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Development and validation of the self-administration of medication tool
Elizabeth Manias1, Christine J Beanland, Robin G Riley
1School of Nursing, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Carlton Victoria, Australia. ema-nias@unimelb.edu.au
The Annals of Pharmacotherapy
|June 1, 2006
Summary
The Self-Administration of Medication (SAM) tool reliably measures patients' ability to manage their medications in the hospital. This validated tool helps identify patient needs for improved health outcomes.
Area of Science:
- Healthcare quality improvement
- Patient self-management
- Medication administration
Background:
- Consumer participation in healthcare planning is encouraged to improve patient outcomes.
- Assessing patient self-medication abilities helps identify needs for education and intervention.
- Optimizing patient health outcomes post-discharge is a key goal.
Purpose of the Study:
- To develop a tool to quantify patient ability in self-administering regularly scheduled medications during hospitalization.
- To validate the Self-Administration of Medication (SAM) tool for clinical use.
Main Methods:
- The Self-Administration of Medication (SAM) tool was developed based on past research.
- Content validity was established by expert health professionals using a 3-round Delphi technique.
- Inter-rater reliability, construct validity, and internal consistency were assessed using patient and nurse assessments.
Main Results:
- The 29-item SAM tool demonstrated high content validity (CVI 0.95-1.0).
- High agreement was found between nurses assessing patient competence (95.3% agreement, ICC=0.819).
- The tool exhibited high internal consistency (Cronbach's alpha=0.899) and correlated moderately to strongly with other measures.
Conclusions:
- The Self-Administration of Medication (SAM) tool is a valid and reliable instrument.
- It effectively quantifies patients' ability to manage their medications in a hospital setting.
- The SAM tool supports improved patient self-management and outcomes.
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