Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
International Journal of Clinical Pharmacy
Published in: International Journal of Clinical Pharmacy 3/2023

Open Access 24-04-2023 | Research Article

Development and evaluation of pharmacist-provided teach-back medication counselling at hospital discharge

Authors: E. O’Mahony, J. Kenny, J. Hayde, K. Dalton

Published in: International Journal of Clinical Pharmacy | Issue 3/2023

Login to get access

Abstract

Background

Pharmacists can use teach-back to improve patients’ understanding of medication; however, the evidence of its impact on patient outcomes is inconsistent. From the literature, there is no standardised way to provide pharmacist-delivered medication counselling at hospital discharge, with limited reporting on training.

Aim

To develop a standardised medication counselling procedure using teach-back at hospital discharge, and to evaluate feedback from patients and pharmacists on this initiative.

Method

A standardised intervention procedure was developed. Participating pharmacists (n = 9) were trained on teach-back via an online education module and watching a demonstration video created by the researchers. Pharmacists provided patients with discharge medication counselling utilising teach-back and a patient-friendly list of medication changes to take home. To obtain feedback, patients were surveyed within seven days of discharge via telephone and pharmacists answered an anonymous survey online.

Results

Thirty-two patients (mean age: 57 years; range: 19–91) were counselled on a mean 2.94 medications/patient with the mean counselling time as 23.6 min/patient. All patients responded to the survey, whereby 93.7% had increased confidence regarding medication knowledge and were satisfied with the counselling and the information provided. All pharmacist survey respondents (n = 8) agreed they were given adequate training and that teach-back was feasible to apply in practice.

