Motivational Interviewing to Increase Postdischarge Antibiotic Adherence in Older Adults with Pneumonia

Eyler, Rachel F.; Shvets, Kristina; Blakely, Michelle L.

doi:10.4140/tcp.n.2016.38

Cited by 12 publications

(24 citation statements)

References 11 publications

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“…Seventeen studies were quantitative in design, including 4 survey studies, 2 retrospective audit reviews, 5 randomised controlled trials, one structured verbal questionnaire study, 2 quasi-experimental studies, and 4 non-randomised controlled studies. Controlled trials were conducted in different countries including USA, Belgium, Australia, Italy and Hong Kong and most of them were undertaken at acute care hospital settings 60,61,[74][75][76]82 . There were also 4 mixed methods studies.…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen studies addressed the theme of communication strategies to enable older patients' medication knowledge 53,54,56,60,63,67,71,72,74,76,80,82,85 . There were three subthemes for this theme: individualised discharge summaries, pharmacists' interventions and improvements in older patients' medication knowledge through medication education.…”

Section: Theme 4 Communication Strategies To Enable Older Patients' mentioning

confidence: 99%

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A systematic review of older patients’ experiences and perceptions of communication about managing medication across transitions of care

Ozavci

Bucknall

Woodward‐Kron

et al. 2021

Research in Social and Administrative Pharmacy

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Background Communication about managing medications may be difficult when older people move across transitions of care. Communication breakdowns may result in medication discrepancies or incidents. Objective The aim of this systematic review was to explore older patients' experiences and perceptions of communication about managing medications across transitions of care. Design A systematic review Methods A comprehensive review was conducted of qualitative, quantitative and mixed method studies using CINAHL Complete, MEDLINE, Embase and PsycINFO, Web of Science, INFORMIT and Scopus. These databases were searched from inception to 14.12.2018. Key article crosschecking and hand searching of reference lists of included papers were also undertaken. Inclusion criteria: studies of the medication management perspectives of people aged 65 or older who transferred between care settings. These settings comprised patients' homes, residential aged care and acute and subacute care. Only English language studies were included. Comments, case reports, systematic reviews, letters, editorials were excluded. Thematic analysis was undertaken by synthesising qualitative data, whereas quantitative data were summarised descriptively. Methodological quality was assessed with the Mixed Methods Appraisal Tool. Results The final review comprised 33 studies: 12 qualitative, 17 quantitative and 4 mixed methods studies. Twenty studies addressed the link between communication and medication discrepancies; ten studies identified facilitators of self-care through older patient engagement; 18 studies included older patients' experiences with health professionals about their medication regimen; and, 13 studies included strategies for communication about medications with older patients. Poor communication between primary and secondary care settings was reported as a 2 reason for medication discrepancy before discharge. Older patients expected ongoing and tailored communication with providers and timely, accurate and written information about their medications before discharge or available for the post-discharge period. Conclusions Communication about medications was often found to be ineffective. Most emphasis was placed on older patients' perspectives at discharge and in the post-discharge period. There was little exploration of older patients' views of communication about medication management on admission, during hospitalisation, or transfer between settings.

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Section: Resultsmentioning

confidence: 99%

Section: Theme 4 Communication Strategies To Enable Older Patients' mentioning

confidence: 99%

A systematic review of older patients’ experiences and perceptions of communication about managing medication across transitions of care

Ozavci

Bucknall

Woodward‐Kron

et al. 2021

Research in Social and Administrative Pharmacy

View full text Add to dashboard Cite

show abstract

“…Study findings also revealed that despite routine counseling and educational services, treatment adherence in the comparison group had a downward trend while in the MI group, the trend was upward. Other studies also reported the effectiveness of MI in promoting treatment adherence among patients with psychiatric disorders (28), pneumonia (29), and hypertension (30). Similarly, Zidarn and Kolenko found that MI had significant positive effects on smoking cessation (31).…”

Section: Discussionmentioning

confidence: 97%

The Effect of Motivational Interviewing on the Life Expectancy of Patients with Chronic Obstructive Pulmonary Disease

Naderloo¹,

Vafadar²,

Eslaminejad³

et al. 2017

Crit Care Nurs J

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“…Despite these issues, this study did note an almost 30% absolute reduction in macrolide prescribing, which demonstrated considerable success of the protocol and the utility of pharmacist presence in the ED environment. Pharmacist‐led interventions have demonstrated success in optimisation of CAP treatment in other studies, including assuring appropriate duration of therapy at discharge, bundled interventions including medication reconciliation, recommendations and counseling and use of motivational interviewing to increase adherence …”

Section: Discussionmentioning

confidence: 99%

“…Pharmacist-led interventions have demonstrated success in optimisation of CAP treatment in other studies, including assuring appropriate duration of therapy at discharge, [21] bundled interventions including medication reconciliation, recommendations and counseling [22] and use of motivational interviewing to increase adherence. [23] There are also some important differences to note between the pre-and post-protocol cohorts. It is unclear why there was a statistical difference in CURB-65/CCI scores between the cohorts at baseline or why there was a significant change in fluoroquinolone monotherapy group revisit rate to the ED.…”

Section: Discussionmentioning

confidence: 99%

Prescribing trends and revisit rates following a pharmacist-driven protocol change for community-acquired pneumonia in an emergency department†

Zimmerman

Covvey

Nemecek

et al. 2018

International Journal of Pharmacy Practice

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Objective To compare pharmacist‐led prescribing changes and associated 30‐day revisit rates across different regimens for patients discharged from an emergency department (ED) with a diagnosis of community‐acquired pneumonia (CAP). Methods An observational, retrospective cohort analysis was conducted of patients who were discharged from an ED over a 4‐year period with a diagnosis of CAP. Patient demographics, clinical characteristics, antibiotic selection and comorbidity and condition severity scores were collected for two cohorts: 2012–13 (before protocol change) and 2014–15 (post‐protocol change). During January 2014, a pharmacist‐led protocol change with prescriber education was implemented to better align ED treatment practices with clinical practice guidelines. The primary endpoint was the change in prescribing practices across the two cohorts. Key findings A total of 741 patients with CAP were identified, including 411 (55.5%) patients in 2012–13 and 330 (44.5%) in 2014–15. Prescribing of macrolide monotherapy regimens decreased significantly following protocol change (70.1% versus 42.7%; difference: 27.4%, 95% CI: 23.8–31.0%) with a reciprocal increase in macrolide/β‐lactam combination prescribing (6.3–21.8%; difference: 15.5%, 95% CI: 12.9–18.1%). A total of 12.2% of patients who received macrolide/β‐lactam combination treatment revisited a network ED within 30 days due to worsening pneumonia, compared to 8.6% of patients who received macrolide monotherapy treatment (P = NS). Conclusions The current study showed a significant increase in antibiotic prescribing compliance following a pharmacist‐driven protocol change and education, but no statistical difference in rates of return for macrolide monotherapy versus other regimens.

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Motivational Interviewing to Increase Postdischarge Antibiotic Adherence in Older Adults with Pneumonia

Abstract: Pharmacist-led motivational interviewing sessions have the potential to positively influence antibiotic adherence rates and patient satisfaction.

Cited by 12 publications

References 11 publications

A systematic review of older patients’ experiences and perceptions of communication about managing medication across transitions of care

A systematic review of older patients’ experiences and perceptions of communication about managing medication across transitions of care

The Effect of Motivational Interviewing on the Life Expectancy of Patients with Chronic Obstructive Pulmonary Disease

Prescribing trends and revisit rates following a pharmacist-driven protocol change for community-acquired pneumonia in an emergency department†

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