Tailored DVD to Improve Medication Management for Low Literate Elderly Patients
Project Final Report (PDF, 350.75 KB) Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
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Project Details -
Completed
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Grant NumberR18 HS017281
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AHRQ Funded Amount$1,107,582
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Principal Investigator(s)
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Organization
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LocationRichmondVirginia
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Project Dates09/30/2007 - 09/29/2010
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Technology
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Care Setting
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Medical Condition
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Type of Care
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Health Care Theme
This project created individualized, culturally and linguistically inclusive education materials for older adults from diverse backgrounds tailored to electronic medication information. The availability of a medication history allows the creation of interventions tailored to the particular medication issues a patient may be experiencing. The project team hypothesized that this information could be harnessed to develop educational DVDs and materials specifically for low-literate audiences. These DVDs would empower patients and their caregivers to participate in treatment decisions and negotiate acceptable medication regimens that are more amenable to follow-through. The research focused on developing and testing interventions to improve the patient experience of care through health information technology and the self-management of chronic conditions.
The project objectives were to:
- Develop algorithms to identify potential medication management issues based on medication information.
- Develop print materials tailored to geriatric patients' drug regimens to assist them in adhering to complex medication regimens.
- Develop tailored instructional DVDs to improve the geriatric patient's role in patient-provider communication regarding medication issues and adherence to medication regimens.
- Pre-test the interventions with versions in English and Spanish as part of a feasibility study of low literate geriatric patients.
Tailored DVDs based on electronic medication data have the potential to directly address the needs of older adults in that the DVD format is engaging, clearly informative, suitable for audiences with low literacy levels, can be conveniently and repeatedly viewed at home, and conveys personally meaningful information to each individual.
DVDs segments were developed for insomnia, depression, heart failure, and diabetes. Individualized DVDs were then created for older adults based on their specific medication regimen. Viewers of the DVDs report them to be informative and enjoyable, with the majority reporting that the content was highly relevant to their lives.
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Citation: Goldman RE, Quilliam BJ, Lapane KL. Talking about medicines: older adults’ perceptions of communication with their physicians. Int J Pers Cent Med 2012; 2(3): 445-52.
Principal Investigator: Lapane, Kate
Document Type: Journal Publication
Research Method: Focus Group, Qualitative
Population: Elderly, Low Income Populations
Citation: Lapane, K. Tailored DVD to Improve Medication Management for Low Literate Elderly Patients - Final Report. (Prepared by Virginia Commonwealth University under Grant No. R18 HS017281). Rockville, MD: Agency for Healthcare Research and Quality, 2010.
Link:
r18hs017281-lapane-final-report-2010.pdf
(350.75 KB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Principal Investigator: Lapane, Kate
Document Type: Report
Technology: Clinical Decision Support System, Computerized Provider Order Entry System, Electronic Prescribing
Population: Minority Populations
Citation: Lapane KL, Dubé C, Schneider KL, et al. Patient perceptions regarding electronic prescriptions: is the geriatric patient ready? J Am Geriatr Soc 2007 Aug;55(8):1254-9.
Principal Investigator: Lapane, Kate
Document Type: Journal Publication
Research Method: Cross-Sectional (Prevalence) Study
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Description:
Example consent form used in an AHRQ-funded project involving older adults. The study involves a focus group on medication management practices.
Document Type: Informed Consent Document
Description:
Qualitative / Content Analysis study code book example. Used to code responses from a patient to a series of issues surrounding medication management.
Document Type: Logging Tool
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Citation: Samarth A, Grant E. Using Health Information Technology To Determine Medication Adherence: Findings from the AHRQ Health IT Portfolio. (AHRQ National Resource Center for Health Information Technology under Contract No. 290-04-0016). AHRQ Publication No. 10-0010-EF. Rockville, MD: Agency for Healthcare Research and Quality. November 2009.
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