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Lessons Learned: A Process Evaluation of the Rural Elder Awareness of Medication Safety (REAMS) Program.
Journal of Gerontological Nursing
|May 26, 2021
Summary
The Rural Elder Awareness of Medication Safety (REAMS) program faced challenges like recruitment and COVID-19 but succeeded through healthcare partnerships. Lessons learned can improve future rural medication safety programs for older adults.
Area of Science:
- Gerontology
- Public Health
- Health Literacy
Background:
- Rural older adults (>65 years) face unique challenges with medication management and health literacy.
- Community health organizations require effective strategies to support medication safety in rural settings.
Purpose of the Study:
- To evaluate the process of the Rural Elder Awareness of Medication Safety (REAMS) home-based pilot program.
- To identify successful elements, barriers, and facilitators of the REAMS program for future improvements.
Main Methods:
- Process evaluation of a home-based pilot program targeting rural older adults and healthcare organizations.
- Qualitative assessment of program elements, recruitment strategies, and partnership dynamics.
Main Results:
- Key barriers included recruitment difficulties, rural setting challenges, time constraints, and the COVID-19 pandemic.
- A strong collaborative relationship with community healthcare partners was the primary facilitator, enabling program adjustments.
- Shared ideas and adaptive program design were crucial for achieving outcome goals.
Conclusions:
- The REAMS program evaluation offers valuable insights for designing future community-based health promotion initiatives for rural older adults.
- Future research should explore expanded recruitment in various healthcare settings and involve all community health providers.
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