ArticleResearch in social & administrative pharmacy : RSAP
Improving over-the-counter medication safety for older adults: A study protocol for a demonstration and dissemination study.
Article in Research in social & administrative pharmacy : RSAP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Evaluating the sustained effectiveness of a novel pharmacy-based intervention to reduce older adult misuse of over-the-counter medications: A case for non-significance.Research in social & administrative pharmacy : RSAP · 2025Trial
- Older Adult Misuse of Over-the-Counter Medications: Effectiveness of a Novel Pharmacy-Based Intervention to Improve Patient Safety.Journal of patient safety · 2025Trial
- Effectiveness and sustainment of a tailored over-the-counter medication safety intervention in community pharmacies: A randomized controlled trial.Research in social & administrative pharmacy : RSAP · 2022Trial
- Loneliness and social isolation as predictors of pain medication use transitions in older adults.Scientific reports · 2026Article
- Knowledge, attitudes, and practices toward xylometazoline nasal spray use among adults in Saudi Arabia: a cross-sectional survey.Frontiers in pharmacology · 2026Article
- From the patient point of view: Using eye tracking to evaluate older adult shopping behavior change with a community pharmacy OTC intervention.Exploratory research in clinical and social pharmacy · 2025Article
- "But Will It Last?": Examining How Pharmacy Staff Perceptions Influence Beliefs About the Sustainability of a Pharmacy-Based Intervention Targeting Older Adult Over-the-Counter (OTC) Medication Misuse.Pharmacy (Basel, Switzerland) · 2025Article
- Prevalence and impact of non-prescription medication misuse in the geriatric population.Exploratory research in clinical and social pharmacy · 2025Article
- Engineering Resilient Community Pharmacies for Chronic Care Management: Protocol for the Development of a Medication Safety Map.JMIR research protocols · 2025Article
- Article
- Using Protection Motivation Theory to develop a survey of over-the-counter decision-making by older adults.Research in social & administrative pharmacy : RSAP · 2024Article
- The High Prevalence and Complexity of Over-the-Counter Medication Misuse in Older Adults.Innovation in aging · 2024Article
- Designing Human-Centered AI to Prevent Medication Dispensing Errors: Focus Group Study With Pharmacists.JMIR formative research · 2023Article
- Discordance in Addressing Opioid Crisis in Rural Communities: Patient and Provider Perspectives.Pharmacy (Basel, Switzerland) · 2022Article
- Using a scenario-based hybrid approach to understand participant health behavior.Research in social & administrative pharmacy : RSAP · 2021Article
- Human factors and ergonomics methods for pharmacy research and clinical practice.Research in social & administrative pharmacy : RSAP · 2021Review
- Understanding the Factors Influencing Older Adults' Decision-Making about Their Use of Over-The-Counter Medications-A Scenario-Based Approach.Pharmacy (Basel, Switzerland) · 2020Article
- A pilot study of decision factors influencing over-the-counter medication selection and use by older adults.Research in social & administrative pharmacy : RSAP · 2020Article
- Improving Patient-Pharmacist Encounters with Over-The-Counter Medications: A Mixed-Methods Pilot Study.Innovations in pharmacy · 2020Article
- Applying participatory design to a pharmacy system intervention.Research in social & administrative pharmacy : RSAP · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundAdverse drug events (ADEs) associated with over-the-counter (OTC) medications cause 178,000 hospitalizations each year. Older adults, aged 65 and older, are particularly vulnerable to ADEs. Of the 2.2 million older adults considered at risk for a major ADE, more than 50% are at risk due to concurrent use of an OTC and prescription medication.
objectivesTo refine the intervention and implementation strategy through diagnostic and formative evaluation; to evaluate the effectiveness of the intervention for preventing misuse of high-risk OTC medications by older adults; and to evaluate the implementation of the intervention in community pharmacies.
methodsA system redesign intervention to decrease high-risk OTC medication misuse will be tested to reduce misuse by improving communication between older adults and community pharmacists via the following features: a redesign of the physical environment to sensitize older adults to high-risk OTC medications, and the implementation of a clinical decision tool to support the pharmacist when critically evaluating the older adult's health status. The study will be conducted in three phases: a participatory design phase, a beta phase, and a test phase. The test phase will be conducted in three mass-merchandise stores. A total of 144 older adults will be recruited. A pre (control)/post (intervention) test will determine the effectiveness of the intervention. The primary outcome will be a comparison of proportion of older adults who misuse OTC medication from baseline to post-intervention. The process of implementation in the community pharmacy setting will be evaluated using the taxonomy proposed by Proctor et al. The participatory design phase has been approved by the institution's IRB (2016-0743). PROJECTED IMPACT: It is anticipated that this project, which focuses on achieving systems-based improvement in an underemphasized area of the medication use process, will reduce ADEs associated with inappropriate OTC medication use in older adults.
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