Impact of adherence goal awareness intervention on PDC in various settings: Does awareness help modify medication-taking behavior?

Background: Interventions to improve medication adherence in chronic conditions have shown limited success or sustainability. Previous data revealed that phone calls to patients regarding adherence goal awareness resulted in significant improvement in proportion of days covered (PDC). Objectives: Th...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	A.R. Mercadante, S. Lee, K. Uh, A. Chau, U. Truong, A. Jeong, M. Hata, A.V. Law
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Medication adherence Proportion of days covered Pharmacist intervention Adherence goal setting Goal awareness Medication taking behavior Pharmacy and materia medica RS1-441
Acceso en línea:	https://doaj.org/article/477a265e72084db3b16b374f3ff46ce7
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:477a265e72084db3b16b374f3ff46ce7
record_format	dspace
spelling	oai:doaj.org-article:477a265e72084db3b16b374f3ff46ce72021-11-28T04:39:57ZImpact of adherence goal awareness intervention on PDC in various settings: Does awareness help modify medication-taking behavior?2667-276610.1016/j.rcsop.2021.100072https://doaj.org/article/477a265e72084db3b16b374f3ff46ce72021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S266727662100072Xhttps://doaj.org/toc/2667-2766Background: Interventions to improve medication adherence in chronic conditions have shown limited success or sustainability. Previous data revealed that phone calls to patients regarding adherence goal awareness resulted in significant improvement in proportion of days covered (PDC). Objectives: The objective of this study was to explore specific pharmacist adherence interventions via phone in various practice settings. Methods: A prospective, randomized controlled study was conducted with patients who belonged to university-associated health care settings [ambulatory care, chain store, small health plan, and federally qualified health center (FQHC)]. At each site, patients with at least one chronic medication and a calculated PDC < 0.80 were randomized into control (n=115) and intervention (n=126) groups. Control groups (C) received usual pharmacy communication while intervention groups (X) were specifically called by a pharmacist to be informed of PDC goals and their commitment to adherence. PDC values were calculated 3 to 12 months for both groups the time of intervention, then compared with each patient's respective baseline/pre-PDC. Results: Data from a total of 241 patients were pooled to examine change in PDC. There was no significant difference between groups in baseline criteria or PDC. Comparing within groups, there were significant correlations between Pre- and Post-PDCs for the intervention group (X = 0.32 p < 0.05) alone. There were significant improvements from initial PDC to those calculated at the time of Post-intervention PDC within both groups, (C = 0.18 ± 0.28 p < 0.05) and (X = 0.16 ± 0.24, p < 0.05). Approximately 44% of all sampled patients reached their adherence goals (PDC ≥ 0.80) after 3–9 months. Conclusions: Results suggested that patient adherence behavior may improve after any call made by pharmacy staff. This communication and attention from the pharmacy may be enough for patients to consider their medication-taking habits without the need for discussing specific goals and importance of adherence.A.R. MercadanteS. LeeK. UhA. ChauU. TruongA. JeongM. HataA.V. LawElsevierarticleMedication adherenceProportion of days coveredPharmacist interventionAdherence goal settingGoal awarenessMedication taking behaviorPharmacy and materia medicaRS1-441ENExploratory Research in Clinical and Social Pharmacy, Vol 4, Iss , Pp 100072- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medication adherence Proportion of days covered Pharmacist intervention Adherence goal setting Goal awareness Medication taking behavior Pharmacy and materia medica RS1-441
spellingShingle	Medication adherence Proportion of days covered Pharmacist intervention Adherence goal setting Goal awareness Medication taking behavior Pharmacy and materia medica RS1-441 A.R. Mercadante S. Lee K. Uh A. Chau U. Truong A. Jeong M. Hata A.V. Law Impact of adherence goal awareness intervention on PDC in various settings: Does awareness help modify medication-taking behavior?
