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Family caregivers' facilitation of daily adult prescription medication use.

Abstract：

OBJECTIVE:To describe ways family members assist adult patients with prescription medications at home, during medical visits and at the pharmacy. METHODS:Online survey of 400 adults (caregivers) who help another adult (care recipient) with prescription medication use. Regression modeled the contribution of caregiver communication during recipients' medical visits, evaluation of physicians' medication communication and discussions with the dispensing pharmacist on caregivers' assistance with home medication management. RESULTS:Female (68%) family members (94%) assisted care recipients with multimorbidity (mean 2.9 conditions) and polypharmacy (mean 3.2 prescriptions). On average, caregivers performed 3 visit communication behaviors (e.g., notetaking) and implemented 2.6 home medication management strategies (e.g., filling/monitoring pill boxes). Communication-related variables explained 17% of home medication management assistance; including caregivers' visit communication (std. beta 0.31), physicians' medication communication (std. beta 0.15) and pharmacist discussions (std. beta 0.10). The final model included recipients' multimorbidity and caregiver education (std. betas 0.21 and 0.13) explaining 22% of caregiver assistance with home medication management. CONCLUSION:Caregivers' assistance with safe and effective home medication use crosses care contexts and is facilitated by clinician and pharmacist communication. PRACTICE IMPLICATIONS:Support for caregiver engagement in healthcare conversations can contribute to patient adherence and family-centered, high quality care.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Roter DL,Narayanan S,Smith K,Bullman R,Rausch P,Wolff JL,Alexander GC

doi

10.1016/j.pec.2017.12.018

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

908-916

issue

5

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(17)30664-X

journal_volume

101

pub_type

杂志文章

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