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26-07-2023 | Care | Research Article

The RESPECT-tool as a facilitator for person-centered medication reviews for nursing home residents: tool development and pilot study

Authors: Amber Damiaens, Ann Van Hecke, Veerle Foulon

Published in: International Journal of Clinical Pharmacy | Issue 6/2023

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Abstract

Background

Although support is needed, no method exists to elicit and integrate personal goals into medication optimization interventions for nursing home residents.

Aim

To develop and evaluate a tool to (1) elicit and evaluate residents’ personal goals during medication optimization, and (2) elicit involvement preferences regarding medication decision-making.

Method

A draft was composed by the research team, on which feedback was collected through four focus groups with healthcare professionals (n = 23) and pilot interviews with residents (n = 6). The tool was then pilot tested in 11 nursing homes as means to facilitate person-centered medication reviews, focusing on feasibility, appropriateness, and meaningfulness. Evaluation was performed through interviews and focus groups with residents and healthcare professionals, and reports for executed medication reviews. Interview summaries and reports were analyzed inductively.

Results

The RESident’s Participation in the Evaluation and Customization of Therapy tool (RESPECT-tool) was drafted as a modular approach of five modules. Pilot study results showed that the tool supported the formulation of personal goals. Goals resulted in changes in all aspects of the nursing home stay, indicating the tool’s potential to promote person-centered care. The RESPECT-tool showed value in the context of medication optimization as it allowed to determine potential links between residents’ personal goals and medication plans, and its use regularly led to medication changes.

Conclusion

A person-centered medication review facilitated by the RESPECT-tool holds a promising approach to medication optimization in nursing homes. Further research should assess impact on relevant outcomes like goal attainment, appropriateness of prescribing and quality of life.
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Metadata
Title
The RESPECT-tool as a facilitator for person-centered medication reviews for nursing home residents: tool development and pilot study
Authors
Amber Damiaens
Ann Van Hecke
Veerle Foulon
Publication date
26-07-2023
Publisher
Springer International Publishing
Keyword
Care
Published in
International Journal of Clinical Pharmacy / Issue 6/2023
Print ISSN: 2210-7703
Electronic ISSN: 2210-7711
DOI
https://doi.org/10.1007/s11096-023-01621-w

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