TY - JOUR
T1 - Effect of Occupational Therapy in Promoting Medication Adherence in Primary Care
T2 - A Randomized Controlled Trial
AU - Garrison, Traci A.
AU - Schwartz, Jaclyn K.
AU - Moore, Elizabeth S.
N1 - Publisher Copyright:
© 2023 American Occupational Therapy Association, Inc. All rights reserved.
PY - 2023/5
Y1 - 2023/5
N2 - Importance: The Integrative Medication Self-Management Intervention (IMedS) is a manualized occupational therapy intervention designed to improve adherence to medications. The intervention influences medication adherence and facilitates new medication habits and routines; however, it has not been tested in a community clinical setting. Objective: To test the efficacy of the IMedS to address medication adherence rates among community-dwelling adults with hypertension (HTN), Type 2 diabetes mellitus (T2DM), or both. Design: Randomized controlled trial using a pretest-posttest control group design. Setting: Primary care clinic in a large federally qualified health center. Participants: Adults with uncontrolled HTN, T2DM, or both. Intervention: Participants were divided into two groups: The control group received treatment as usual (TAU) per the primary care protocol, and the intervention IMedS group received TAU and the IMedS intervention. Outcomes and Measures: Primary outcome: seven-item version of the Adherence to Refills and Medication Scale (ARMS-7), pill count, blood pressure, hemoglobin A1c, or all of these. Results: The proportion of adherent participants increased in both groups, but between groups, changes were not statistically significant. Post hoc comparisons of the results of a mixed analysis of variance for ARMS-7 measurements indicated that the occupational therapy intervention had a unique effect, compared with that for the TAU control group (dc 5 0.65). Effect scores for pill count (d 5 0.55) also suggested that the occupational therapy intervention positively affected adherence. Conclusions and Relevance: Occupational therapists can provide assessment and intervention to positively influence medication adherence in a primary care setting. What This Article Adds: This article provides a better understanding of the occupational therapist's role in addressing medication management and adherence on the interdisciplinary primary care medical team.
AB - Importance: The Integrative Medication Self-Management Intervention (IMedS) is a manualized occupational therapy intervention designed to improve adherence to medications. The intervention influences medication adherence and facilitates new medication habits and routines; however, it has not been tested in a community clinical setting. Objective: To test the efficacy of the IMedS to address medication adherence rates among community-dwelling adults with hypertension (HTN), Type 2 diabetes mellitus (T2DM), or both. Design: Randomized controlled trial using a pretest-posttest control group design. Setting: Primary care clinic in a large federally qualified health center. Participants: Adults with uncontrolled HTN, T2DM, or both. Intervention: Participants were divided into two groups: The control group received treatment as usual (TAU) per the primary care protocol, and the intervention IMedS group received TAU and the IMedS intervention. Outcomes and Measures: Primary outcome: seven-item version of the Adherence to Refills and Medication Scale (ARMS-7), pill count, blood pressure, hemoglobin A1c, or all of these. Results: The proportion of adherent participants increased in both groups, but between groups, changes were not statistically significant. Post hoc comparisons of the results of a mixed analysis of variance for ARMS-7 measurements indicated that the occupational therapy intervention had a unique effect, compared with that for the TAU control group (dc 5 0.65). Effect scores for pill count (d 5 0.55) also suggested that the occupational therapy intervention positively affected adherence. Conclusions and Relevance: Occupational therapists can provide assessment and intervention to positively influence medication adherence in a primary care setting. What This Article Adds: This article provides a better understanding of the occupational therapist's role in addressing medication management and adherence on the interdisciplinary primary care medical team.
UR - http://www.scopus.com/inward/record.url?scp=85163900431&partnerID=8YFLogxK
U2 - 10.5014/ajot.2023.050109
DO - 10.5014/ajot.2023.050109
M3 - Article
C2 - 37310747
AN - SCOPUS:85163900431
SN - 0272-9490
VL - 77
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
IS - 3
M1 - 3
ER -