Development of a Nurse-Led Medication Self-Management Intervention to Enhance Medication Adherence among Community-Dwelling Older Patients with Multimorbidity
Refereed conference paper presented and published in conference proceedings


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AbstractObjectives
To describe the development of a theory- and evidence-based, nurse-led medication self-management intervention for promoting medication adherence in community-dwelling older patients with multimorbidity.

Methods
The Intervention Mapping approach guided the intervention development, implementation, and evaluation. Firstly, a systematic review and a cross-sectional survey were conducted to establish a thorough understanding of adherence problems among older patients with multimorbidity and to identify the behavioral and environmental determinants which were associated with medication nonadherence. The theory-informed and evidence-based methods were selected and translated into practical strategies to change determinants for promoting medication adherence. The intervention protocol and manual were reviewed and validated by experts in nursing, pharmacy, general practice, and chronic disease management. Finally, intervention implementation and evaluation plans were generated to examine the intervention effectiveness in community settings.

Results
A community-based, nurse-led medication self-management intervention aimed at enhancing medication adherence was developed. The intervention comprises of three face-to-face individually medication self-management education sessions and two follow-up phone calls over six weeks. Trained community nurses explore prior medication experiences, provide adherence knowledge and skills education, motivate patients to adhere, and devise individualized adherence promotion plans for older patients with multimorbidity. Evidence-based techniques, including teach-back methods, motivational interviewing, and personalized feedback, are applied to facilitate the intervention. A randomized controlled pilot trial is underway to test the feasibility and acceptability of the intervention.

Implications for practice
Using a systematic and structured approach, a nurse-led medication self-management intervention was developed, which shows a promising program to improve medication adherence for older patients with multimorbidity, with the potential benefit of improving health outcomes. The study also provides new knowledge on the role of community nurses in medication management.
All Author(s) ListChen Yang, Zhaozhao Hui, Dejian Zeng, Song Zhu, Diana Tze Fan Lee
Name of Conference2020 Taiwan International Nursing Conference Endorsed by ICN
Start Date of Conference09/09/2020
End Date of Conference11/09/2020
Place of ConferenceVirtual
Country/Region of ConferenceTaiwan
Proceedings Title2020 Taiwan International Nursing Conference Endorsed by ICN Abstract Book
Year2020
Month9
Article number40
LanguagesEnglish-United States

Last updated on 2021-07-05 at 10:01