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Medication coaching program for patients with minor stroke or TIA: a pilot study.
Elizabeth G Sides1, Louise O Zimmer, Leslie Wilson
1Department of Neurology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
BMC Public Health
|July 27, 2012
Summary
Medication coaching via telephone after stroke discharge is feasible and positively evaluated by patients. This pilot study suggests coaching may improve follow-up care adherence for stroke survivors.
Area of Science:
- Neurology
- Pharmacology
- Health Services Research
Background:
- Hospitalized stroke patients often face medication changes upon discharge, leading to confusion and safety risks.
- Effective post-discharge support is crucial for medication adherence and patient safety in stroke survivors.
Purpose of the Study:
- To assess the feasibility of a telephone-based medication coaching program for patients recently discharged after a stroke.
- To evaluate patient satisfaction and potential impact on healthcare engagement.
Main Methods:
- A two-arm pilot study involving 30 patients (20 intervention, 10 control) with stroke or TIA and medication changes.
- Intervention group received post-discharge medication coaching calls; control group did not.
- Feasibility assessed by script appropriateness, reachability, and information provision; outcomes measured at 3 months.
Main Results:
- Medication coaching calls averaged 27 minutes, with follow-up calls averaging 12 minutes.
- Participant evaluations of the medication coaching program were positive.
- Intervention participants showed a higher likelihood of seeing their primary care provider by 3 months post-discharge.
Conclusions:
- Telephone-based medication coaching is a feasible method for educating and supporting stroke patients post-discharge.
- The pilot study indicated a potential positive trend in primary care appointment adherence among coached patients.
- Further research is warranted to confirm the benefits of medication coaching in stroke recovery.
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