description	Background: Interventions to improve medication adherence in chronic conditions have shown limited success or sustainability. Previous data revealed that phone calls to patients regarding adherence goal awareness resulted in significant improvement in proportion of days covered (PDC). Objectives: The objective of this study was to explore specific pharmacist adherence interventions via phone in various practice settings. Methods: A prospective, randomized controlled study was conducted with patients who belonged to university-associated health care settings [ambulatory care, chain store, small health plan, and federally qualified health center (FQHC)]. At each site, patients with at least one chronic medication and a calculated PDC < 0.80 were randomized into control (n=115) and intervention (n=126) groups. Control groups (C) received usual pharmacy communication while intervention groups (X) were specifically called by a pharmacist to be informed of PDC goals and their commitment to adherence. PDC values were calculated 3 to 12 months for both groups the time of intervention, then compared with each patient's respective baseline/pre-PDC. Results: Data from a total of 241 patients were pooled to examine change in PDC. There was no significant difference between groups in baseline criteria or PDC. Comparing within groups, there were significant correlations between Pre- and Post-PDCs for the intervention group (X = 0.32 p < 0.05) alone. There were significant improvements from initial PDC to those calculated at the time of Post-intervention PDC within both groups, (C = 0.18 ± 0.28 p < 0.05) and (X = 0.16 ± 0.24, p < 0.05). Approximately 44% of all sampled patients reached their adherence goals (PDC ≥ 0.80) after 3–9 months. Conclusions: Results suggested that patient adherence behavior may improve after any call made by pharmacy staff. This communication and attention from the pharmacy may be enough for patients to consider their medication-taking habits without the need for discussing specific goals and importance of adherence.
format	article
author	A.R. Mercadante S. Lee K. Uh A. Chau U. Truong A. Jeong M. Hata A.V. Law
author_facet	A.R. Mercadante S. Lee K. Uh A. Chau U. Truong A. Jeong M. Hata A.V. Law
author_sort	A.R. Mercadante
title	Impact of adherence goal awareness intervention on PDC in various settings: Does awareness help modify medication-taking behavior?
title_short	Impact of adherence goal awareness intervention on PDC in various settings: Does awareness help modify medication-taking behavior?
title_full	Impact of adherence goal awareness intervention on PDC in various settings: Does awareness help modify medication-taking behavior?
title_fullStr	Impact of adherence goal awareness intervention on PDC in various settings: Does awareness help modify medication-taking behavior?
title_full_unstemmed	Impact of adherence goal awareness intervention on PDC in various settings: Does awareness help modify medication-taking behavior?
title_sort	impact of adherence goal awareness intervention on pdc in various settings: does awareness help modify medication-taking behavior?
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/477a265e72084db3b16b374f3ff46ce7
work_keys_str_mv	AT armercadante impactofadherencegoalawarenessinterventiononpdcinvarioussettingsdoesawarenesshelpmodifymedicationtakingbehavior AT slee impactofadherencegoalawarenessinterventiononpdcinvarioussettingsdoesawarenesshelpmodifymedicationtakingbehavior AT kuh impactofadherencegoalawarenessinterventiononpdcinvarioussettingsdoesawarenesshelpmodifymedicationtakingbehavior AT achau impactofadherencegoalawarenessinterventiononpdcinvarioussettingsdoesawarenesshelpmodifymedicationtakingbehavior AT utruong impactofadherencegoalawarenessinterventiononpdcinvarioussettingsdoesawarenesshelpmodifymedicationtakingbehavior AT ajeong impactofadherencegoalawarenessinterventiononpdcinvarioussettingsdoesawarenesshelpmodifymedicationtakingbehavior AT mhata impactofadherencegoalawarenessinterventiononpdcinvarioussettingsdoesawarenesshelpmodifymedicationtakingbehavior AT avlaw impactofadherencegoalawarenessinterventiononpdcinvarioussettingsdoesawarenesshelpmodifymedicationtakingbehavior
_version_	1718408255166742528

Impact of adherence goal awareness intervention on PDC in various settings: Does awareness help modify medication-taking behavior?

Ejemplares similares