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Co-designing Medication Optimization Patient-Centered Outcomes Research With Older People and Caregivers as Research
Eposi Elonge1, Catherine E Cooke1, Merton Lee1
11 Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, Maryland.
The Senior Care Pharmacist
|November 3, 2024
Summary
Older adults and caregivers partnered to identify key medication research priorities. Both groups prioritized simplifying medication regimens and improving healthcare communication, highlighting shared concerns in medication management.
Area of Science:
- Gerontology
- Health Services Research
- Patient-Centered Outcomes Research
Background:
- Growing need for evidence on medication's unintended consequences in older adults.
- Essential caregiver support for medication management in the elderly.
- Diverse stakeholder perspectives (older adults, caregivers, clinicians, researchers) are crucial for research prioritization.
Purpose of the Study:
- To collaboratively develop a research agenda focused on medication-related issues in older populations.
- To identify and prioritize patient-centered outcomes research (PCOR) topics concerning medication use in the elderly.
Main Methods:
- A 12-member Advisory Council, including older adults and caregivers, co-designed the research approach.
- An 11-question survey was distributed to the Elder Care Medicine Network (ECMN) members.
- Respondents were grouped into clinician/researcher and older adult/caregiver categories for comparative analysis using Chi-square tests.
Main Results:
- 53 ECMN members responded (48% response rate), with a majority (60.4%) from the older adult/caregiver group.
- Top shared priorities included simplifying medication regimens (62.2%), enhancing communication with healthcare providers (58.5%), and understanding supplement-medication interactions (52.8%).
- Statistically significant differences were observed in priority area selection between the clinician/researcher and older adult/caregiver groups.
Conclusions:
- Co-design methodology successfully engaged older adults and caregivers as active research partners.
- While specific priorities may differ, both older adults and caregivers emphasize the importance of medication regimen simplification and improved healthcare communication.
- Findings inform future research directions for medication management in older populations.
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