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Intervention to Improve Medication Management: Qualitative Outcomes From a Phase I Randomized Controlled Trial
Jaclyn K Schwartz1, Kimberly A Grogan2, Melissa J Mutch3
1Jaclyn K. Schwartz, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami; jaclyn.schwartz@fiu.edu.
Summary
Occupational therapy interventions effectively improved medication management for adults with chronic conditions. Participants adopted new strategies, highlighting the value of education, technology, and support.
Area of Science:
- Health Sciences
- Rehabilitation Medicine
- Occupational Therapy
Background:
- Medication adherence is crucial for managing chronic health conditions.
- Poor adherence negatively impacts health outcomes and increases healthcare costs.
- Occupational therapy's role in medication management requires further definition.
Purpose of the Study:
- To define an occupational therapy intervention for enhancing medication management.
- To evaluate the acceptability and effectiveness of this intervention.
Main Methods:
- A randomized study involving 19 adults with chronic conditions and poor medication adherence.
- Comparison between an occupational therapy intervention group and a standard care group.
- Qualitative interviews assessing participants' perceptions and behaviors related to medication management.
Main Results:
- The occupational therapy group showed greater improvements in medication management compared to the standard care group.
- Participants in the occupational therapy group implemented twice as many new adaptive strategies.
- Key intervention components included advocacy, education, assistive technology, environmental modifications, and self-monitoring.
Conclusions:
- Occupational therapy is an acceptable and effective intervention for improving medication management.
- The intervention promotes self-perceived improvements and the adoption of new medication management behaviors.
- Further research is recommended to explore the long-term impact and broader application of this intervention.
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