Evidence map›Paper›PMID 36696165›Full record

ArticleJMIR research protocols2023

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.

Filipa Pereira, Maria Dos Anjos Dixe, Sónia Gonçalves Pereira, Carla Meyer-Massetti, Henk Verloo

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Filipa PereiraSchool of Health Sciences, University of Applied Sciences (HES-SO) Valais/Wallis, Sion, Switzerland.ORCID https://orcid.org/0000-0001-9207-4856
Maria Dos Anjos DixeCenter for Innovative Care and Health Technology, Polytechnic of Leiria, Leiria, Portugal.ORCID https://orcid.org/0000-0001-9035-8548
Sónia Gonçalves PereiraCenter for Innovative Care and Health Technology, Polytechnic of Leiria, Leiria, Portugal.ORCID https://orcid.org/0000-0001-8197-1850
Carla Meyer-MassettiInstitute for Primary Health Care BIHAM, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0002-3523-5729
Henk VerlooSchool of Health Sciences, University of Applied Sciences (HES-SO) Valais/Wallis, Sion, Switzerland.ORCID https://orcid.org/0000-0002-5375-3255
Instituto Politécnico de Leiria · PTHES-SO Valais-Wallis · CHUniversidade do Porto · PTUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective 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.

objectiveThis 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.

methodsThis 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.

resultsBefore 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.

conclusionsDesigning, 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 registrationSwiss National Clinical Trials Portal 000004654; https://tinyurl.com/mr3yz8t4.

Indexed as

feasibilityhome-dwelling older adultsinformal caregiversinterprofessional collaborationmedication managementmedication-related problemsmedication safetypatient-centered carepilot studypolypharmacypre-post studyprotocolquasi-experimental

Identifiers

PMID36696165
PMCPMC9909524
OpenAlexW4312893411

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.