Medication coaching program for patients with minor stroke or TIA: A pilot study

详细信息    查看全文

• 作者：Elizabeth G Sides (1)
  Louise O Zimmer (2)
  Leslie Wilson (2)
  Wenqin Pan (2)
  DaiWai M Olson (3)
  Eric D Peterson (2)
  Cheryl Bushnell (1)
  
• 关键词：Stroke ; Transitions ; Prevention ; Patient education
• 刊名：BMC Public Health
• 出版年：2012
• 出版时间：December 2012
• 年：2012
• 卷：12
• 期：1
• 全文大小：191KB
• 参考文献：1. Roger V, Go A, Lloyd-Jones D, Adams R, Berry J, Brown T, Carnethon M, Dai S, De Simone G, Ford E, Fox C, Fullerton H, Gillespie C, Greenlund K, Hailpern S, Heit J, Ho M, Howard V, Kissela B, Kittner S, Lackland D, Lichtman J, Lisabeth L, Makuc D, Marcus G, Marelli A, Matchar D, McDermott M, Meigs J, Moy C, Mozaffarian D, Mussolino M, Nichol G, Paynter N, Rosamund W, Sorlie P, Stafford R, Turan T, Turner M, Wong N, Wylie-Rosett J: Heart Disease and Stroke Statistics, Update: A report from the American Heart Association. / Circulation 2011., 2010: doi:10.1161/ CIR.0b01333182009701.
  2. Olson D, Prvu-Bettger J, Alexander K, Kendrick A, Irvine J, Wing L, Coeytaux R, Duncan P, Graffagnino C: / Transition of Care for Acute Stroke and Myocardial Infarction Patients: From Hospitalization to Rehabilitation, Recovery, and Secondary Prevention. Evidence Report No. 202. AHRQ Publication No. 11 (12)-E011, Rockville, MD; 2011.
  3. Foust J, Naylor M, Boling P, Cappuzzo K: Opportunities for improving post-hospital home medication management among older adults. / Home Health Care Serv Q 2005, 24:101-22. CrossRef
  4. Balaban R, Weissman J, Samuel P, Woolhandler S: Redefining and redesigning hospital discharge to enhance patient care: A randomized controlled study. / J Gen Intern Med 2008, 23:1228-233. CrossRef
  5. Coleman E, Parry C, Chalmers S, Min S: The care transitions intervention: Results of a randomized controlled trial. / Arch Intern Med 2006, 166:1822-828. CrossRef
  6. Wiles R, Pain H, Buckland S, McLellan L: Providing appropriate information to patients and carers following a stroke. / J Adv Nursing 1998, 28:794-01. CrossRef
  7. Cua Y, Kripalani S: Medication use in the transition from hospital to home. / Ann Acad Med Singapore 2008, 37:136-41.
  8. Tyson S, Turner G: Discharge and follow-up for people with stroke: What happens and why. / Clin Rehabil 2000, 14:381-92. CrossRef
  9. Cameron J, Gignac M: “Timing It Right- A conceptual framework for addressing the support needs of family caregivers to stroke survivors from the hospital to the home. / Patient Education and Counseling 2008, 70:305-14. CrossRef
  10. Parry C, Kramer H, Coleman E: A qualitative exploration of a patient-centered coaching intervention in improve care transitions in chronically ill older adults. / Home Health Care Serv Q 2006, 25:39-3. CrossRef
  11. Smith J, Forster A, Young J: A randomized trial to evaluate an education programme for patients and carers after stroke. / Clin Rehabil 2004, 18:726-36. CrossRef
  12. Nir Z, Weisel-Eichler A: Improving knowledge and skills for use of medication by patients after stroke: Evaluation of a nursing intervention. / AM J Phys Med Rehabil 2006, 85:582-92. CrossRef
  13. Daugherty S, Ho P, Spertus J, Jones P, Bach R, Krumholz H, Peterson E, Rumsfeld J, Masoudi F: Association of early follow-up after acute myocardial infarction with higher rates of medication use. / Arch Intern Med 2008, 168:485-91. CrossRef
  14. De Schryver E, van Gijn J, Kappelle L, Koudstaal P, Algra A: Non-adherence to aspirin or oral anticoagulants in secondary prevention after ischaemic stroke. / J Neurol 2005, 252:1316-321. CrossRef
  15. Jack B, Chetty V, Anthony D: A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. / Ann Intern Med 2009, 150:178-87.
  16. Ostwald S, Wasserman J, Davis S: Medications, co-morbidities, and medical complications in stroke survivors: the CAReS stud. / Rehabil Nurs 2006, 31:10-4. CrossRef
  17. Dudas V, Bookwalter T, Kerr K, Pantilat S: The impact of follow-up telephone calls to patients after hospitalization. / Am J Med 2001, 111:26S-30S. CrossRef
  18. Dorman PJ, Waddell F, Slattery J, Dennis M, Sandercock P: Is the EuroQol a Valid Measure of Health-Related Quality of Life After Stroke? / Stroke 1997, 28:1876-882. CrossRef
  19. L?we B, Kroenke K, Herzog W, Gr?fe K: Measuring depression outcome with a brief self-report instrument: sensitivity to change of the Patient Health Questionnaire (PHQ-9). / J Affect Disord 2004, 81:61-6. CrossRef
  20. Parry C, Mahoney E, Chalmers S, Coleman E: Assessing the quality of transitional care. Further applications of the Care Transitions Measure. / Med Care 2008, 46:317-22. CrossRef
  21. Moczygemba LR, Barner JC, Lawson KA, Brown CM, Gabrillo ER, Godley P, Johnsrud M: Impact of Telephone Medication Therapy Management on Medication and Health-Related Problems, Medication Adherence, and Medicare Part D Drug Costs: A 6-Month Follow Up. / Am J Geriatr Pharmacother 2011, 9:328-38. CrossRef
  22. Gehi A, Ali S, Na B, Whooley M: Self-reported medication adherence and cardiovascular events in patients with stable coronary heart disease. The Heart and Soul Study. / Arch Intern Med 2007, 167:1798-803. CrossRef
  23. Ho P, Spertus J, Masoudi F, Reid K, Peterson E, Magid D, Krumholz H, Rumsfeld J: Impact of mediation therapy discontinuation on mortality after myocardial infarction. / Arch Intern Med 2006, 166:1842-847. CrossRef
  24. Ovbiagele B, Saver JL, Fredieu A, Suzuki S, Selco S, Rajajee V, McNair N, Razinia T, Kidwell CS: In-hospital initiation of secondary stroke prevention therapies yields high rates of adherence at follow-up. / Stroke 2004, 35:2879-883. CrossRef
  25. O’Carroll R, Dennis M, Johnston M, Sudlow C: Improving adherence to medication in stroke survivors (IAMSS): a randomised controlled trial: study protocol. / BMC Neurol 2010, 10:15. http://www.biomedcentral.com/1471-377/10/15 CrossRef
  26. Bailey J, Wan J, Tang J, Ghani M, Cushman W: Antihypertensive medication adherence, ambulatory visits, and risk of stroke and death. / J Gen Intern Med 2010, 25:495-03. CrossRef
  27. Furie K, Kasner S, Adams R, Albers G, Bush R, Fagan S, Halperin J, Johnston S, Katzan I, Kernan W, Mitchell P, Ovbiagele B, Palesch Y, Sacco RL, Schwamm L, Wassertheil-Smoller S, Turan T, Wentworth D: Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. / Stroke 2011, 42:227-76. CrossRef
  28. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/12/549/prepub
  
