An Intervention Program to Reduce Medication-Related Problems Among Polymedicated Home-Dwelling Older Adults (OptiMed): Protocol for a Pre-Post, Multisite, Pilot, and Feasibility Study

Detalhes bibliográficos
Autor(a) principal: Pereira, Filipa
Data de Publicação: 2023
Outros Autores: Dixe, Maria dos Anjos, Pereira, Sónia Gonçalves, Meyer-Massetti, Carla, Verloo, Henk
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.8/8313
Resumo: Acknowledgments This research was funded by the Joint Swiss-Portuguese Academic Programme of the University of Applied Sciences and Arts Western Switzerland (HES-SO) and the Foundation for Science and Technology (grant 105 995). The funding organization had no role in the study design, and it will have no role in the collection, analysis, or interpretation of data, writing the intended manuscript, or in the decision to publish the results.
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spelling An Intervention Program to Reduce Medication-Related Problems Among Polymedicated Home-Dwelling Older Adults (OptiMed): Protocol for a Pre-Post, Multisite, Pilot, and Feasibility StudyProtocolPilot studyFeasibilityMedication safetyMedication-related problemsMedication managementHome-dwelling older adultsInformal caregiversInterprofessional collaborationPatient-centered careQuasi-experimentalPre-post studyPolypharmacyAcknowledgments This research was funded by the Joint Swiss-Portuguese Academic Programme of the University of Applied Sciences and Arts Western Switzerland (HES-SO) and the Foundation for Science and Technology (grant 105 995). The funding organization had no role in the study design, and it will have no role in the collection, analysis, or interpretation of data, writing the intended manuscript, or in the decision to publish the results.Background: Effective medication management is one of the essential preconditions for enabling polymedicated home-dwelling older adults with multiple chronic conditions to remain at home and preserve their quality of life and autonomy. Lack of effective medication management predisposes older adults to medication-related problems (MRPs) and adverse health outcomes, which can lead to the degradation of a patient’s acute clinical condition, physical and cognitive decline, exacerbation of chronic medical conditions, and avoidable health care costs. Nonetheless, it has been shown that MRPs can be prevented or reduced by using well-coordinated, patient-centered, interprofessional primary care interventions. Objective: This study aimed to explore the feasibility and acceptability of an evidence-based, multicomponent, interprofessional intervention program supported by informal caregivers to decrease MRPs among polymedicated home-dwelling older adults with multiple chronic conditions. Methods: This quasi-experimental, pre-post, multisite pilot, and feasibility study will use an open-label design, with participants knowing the study’s objectives and relevant information, and it will take place in primary health care settings in Portugal and Switzerland. The research population will comprise 30 polymedicated, home-dwelling adults, aged ≥65 years at risk of MRPs and receiving community-based health care, along with their informal caregivers and health care professionals. Results: Before a projected full-scale study, this pilot and feasibility study will focus on recruiting and ensuring the active collaboration of its participants and on the feasibility of expanding this evidence-based, multicomponent, interprofessional intervention program throughout both study regions. This study will also be essential to projected follow-up research programs on informal caregivers’ multiple roles, enhancing their coordination tasks and their own needs. Results are expected at the end of 2024. Conclusions: Designing, establishing, and exploring the feasibility and acceptability of an intervention program to reduce the risks of MRPs among home-dwelling older adults is an underinvestigated issue. Doing so in collaboration with all the different actors involved in that population’s medication management and recording the first effects of the intervention will make this pilot and feasibility study’s findings very valuable as home care becomes an ever more common solution. Trial Registration: Swiss National Clinical Trials Portal 000004654; https://tinyurl.com/mr3yz8t4Publicações JMIRIC-OnlinePereira, FilipaDixe, Maria dos AnjosPereira, Sónia GonçalvesMeyer-Massetti, CarlaVerloo, Henk2023-04-03T14:34:10Z2023-01-252023-03-30T18:35:41Z2023-01-25T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.8/8313engPereira F, Dixe MdA, Gonçalves Pereira S, Meyer-Massetti C, Verloo H An Intervention Program to Reduce Medication-Related Problems Among Polymedicated Home-Dwelling Older Adults (OptiMed): Protocol for a Pre-Post, Multisite, Pilot, and Feasibility Study JMIR Res Protoc 2023; 12:e39130e39130cv-prod-321660810.2196/391301929-074836696165info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-05-23T14:53:06ZPortal AgregadorONG
