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Optimizing pharmacists' effectiveness as medication therapy managers through a segmentation approach.

Marcia M Worley1

  • 1College of Pharmacy, University of Minnesota, Duluth 55812-3095, USA. worl0016@d.umn.edu

Journal of the American Pharmacists Association : Japha
|November 22, 2005
PubMed
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Older adults can be grouped by medication knowledge and beliefs. Pharmacists can use this segmentation to tailor medication therapy management for older persons needing the most support.

Area of Science:

  • Gerontology
  • Pharmaceutical Sciences
  • Health Services Research

Background:

  • Older adults are a diverse population with varying medication needs and self-management capabilities.
  • Understanding subgroups within this demographic is crucial for effective medication therapy management.
  • Previous research has not fully explored segmentation based on medication-related knowledge, beliefs, and perceived abilities in older adults.

Purpose of the Study:

  • To identify distinct subgroups of older persons based on their self-assessed medication knowledge, beliefs, and perceived abilities.
  • To examine how these subgroups differ in terms of health status, medication use, and interactions with pharmacists.

Main Methods:

  • Secondary analysis of a cross-sectional, descriptive study involving 330 community-dwelling older adults (65+ years) using prescription medications.

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  • Cluster analysis was employed to segment participants based on self-reported medication-related knowledge, beliefs, and perceived abilities.
  • Data included perceptions of pharmacist-patient relationships.

    • Main Results:

    • Three distinct subgroups of older adults were identified based on medication-related beliefs and perceived abilities.
    • Group 1: Poorer health, highest medication use, highest pharmacist advice seeking, lowest perceived abilities.
    • Group 2: Good health, lowest medication use, lowest pharmacist advice seeking, lowest beliefs, high perceived abilities.
    • Group 3: Best health, highest beliefs, high perceived abilities, highest positive perceptions of pharmacist interactions.

    Conclusions:

    • Older adults can be meaningfully segmented based on their medication-related beliefs and abilities.
    • This segmentation allows pharmacists to identify and target older persons requiring specific medication therapy management interventions.
    • A tailored approach can optimize medication adherence and health outcomes for diverse older adult populations.