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Article
Building Community-Engaged Multidisciplinary Partnerships to Improve Medication Management in Elderly Patients With Multiple Chronic Conditions
Journal of Patient-Centered Research and Reviews
  • Ivy O Poon, Texas Southern University
  • Felicia Skelton, Michael E. DeBakey VA Medical Center; Baylor College of Medicine
  • Lena R Bean, Texas Southern University
  • Dominique Guinn, Texas Southern University
  • Terica L Jemerson, Texas Southern University
  • Ngozi D Mbue, Texas Woman's University
  • Creaque V Charles, Texas Southern University
  • Uche Anadu Ndefo, Texas Southern University
Publication Date
4-19-2021
Keywords
  • drugs,
  • side effects,
  • adverse reactions,
  • elderly,
  • polypharmacy,
  • patient-centered care,
  • multiple chronic conditions
Abstract

Purpose: Many studies in preventing adverse drug events have been researcher-driven, yet few have engaged patients in the development of a project. This project aims to engage minority elderly patients with multiple chronic conditions in the development of research questions and strategies to improve medication safety.

Methods: Elderly patients (≥ 65 years old) who were prescribed 7 or more chronic medications were recruited through a university-based aging resource network in a historically African American community in Houston, Texas. Patients and a caregiver participated in a multidisciplinary workgroup comprised of a physician, pharmacists, a nurse, health educators, and a social worker. Patients were engaged by utilizing the 4 patient-centered outcomes research engagement principles. The workgroup created a strategic plan, completed an environmental scan, identified research problems, and reviewed current evidence-based approaches in the literature. Workgroup findings were presented to a broader audience within a community town hall setting, and input was collected from a community-wide survey.

Results: From April 2018 to July 2018, 3 patients and 1 caregiver participated in 5 multidisciplinary workgroup meetings. A total of 74 seniors attended the town hall meeting, and 69 completed the surveys. The most common drug-related problems among survey participants were doubts about drug advertisements (79%) and drug interactions (70%). Most participants (88%) were more comfortable in receiving face-to-face counseling compared to an app or virtual visits. Findings aided in developing 3 grant proposals.

Conclusion: This narrative provides a roadmap for conducting multidisciplinary, patient-centered participatory research to refine research strategies in minimizing drug-related problems.

Citation Information

Poon IO, Skelton F, Bean LR, Guinn D, Jemerson TL, Mbue ND, Charles CV, Ndefo UA. Building community-engaged multidisciplinary partnerships to improve medication management in elderly patients with multiple chronic conditions. J Patient Cent Res Rev. 2021;8:113-20. doi: 10.17294/2330-0698.1778