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A Qualitative Analysis to Understand Perception about Medication-Related Problems among Older Minority Adults in a Historically Black Community

Older adults taking multiple chronic medications experience an increased risk of adverse drug events and other medication-related problems (MRP). Most current literature on medication management involves researcher-driven intervention, yet few studies investigate patients’ understanding of MRP in a...

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Autores principales: Poon, Ivy O., Skelton, Felicia, Bean, Lena R., Guinn, Dominique, Jemerson, Terica, Mbue, Ngozi D., Charles, Creaque V., Ndefo, Uche A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8788468/
https://www.ncbi.nlm.nih.gov/pubmed/35076623
http://dx.doi.org/10.3390/pharmacy10010014
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author Poon, Ivy O.
Skelton, Felicia
Bean, Lena R.
Guinn, Dominique
Jemerson, Terica
Mbue, Ngozi D.
Charles, Creaque V.
Ndefo, Uche A.
author_facet Poon, Ivy O.
Skelton, Felicia
Bean, Lena R.
Guinn, Dominique
Jemerson, Terica
Mbue, Ngozi D.
Charles, Creaque V.
Ndefo, Uche A.
author_sort Poon, Ivy O.
collection PubMed
description Older adults taking multiple chronic medications experience an increased risk of adverse drug events and other medication-related problems (MRP). Most current literature on medication management involves researcher-driven intervention, yet few studies investigate patients’ understanding of MRP in a diverse community setting. This report investigates patients’ perception of MRP and patient-centered strategies among a cohort of the older adult group in a historically Black urban community. The study design is qualitative using structured open-ended questions in a multidisciplinary patient-centered focus group. Patients (age 65 years or older) taking seven or more medications were recruited. The group comprises patients, caregivers, pharmacists, health educators, a physician, and a nurse. Recordings of the group discussion are transcribed verbatim and analyzed using thematic content analysis and categorized by codes developed from the social-ecological model. The group reports patient-provider relationships, previous experience, fear of side effects played important roles in medication adherence. There is an unmet need for medication management education and tools to organize complex medication lists from multiple providers. This study provides important insights into MRP experienced by minority older adults and provided researchers with potential strategies for future interventions.
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spelling pubmed-87884682022-01-26 A Qualitative Analysis to Understand Perception about Medication-Related Problems among Older Minority Adults in a Historically Black Community Poon, Ivy O. Skelton, Felicia Bean, Lena R. Guinn, Dominique Jemerson, Terica Mbue, Ngozi D. Charles, Creaque V. Ndefo, Uche A. Pharmacy (Basel) Article Older adults taking multiple chronic medications experience an increased risk of adverse drug events and other medication-related problems (MRP). Most current literature on medication management involves researcher-driven intervention, yet few studies investigate patients’ understanding of MRP in a diverse community setting. This report investigates patients’ perception of MRP and patient-centered strategies among a cohort of the older adult group in a historically Black urban community. The study design is qualitative using structured open-ended questions in a multidisciplinary patient-centered focus group. Patients (age 65 years or older) taking seven or more medications were recruited. The group comprises patients, caregivers, pharmacists, health educators, a physician, and a nurse. Recordings of the group discussion are transcribed verbatim and analyzed using thematic content analysis and categorized by codes developed from the social-ecological model. The group reports patient-provider relationships, previous experience, fear of side effects played important roles in medication adherence. There is an unmet need for medication management education and tools to organize complex medication lists from multiple providers. This study provides important insights into MRP experienced by minority older adults and provided researchers with potential strategies for future interventions. MDPI 2022-01-07 /pmc/articles/PMC8788468/ /pubmed/35076623 http://dx.doi.org/10.3390/pharmacy10010014 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Poon, Ivy O.
Skelton, Felicia
Bean, Lena R.
Guinn, Dominique
Jemerson, Terica
Mbue, Ngozi D.
Charles, Creaque V.
Ndefo, Uche A.
A Qualitative Analysis to Understand Perception about Medication-Related Problems among Older Minority Adults in a Historically Black Community
title A Qualitative Analysis to Understand Perception about Medication-Related Problems among Older Minority Adults in a Historically Black Community
title_full A Qualitative Analysis to Understand Perception about Medication-Related Problems among Older Minority Adults in a Historically Black Community
title_fullStr A Qualitative Analysis to Understand Perception about Medication-Related Problems among Older Minority Adults in a Historically Black Community
title_full_unstemmed A Qualitative Analysis to Understand Perception about Medication-Related Problems among Older Minority Adults in a Historically Black Community
title_short A Qualitative Analysis to Understand Perception about Medication-Related Problems among Older Minority Adults in a Historically Black Community
title_sort qualitative analysis to understand perception about medication-related problems among older minority adults in a historically black community
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8788468/
https://www.ncbi.nlm.nih.gov/pubmed/35076623
http://dx.doi.org/10.3390/pharmacy10010014
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