ArticleCureus2025
A Scalable, Multi-format Approach to Polypharmacy Education in Rural Older Adults: An Exploratory Pilot Study Comparing Self-Paced Packet Versus In-Person Education Interventions.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- Comparing In-Person Versus Self-Paced Polypharmacy Education in Older Adults: A Pragmatic Comparison of Delivery Format Effectiveness.Journal of the American Geriatrics Society · 2026Trial
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Polypharmacy poses significant risks for older adults, especially in rural areas where healthcare access may be limited. This exploratory pilot study assessed the feasibility and potential impact of two educational interventions aimed at supporting medication management among rural older adults. Methodology We conducted a comparative intervention study from July 2024 to October 2024. Rural adults aged ≥60 years taking medications participated in in-person sessions (n = 18) or received self-paced packets (n = 33). Both interventions used the WHO's Five Moments for Medication Safety framework. Pre- and post-surveys assessed knowledge, confidence, and medication management practices using REDCap. Statistical analysis included descriptive statistics and inferential testing to examine associations between polypharmacy status and medication management outcomes. Results Both interventions improved polypharmacy knowledge and management confidence. Inferential analysis revealed significant associations validating intervention targets: polypharmacy (>4 medications) was significantly associated with medication management difficulty (p = 0.011) and multiple simultaneous challenges (p = 0.024, odds ratio = 9.99). In-person participants' recognition of polypharmacy risks increased from 50% to 77.8%, while provider communication confidence rose from 88.9% to 94.4%. The self-paced packet achieved wider reach (94.4% more participants), with 100% reporting information was clear and relevant, and 93.9% feeling more confident discussing medications with providers. Groups differed significantly in age distribution (p = 0.002) but not in polypharmacy burden (p = 0.766). The packet format extended access by addressing barriers such as transportation, technology access, and mobility limitations, reaching 96.8% of participants outside the primary study county compared to 47.1% for in-person sessions. Conclusions Both interventions improved outcomes, but the self-paced packet demonstrated superior scalability and engagement. Statistical analysis confirmed that polypharmacy creates significant management challenges, validating targeted educational interventions. The packet's multi-format design (printed materials, USB drives, QR codes, web links) effectively reduced participation barriers and promoted equitable access, offering a promising model for rural health interventions.
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