Witry Matthew J, Pham Kassi, Viyyuri Brahmendra, Doucette William, Kennelty Korey
University of Iowa College of Pharmacy, Iowa City, IA, USA.
Veale Professor in Healthcare Policy, University of Iowa College of Pharmacy, Iowa City, IA, USA.
J Patient Exp. 2020 Dec;7(6):1658-1664. doi: 10.1177/2374373520916015. Epub 2020 Apr 2.
The Home Medication Experience Questionnaire (HOME-Q) was developed to systematically gather information on the medication experience of patients. The objectives of this study were to (1) assess the frequencies of medication experience issues for a sample of patients and (2) report pharmacist recommendations to address issues and patient implementation of recommendations. This study used a single-group design with 3-month follow-up. A convenience sample of patients aged 55 years and older and taking 4 or more chronic medications self-administered the HOME-Q and discussed responses with a pharmacist from 2 community pharmacies. A researcher called or visited participants at 3 months to readminister the HOME-Q and inquire about recommendations. Thirty-three patients completed questionnaires, and 30 participated in the follow-up. At 3 months, the HOME-Q median did not decrease (4 at both administrations). There were 51 pharmacist interventions/recommendations, and 47% were reported adopted. The HOME-Q prompted pharmacists to respond to medication experience issues that may not have been identified otherwise. More work is needed to test the impact of the HOME-Q and better understand medication experience discussions between patients and pharmacists.
家庭用药体验问卷（HOME-Q）旨在系统收集患者用药体验的信息。本研究的目的是：（1）评估患者样本中用药体验问题的发生率；（2）报告药剂师针对问题提出的建议以及患者对建议的执行情况。本研究采用单组设计并进行了3个月的随访。选取了年龄在55岁及以上、服用4种或更多慢性药物的患者作为便利样本，他们自行填写HOME-Q问卷，并与来自2家社区药房的药剂师讨论问卷答案。研究人员在3个月时致电或拜访参与者，重新发放HOME-Q问卷并询问建议情况。33名患者完成了问卷，30名参与了随访。在3个月时，HOME-Q问卷的中位数没有下降（两次调查均为4）。药剂师提出了51项干预措施/建议，其中47%的建议被报告已被采纳。HOME-Q促使药剂师对那些可能无法通过其他方式发现的用药体验问题做出回应。需要开展更多工作来测试HOME-Q的影响，并更好地理解患者与药剂师之间关于用药体验的讨论。
