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In-Home Medication Management Performance Evaluation (HOME-Rx): A Validity Study.

Mary Catherine Murphy1, Emily Somerville2, Marian Keglovits3

  • 1Mary Catherine Murphy, OTD, OTR/L, is Occupational Therapist, University of California, San Francisco Medical Center and the California Pacific Medical Center. At the time of the study, she was Doctoral Student, Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|June 30, 2017
PubMed
Summary

The In-Home Medication Management Performance Evaluation (HOME-Rx) is a new tool to assess how well older adults manage medications at home. It was found to be valid and relevant for identifying medication management challenges.

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Area of Science:

  • Gerontology
  • Health Services Research
  • Psychometrics

Background:

  • Effective medication management is crucial for older adults' health and independence.
  • Performance-based assessments can identify specific barriers in the home environment.
  • Existing tools may not fully capture the complexities of in-home medication management.

Purpose of the Study:

  • To evaluate the initial psychometric properties of the In-Home Medication Management Performance Evaluation (HOME-Rx).
  • To establish the content validity of the HOME-Rx instrument for assessing medication management in older adults.
  • To refine the HOME-Rx based on expert and user feedback.

Main Methods:

  • Content validity was assessed using a multistep content validity index (CVI) process.
  • Content experts provided qualitative and quantitative judgments on the instrument's relevance and ability to measure medication management.
  • Older adult participants provided qualitative feedback on the instrument's clarity, acceptability, and ease of understanding.

Main Results:

  • The HOME-Rx achieved a high scale-level CVI of .95, indicating strong expert agreement on its validity.
  • Six items were removed due to low item-level CVI (<.80), and 29 minor edits were implemented.
  • Older adults found the revised instrument relevant, acceptable, and easy to comprehend.

Conclusions:

  • The HOME-Rx demonstrates initial content validity and relevance for assessing medication management performance in older adults.
  • The instrument appears to be a valuable tool for identifying performance barriers to medication management within the home setting.
  • Further psychometric evaluation is warranted to confirm the HOME-Rx's utility in clinical practice.