Evidence map›Paper›PMID 37396110›Full record

ArticleExploratory research in clinical and social pharmacy2023

Medication self-management toolkits for adults with multiple sclerosis: A scoping review.

Sara J T Guilcher, Lauren Cadel, Andrea He, Stephanie R Cimino, Maham Ahmed, Chester H Ho, Sander L Hitzig, Lisa M McCarthy, Tejal Patel, Shoshana Hahn-Goldberg and 2 more

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Exploratory research in clinical and social pharmacy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Sara J T GuilcherLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario M5S3M2, Canada.
Lauren CadelLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario M5S3M2, Canada.
Andrea HeLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario M5S3M2, Canada.
Stephanie R CiminoLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario M5S3M2, Canada.
Maham AhmedLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario M5S3M2, Canada.
Chester H HoDivision of Physical Medicine & Rehabilitation, Department of Medicine, University of Alberta, Edmonton, Alberta T6G2G4, Canada.
Sander L HitzigRehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario M5G1V7, Canada.
Lisa M McCarthyLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario M5S3M2, Canada.
Tejal PatelSchool of Pharmacy, University of Waterloo, Kitchener, Ontario N2G 1C5, Canada.
Shoshana Hahn-GoldbergLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario M5S3M2, Canada.
Aisha K LoftersDepartment of Family and Community Medicine, University of Toronto, Toronto, Ontario M5G1V7, Canada.
Tanya L PackerSchools of Occupational Therapy and Health Administration, Dalhousie University, Halifax, Nova Scotia B3H4R2, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Multiple sclerosis (MS) is an autoimmune disease that is often treated with multiple medications. Managing multiple medications, also known as polypharmacy, can be challenging for persons with MS. Toolkits are instructional resources designed to promote behaviour change. Toolkits may support medication self-management for adults with MS, as they have been useful in other populations with chronic conditions. Objective: The main purpose of this review was to identify and summarize medication self-management toolkits for MS, as related to the design, delivery, components, and measures used to evaluate implementation and/or outcomes. Methods: A scoping review was conducted following guidelines by JBI. Articles were included if they focused on adults (18 years or older) with MS. Results: Six articles reporting on four unique toolkits were included. Most toolkits were technology-based, including mobile or online applications, with only one toolkit being paper-based. The toolkits varied in type, frequency, and duration of medication management support. Varying outcomes were also identified, but there were improvements reported in symptom management, medication adherence, decision-making, and quality of life. The six studies were quantitative in design, with no studies exploring the user experience from a qualitative or mixed-methods design. Conclusions: There is limited research on medication self-management toolkits among adults with MS. Future development, implementation, and evaluation mixed-methods research are needed to explore user experiences and overall design of toolkits.

Indexed as

Medication managementMedication self-managementMultiple sclerosisScoping reviewSelf-managementToolkit

Identifiers

PMID37396110
PMCPMC10314208

What OpenQuestion holds

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Registered trials

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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.