Research Article  |   October 2017
Intervention to Improve Medication Management: Qualitative Outcomes From a Phase I Randomized Controlled Trial
Author Affiliations
  • Jaclyn K. Schwartz, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami; jaclyn.schwartz@fiu.edu
  • Kimberly A. Grogan, MS, OTR/L, is Occupational Therapist, Hawthorn School District and MemoryCare Corp, Chicago, IL
  • Melissa J. Mutch, MS, OTR/L, is Occupational Therapist, University of Wisconsin Health, University Hospital, Madison
  • Emily B. Nowicki, MS, OTR/L, is Occupational Therapist, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI
  • Elizabeth A. Seidel, MS, OTR/L, is Occupational Therapist, Rehabilitation Hospital of Wisconsin, Waukesha
  • Stefanie A. Woelfel, MS, OTR/L, is Occupational Therapist, St. Paul, MN
  • Roger O. Smith, PhD, OT, FAOTA, RESNA Fellow, is Professor, Department of Occupational Science and Technology, College of Health Sciences, and Director, Rehabilitation Research Design and Disability Center, University of Wisconsin—Milwaukee
Article Information
Advocacy / Assistive Technology / Home Accessibility/Environmental Modification / Professional Issues / Health and Wellness
Research Article   |   October 2017
Intervention to Improve Medication Management: Qualitative Outcomes From a Phase I Randomized Controlled Trial
American Journal of Occupational Therapy, October 2017, Vol. 71, 7106240010p1-7106240010p10. doi:10.5014/ajot.2017.021691
American Journal of Occupational Therapy, October 2017, Vol. 71, 7106240010p1-7106240010p10. doi:10.5014/ajot.2017.021691
Abstract

OBJECTIVES. We sought to define an occupational therapy intervention to promote medication management and to evaluate the acceptability and effectiveness of the intervention.

METHOD. Nineteen adults with chronic health conditions and poor medication adherence participated in a two-group, blinded, randomized study. They received either an occupational therapy or a standard care intervention. We used a qualitative method to measure participants’ changes in medication management through an interview regarding participants’ perceptions and behaviors.

RESULTS. The occupational therapy intervention group reported greater improvements in medication management and implemented twice as many new adaptive strategies as the standard care group. Participants indicated that interventions related to advocacy, education, assistive technology, environmental modifications, self-monitoring, and good rapport were the active ingredients of the intervention.

CONCLUSIONS. Occupational therapy is an acceptable intervention for medication management, and it can lead to self-perceived improvements and the adoption of new medication management behaviors. Further research is warranted.