• 作者单位：Elizabeth G Sides (1)
  Louise O Zimmer (2)
  Leslie Wilson (2)
  Wenqin Pan (2)
  DaiWai M Olson (3)
  Eric D Peterson (2)
  Cheryl Bushnell (1)
  
  1. Department of Neurology, Wake Forest School of Medicine, Winston-Salem, NC, USA
  2. Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA
  3. Department of Medicine, Division of Neurology, Duke University Medical Center, Durham, NC, USA
  
• ISSN：1471-2458

文摘

Background Patients who are hospitalized with a first or recurrent stroke often are discharged with new medications or adjustment to the doses of pre-admission medications, which can be confusing and pose safety issues if misunderstood. The purpose of this pilot study was to assess the feasibility of medication coaching via telephone after discharge in patients with stroke. Methods Two-arm pilot study of a medication coaching program with 30 patients (20 intervention, 10 control). Consecutive patients admitted with stroke or TIA with at least 2 medications changed between admission and discharge were included. The medication coach contacted intervention arm patients post-discharge via phone call to discuss risk factors, review medications and triage patients-questions to a stroke nurse and/or pharmacist. Intervention and control participants were contacted at 3?months for outcomes. The main outcomes were feasibility (appropriateness of script, ability to reach participants, and provide requested information) and participant evaluation of medication coaching. Results The median lengths of the coaching and follow-up calls with requested answers to these questions were 27 minutes and 12 minutes, respectively, and participant evaluations of the coaching were positive. The intervention participants were more likely to have seen their primary care provider than were control participants by 3?months post discharge. Conclusions This medication coaching study executed early after discharge demonstrated feasibility of coaching and educating stroke patients with a trained coach. Results from our small pilot showed a possible trend towards improved appointment-keeping with primary care providers in those who received coaching.