Conclusion

This is the first study to evaluate patients’ views on pharmacist-provided teach-back medication counselling. With positive patient outcomes, a standardised procedure, and a comprehensive description of the training, this study can inform the development of discharge medication counselling utilising teach-back going forward.
Appendix
Available only for authorised users
Literature
1.
Kripalani S, Jackson AT, Schnipper JL, et al. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. J Hosp Med. 2007;2:314–23.CrossRefPubMed
2.
3.
Lundby C, Filipsen J, Rasmussen S, et al. Medication-focused patient counseling upon discharge: a feasibility study of effect on patient satisfaction. Pharmacy (Basel). 2020;8:E8.CrossRef
4.
Capiau A, Foubert K, Van der Linden L, et al. Medication counselling in older patients prior to hospital discharge: a systematic review. Drugs Aging. 2020;37:635–55.CrossRefPubMed
5.
Riordan CO, Delaney T, Grimes T. Exploring discharge prescribing errors and their propagation post-discharge: an observational study. Int J Clin Pharm. 2016;38:1172–81.CrossRefPubMed
6.
Grimes TC, Duggan CA, Delaney TP, et al. Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation. Br J Clin Pharmacol. 2011;71:449–57.CrossRefPubMedPubMedCentral
7.
Bonetti AF, Reis WC, Lombardi NF, et al. Pharmacist-led discharge medication counselling: a scoping review. J Eval Clin Pract. 2018;24:570–9.CrossRefPubMed
8.
Walker SAN, Lo JK, Compani S, et al. Identifying barriers to medication discharge counselling by pharmacists. Can J Hosp Pharm. 2014;67:203–12.PubMedPubMedCentral
9.
Hesselink G, Zegers M, Vernooij-Dassen M, et al. Improving patient discharge and reducing hospital readmissions by using Intervention Mapping. BMC Health Serv Res. 2014;14:389.CrossRefPubMedPubMedCentral
10.
Schillinger D, Piette J, Grumbach K, et al. Closing the loop: physician communication with diabetic patients who have low health literacy. Arch Intern Med. 2003;163:83–90.CrossRefPubMed
11.
12.
13.
Locke ER, Thomas RM, Woo DM, et al. Using video telehealth to facilitate inhaler training in rural patients with obstructive lung disease. Telemed J E Health. 2019;25:230–6.CrossRefPubMedPubMedCentral
14.
Mulhall AM, Zafar MA, Record S, et al. A tablet-based multimedia education tool improves provider and subject knowledge of inhaler use techniques. Respir Care. 2017;62:163–71.CrossRefPubMed
15.
Nguyen T-S, Nguyen TLH, Van Pham TT, et al. Pharmacists’ training to improve inhaler technique of patients with COPD in Vietnam. Int J Chron Obstruct Pulmon Dis. 2018;13:1863–72.CrossRefPubMedPubMedCentral
16.
Thomas RM, Locke ER, Woo DM, et al. Inhaler training delivered by internet-based home videoconferencing improves technique and quality of life. Respir Care. 2017;62:1412–22.CrossRefPubMedPubMedCentral
17.
Lin M, Hackenyos D, Savidge N, et al. Enhancing patients’ understanding of and adherence to oral anticancer medication: results of a longitudinal pilot intervention. J Oncol Pharm Pract. 2021;27:1409–21.CrossRefPubMed
18.
Cabilan CJ, Boyde M, Currey E. The effectiveness of pharmacist- led discharge medication counselling in the emergency department (ExPLAIN): a pilot quasi-experimental study. Patient Educ Couns. 2019;102:1157–63.CrossRefPubMed
19.
Christy S, Sin B, Gim S. Impact of an integrated pharmacy transitions of care pilot program in an urban hospital. J Pharm Pract. 2016;29:490–4.CrossRefPubMed
20.
Szkiladz A, Carey K, Ackerbauer K, et al. Impact of pharmacy student and resident-led discharge counseling on heart failure patients. J Pharm Pract. 2013;26:574–9.CrossRefPubMed
21.
Bell SP, Schnipper JL, Goggins K, et al. Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. J Gen Intern Med. 2016;31:470–7.CrossRefPubMedPubMedCentral
22.
Pal A, Babbott S, Wilkinson ST. Can the targeted use of a discharge pharmacist significantly decrease 30-day readmissions? Hosp Pharm. 2013;48:380–8.CrossRefPubMedPubMedCentral
23.
Shersher V, Haines TP, Sturgiss L, et al. Definitions and use of the teach-back method in healthcare consultations with patients: a systematic review and thematic synthesis. Patient Educ Couns. 2021;104:118–29.CrossRefPubMed
24.
25.
Grimes TC, Deasy E, Allen A, et al. Collaborative pharmaceutical care in an Irish hospital: uncontrolled before-after study. BMJ Qual Saf. 2014;23:574–83.CrossRefPubMedPubMedCentral
26.
27.
Hoffmann TC, Glasziou PP, Boutron I, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348: g1687.CrossRefPubMed
28.
29.
Crannage AJ, Hennessey EK, Challen LM, et al. Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. Ann Pharmacother. 2020;54:561–6.CrossRefPubMed
30.
Lee R, Malfair S, Schneider J, et al. Evaluation of pharmacist intervention on discharge medication reconciliation. Can J Hosp Pharm. 2019;72:111–8.PubMed
31.
Health Service Executive National Integrated Care Advisory Group. Integrated Care Guidance: A practical guide to discharge and transfer from hospital. Version 2. 2017.
32.
Sarangarm P, London MS, Snowden SS, et al. Impact of pharmacist discharge medication therapy counseling and disease state education: pharmacist assisting at routine medical discharge (project PhARMD). Am J Med Qual. 2013;28:292–300.CrossRefPubMed
33.
Braun V, Clarke V. Using thematic analysis in psychology. Routledge. 2006;3:77–101.
34.
Jager AJ, Wynia MK. Who gets a teach-back? Patient-reported incidence of experiencing a teach-back. J Health Commun. 2012;17(Suppl 3):294–302.CrossRefPubMed
35.
Horne R, Hankins M, Jenkins R. The satisfaction with information about medicines scale (SIMS): a new measurement tool for audit and research. Qual Health Care. 2001;10:135–40.CrossRefPubMedPubMedCentral
36.
Marvanova M, Roumie CL, Eden SK, et al. Health literacy and medication understanding among hospitalized adults. J Hosp Med. 2011;6:487.CrossRefPubMed
37.
Kripalani S, Roumie CL, Dalal AK, et al. Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Ann Intern Med. 2012;157:1–10.CrossRefPubMedPubMedCentral
38.
Moore SJ, Blair EA, Steeb DR, et al. Impact of video technology on efficiency of pharmacist-provided anticoagulation counseling and patient comprehension. Ann Pharmacother. 2015;49:631–8.CrossRefPubMed
39.
Boyd J, Wu G, Stelfox H. The impact of checklists on inpatient safety outcomes: a systematic review of randomized controlled trials. J Hosp Med. 2017;12:675–82.CrossRefPubMed
40.
41.
Botermann L, Monzel K, Krueger K, et al. Evaluating patients’ comprehensibility of a standardized medication plan. Eur J Clin Pharmacol. 2016;72:1229–37.CrossRefPubMed
42.
Johnson A, Sandford J. Written and verbal information versus verbal information only for patients being discharged from acute hospital settings to home: systematic review. Health Educ Res. 2005;20:423–9.CrossRefPubMed
43.
Metadata
Title
Development and evaluation of pharmacist-provided teach-back medication counselling at hospital discharge
Authors
E. O’Mahony
J. Kenny
J. Hayde
K. Dalton
Publication date
24-04-2023
Publisher
Springer International Publishing
Published in
International Journal of Clinical Pharmacy / Issue 3/2023
Print ISSN: 2210-7703
Electronic ISSN: 2210-7711
DOI
https://doi.org/10.1007/s11096-023-01558-0

Other articles of this Issue 3/2023

International Journal of Clinical Pharmacy 3/2023 Go to the issue

Research Article

Self-perceived role and knowledge of community pharmacists in organ donation

Letter to the Editor

Medicines-related interventions to support safe transitions for care home residents post hospital discharge: Do hospital-delivered interventions have a role?

Review Article

The role of SGLT-2 inhibitors on health-related quality of life, exercise capacity, and volume depletion in patients with chronic heart failure: a meta-analysis of randomized controlled trials

Research Article

Medication errors in relation to direct-acting oral anticoagulants: a qualitative study of pharmacists’ views and experiences

Research Article

Patient experiences and opinions on medication review: a qualitative study

Research Article

Data mining and analysis for emicizumab adverse event signals based on the Food and Drug Administration Adverse Event Reporting System database
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
Image Credits