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The development and evaluation of a medication diary to report problems with medication use
Laura Mortelmans1,2, Tinne Dilles1
1Department of Nursing Science and Midwifery, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
Heliyon
|February 20, 2024
Summary
A new medication diary helps patients report problems, fostering shared decision-making and improving medication adherence. This user-friendly tool facilitates communication between patients and healthcare providers regarding medication use challenges.
Area of Science:
- Health Services Research
- Patient Adherence
- Medication Management
Background:
- Effective medication management is crucial for patient health outcomes.
- Identifying and addressing medication-related problems is essential for improving adherence.
- Shared-decision making empowers patients in their treatment plans.
Purpose of the Study:
- To develop and evaluate a user-friendly medication diary for patients.
- To enable patients to report medication use problems to healthcare providers.
- To facilitate shared-decision making and enhance medication adherence.
Main Methods:
- Developed a paper-and-pencil medication diary based on literature review and expert/patient feedback.
- Evaluated the diary's clarity and presentation with healthcare providers and patients.
- Assessed user-friendliness and effectiveness in reporting problems among 69 patients with polypharmacy.
Main Results:
- The medication diary includes sections for medication schedules, information, problem tracking, and provider questions.
- Minor adjustments were made after review; the diary was found user-friendly (80%) and easy to complete (89%).
- Approximately 40% of patients reported medication use problems, and half felt the diary aided discussion with providers.
Conclusions:
- The medication diary is a proven, user-friendly tool for patients to report medication-related issues.
- It facilitates patient-provider discussions, serving as a foundation for shared decision-making.
- Improved reporting and discussion of problems can lead to better medication adherence and outcomes.
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