Tailored, Intervention to Improve Medication Management in Community-Dwelling Older Adults: A Pilot Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 4
- Locations
- 1
- Primary Endpoint
- In-Home Medication Management Evaluation (HOME-Rx)
Study Overview
Brief Summary
This pilot study seeks to determine the acceptability and feasibility of the intervention to improve ability of older adults to management medication with community dwelling older adults.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •age 65 years or older
- •taking four or more prescription medications
- •self-reported decreased medication adherence.
Exclusion Criteria
- •significant cognitive impairment as indicated by a score of 10 or more on the Short Blessed Test
- •Resides in an institutionalized setting.
Arms & Interventions
Tailored Medication Management Intervention
This research study involved an initial 1.5 hour visit and 2-3 follow up home visits (each lasting 60 minutes). Participants received 2-3 home visits during which they received recommendations on strategies which will improve medication management. Level II occupational therapy fieldwork students made the recommendations, after approval from their supervising licensed OT. The OT fieldwork students provided assistance to the individual in implementing strategies, obtaining adaptive equipment at little or no cost to the individual.
Intervention: Tailored Medication Management Intervention (Other)
Outcomes
Primary Outcomes
In-Home Medication Management Evaluation (HOME-Rx)
Time Frame: 1 month
The HOME-Rx is a performance-based tool designed to identify functional barriers to medication management for community-dwelling older adults. Its purpose is to identify common and specific barriers to independence in medication management for older adults living independently in the community. We will use the I-HOPE measure the severity of barriers impacting medication management before and after the intervention. We will also measure the performance and satisfication of the older adult to perform their medication management tasks independently before and after the intervention.
Secondary Outcomes
No secondary outcomes reported
Investigators
Susan Stark
Associate Professor of Occupational Therapy, Neurology and Social Work
Washington University School of Medicine