PMID- 37310747
OWN - NLM
STAT- MEDLINE
DCOM- 20230615
LR  - 20230615
IS  - 0272-9490 (Print)
IS  - 0272-9490 (Linking)
VI  - 77
IP  - 3
DP  - 2023 May 1
TI  - Effect of Occupational Therapy in Promoting Medication Adherence in Primary Care: 
      A Randomized Controlled Trial.
LID - 7703205040 [pii]
LID - 10.5014/ajot.2023.050109 [doi]
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 = 0.65). Effect 
      scores for pill count (d = 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.
CI  - Copyright (c) 2023 by the American Occupational Therapy Association, Inc.
FAU - Garrison, Traci A
AU  - Garrison TA
AD  - Traci A. Garrison, DHSc, OTR/L, is Clinical Associate Professor, Department of 
      Occupational Therapy, Missouri State University, Springfield; 
      TraciGarrison@missouristate.edu.
FAU - Schwartz, Jaclyn K
AU  - Schwartz JK
AD  - Jaclyn K. Schwartz, PhD, OTR/L, is Assistant Professor, Program in Occupational 
      Therapy, Washington University in St. Louis, St. Louis, MO.
FAU - Moore, Elizabeth S
AU  - Moore ES
AD  - Elizabeth S. Moore, PhD, is Associate Professor, Department of Interprofessional 
      Health and Aging Studies, University of Indianapolis, Indianapolis, IN.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Am J Occup Ther
JT  - The American journal of occupational therapy : official publication of the 
      American Occupational Therapy Association
JID - 7705978
SB  - IM
MH  - Adult
MH  - Humans
MH  - *Occupational Therapy
MH  - *Diabetes Mellitus, Type 2/drug therapy
MH  - Occupational Therapists
MH  - Medication Adherence
MH  - Primary Health Care
EDAT- 2023/06/13 13:12
MHDA- 2023/06/15 06:42
CRDT- 2023/06/13 11:43
PHST- 2023/06/15 06:42 [medline]
PHST- 2023/06/13 13:12 [pubmed]
PHST- 2023/06/13 11:43 [entrez]
AID - 24129 [pii]
AID - 10.5014/ajot.2023.050109 [doi]
PST - ppublish
SO  - Am J Occup Ther. 2023 May 1;77(3):7703205040. doi: 10.5014/ajot.2023.050109.