact medication adherence post-discharge include condition-related factors, medication-related factors, systemic and HCP factors, and patient-related factors.Discussion: Additional resources are required to bring community healthcare in line with the standard of acute care. Increased channels of communication must be established across contexts and disciplines, and may be achieved using interprofessional training through continuous professional development or third-level education, a more clearly defined community team structure, and discharge summaries completed to relevant quality standards. While suboptimal continuity of care was reported as contributing to medication non-adherence, HCPs also acknowledged the complexities of medication management post-stroke.

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A Survey of Medication Management in Occupational Therapy Practice

Allen

Jaffe

2023

Occupational Therapy In Health Care

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Medication Management, Mild Cognitive Impairment and Occupational Therapy: A Scoping Review

Cited by 4 publications

References 55 publications

Tailored medication management intervention delivered by occupational therapists for older adults: A study protocol

Tailored medication management intervention delivered by occupational therapists for older adults: A study protocol

Healthcare professional perspectives on medication challenges in the post-stroke patient

A Survey of Medication Management in Occupational Therapy Practice

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