Co-design of an intervention to improve patient participation in discharge medication communication

被引：5

作者：

Tobiano, Georgia ^{[1
,2
,8
]}

Latimer, Sharon ^{[1
,3
]}

Manias, Elizabeth ^{[4
,5
,6
]}

Marshall, Andrea P. ^{[2
,3
]}

Rattray, Megan ^{[7
]}

Jenkinson, Kim ^{[2
,7
]}

Teasdale, Trudy ^{[2
]}

Wren, Kellie ^{[2
]}

Chaboyer, Wendy ^{[1
]}

机构：

[1] Griffith Univ, Ctr Res Excellence Wiser Wound Care, Parklands Dr, Gold Coast, Qld 4215, Australia

[2] Gold Coast Univ Hosp, Gold Coast Hlth, Hosp Blvd, Gold Coast, Qld 4215, Australia

[3] Griffith Univ, Sch Nursing & Midwifery, Parklands Dr, Gold Coast, Qld 4215, Australia

[4] Monash Univ, Sch Nursing & Midwifery, Wellington Rd, Clayton, Vic 3800, Australia

[5] Deakin Univ, Sch Nursing & Midwifery, 221 Burwood Highway, Burwood, Vic 3125, Australia

[6] Deakin Univ, Inst Hlth Transformat, Ctr Qual & Patient Safety Res, 221 Burwood Highway, Burwood, Vic 3125, Australia

[7] Flinders Univ S Australia, Coll Med & Publ Hlth, 1284 South Rd, Clovelly Pk, Adelaide, SA 5042, Australia

[8] Griffith Univ, Gold Coast Campus,Bldg G01 Room 2 05A,Parklands Dr, Parklands, Qld 4222, Australia

来源：

INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE | 2024年 / 36卷 / 01期

基金：

澳大利亚国家健康与医学研究理事会;

关键词：

communication; inpatients; patient discharge; patient medication knowledge; patient participation; patient preference; CARE; ENGAGEMENT; QUALITY; SAFETY;

D O I：

10.1093/intqhc/mzae013

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Patients can experience medication-related harm and hospital readmission because they do not understand or adhere to post-hospital medication instructions. Increasing patient medication literacy and, in turn, participation in medication conversations could be a solution. The purposes of this study were to co-design and test an intervention to enhance patient participation in hospital discharge medication communication. In terms of methods, co-design, a collaborative approach where stakeholders design solutions to problems, was used to develop a prototype medication communication intervention. First, our consumer and healthcare professional stakeholders generated intervention ideas. Next, inpatients, opinion leaders, and academic researchers collaborated to determine the most pertinent and feasible intervention ideas. Finally, the prototype intervention was shown to six intended end-users (i.e. hospital patients) who underwent usability interviews and completed the Theoretical Framework of Acceptability questionnaire. The final intervention comprised of a suite of three websites: (i) a medication search engine; (ii) resources to help patients manage their medications once home; and (iii) a question builder tool. The intervention has been tested with intended end-users and results of the Theoretical Framework of Acceptability questionnaire have shown that the intervention is acceptable. Identified usability issues have been addressed. In conclusion, this co-designed intervention provides patients with trustworthy resources that can help them to understand medication information and ask medication-related questions, thus promoting medication literacy and patient participation. In turn, this intervention could enhance patients' medication self-efficacy and healthcare utilization. Using a co-design approach ensured authentic consumer and other stakeholder engagement, while allowing opinion leaders and researchers to ensure that a feasible intervention was developed.

引用

页数：10

共 30 条

[1] Using logic models to enhance the methodological quality of primary health-care interventions: guidance from an intervention to promote nutrition care by general practitioners and practice nurses [J].