dc.title.none.fl_str_mv An Intervention Program to Reduce Medication-Related Problems Among Polymedicated Home-Dwelling Older Adults (OptiMed): Protocol for a Pre-Post, Multisite, Pilot, and Feasibility Study
title An Intervention Program to Reduce Medication-Related Problems Among Polymedicated Home-Dwelling Older Adults (OptiMed): Protocol for a Pre-Post, Multisite, Pilot, and Feasibility Study
spellingShingle An Intervention Program to Reduce Medication-Related Problems Among Polymedicated Home-Dwelling Older Adults (OptiMed): Protocol for a Pre-Post, Multisite, Pilot, and Feasibility Study
Pereira, Filipa
Protocol
Pilot study
Feasibility
Medication safety
Medication-related problems
Medication management
Home-dwelling older adults
Informal caregivers
Interprofessional collaboration
Patient-centered care
Quasi-experimental
Pre-post study
Polypharmacy
title_short An Intervention Program to Reduce Medication-Related Problems Among Polymedicated Home-Dwelling Older Adults (OptiMed): Protocol for a Pre-Post, Multisite, Pilot, and Feasibility Study
title_full An Intervention Program to Reduce Medication-Related Problems Among Polymedicated Home-Dwelling Older Adults (OptiMed): Protocol for a Pre-Post, Multisite, Pilot, and Feasibility Study
title_fullStr An Intervention Program to Reduce Medication-Related Problems Among Polymedicated Home-Dwelling Older Adults (OptiMed): Protocol for a Pre-Post, Multisite, Pilot, and Feasibility Study
title_full_unstemmed An Intervention Program to Reduce Medication-Related Problems Among Polymedicated Home-Dwelling Older Adults (OptiMed): Protocol for a Pre-Post, Multisite, Pilot, and Feasibility Study
title_sort An Intervention Program to Reduce Medication-Related Problems Among Polymedicated Home-Dwelling Older Adults (OptiMed): Protocol for a Pre-Post, Multisite, Pilot, and Feasibility Study
author Pereira, Filipa
author_facet Pereira, Filipa
Dixe, Maria dos Anjos
Pereira, Sónia Gonçalves
Meyer-Massetti, Carla
Verloo, Henk
author_role author
author2 Dixe, Maria dos Anjos
Pereira, Sónia Gonçalves
Meyer-Massetti, Carla
Verloo, Henk
author2_role author
author
author
author
dc.contributor.none.fl_str_mv IC-Online
dc.contributor.author.fl_str_mv Pereira, Filipa
Dixe, Maria dos Anjos
Pereira, Sónia Gonçalves
Meyer-Massetti, Carla
Verloo, Henk
dc.subject.por.fl_str_mv Protocol
Pilot study
Feasibility
Medication safety
Medication-related problems
Medication management
Home-dwelling older adults
Informal caregivers
Interprofessional collaboration
Patient-centered care
Quasi-experimental
Pre-post study
Polypharmacy
topic Protocol
Pilot study
Feasibility
Medication safety
Medication-related problems
Medication management
Home-dwelling older adults
Informal caregivers
Interprofessional collaboration
Patient-centered care
Quasi-experimental
Pre-post study
Polypharmacy
description Acknowledgments This research was funded by the Joint Swiss-Portuguese Academic Programme of the University of Applied Sciences and Arts Western Switzerland (HES-SO) and the Foundation for Science and Technology (grant 105 995). The funding organization had no role in the study design, and it will have no role in the collection, analysis, or interpretation of data, writing the intended manuscript, or in the decision to publish the results.
publishDate 2023
dc.date.none.fl_str_mv 2023-04-03T14:34:10Z
2023-01-25
2023-03-30T18:35:41Z
2023-01-25T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.8/8313
url http://hdl.handle.net/10400.8/8313
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Pereira F, Dixe MdA, Gonçalves Pereira S, Meyer-Massetti C, Verloo H An Intervention Program to Reduce Medication-Related Problems Among Polymedicated Home-Dwelling Older Adults (OptiMed): Protocol for a Pre-Post, Multisite, Pilot, and Feasibility Study JMIR Res Protoc 2023; 12:e39130
e39130
cv-prod-3216608
10.2196/39130
1929-0748
36696165
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Publicações JMIR
publisher.none.fl_str_mv Publicações JMIR
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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repository.mail.fl_str_mv
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