Kristina M. Cordasco|Steven M. Asch|Douglas S. Bell|Jeffrey J. Guterman|Sandra Gross-Schulman|Lois Ramer|Uri Elkayam|Idalid Franco|Cianna Leatherwood|Carol M. Mangione
A Low-Literacy Medication Education Tool for Safety-Net Hospital Patients
VA Greater Los Angeles Healthcare System|University of California, Los Angeles|VA Greater Los Angeles Healthcare System|University of California, Los Angeles|University of California, Los Angeles|Los Angeles County Department of Health Services|University of Southern California|University of California, Los Angeles|University of Southern California|Los Angeles County Department of Health Services|Los Angeles Medical Center|University of Southern California|Los Angeles Medical Center|University of Southern California|University of California, Los Angeles|University of California, Los Angeles|University of California, Los Angeles
improve medication adherence cardiac patients partnership safetynet provider research team developed evaluated lowliteracy medication education toolusing principles communitybased participatory research team developed prototype lowliteracy hospital discharge medication education tool customizable patient featuring instructionspecific icons pictures pills 2007 randomized controlled clinical trial performed testing tools effect posthospitalization selfreported medication adherence knowledge 2 weeks postdischarge english spanishspeaking safetynet inpatients validate selfreport measure 4 weeks postdischarge investigators collected selfreports number pills remaining medication subsample participants nurses rated tool acceptabilityamong 166210 eligible participants 79 completing week2 interview selfreported medication adherence 70 95 ci62 79 intervention participants 78 95 ci72 84 controls p013 among 85 participants 31 completing week4 interview selfreported pill counts indicated high adherence greater 90 differ study arms selfreported adherence correlated selfreported pill count intervention participants r05 p0004 controls r007 p065 differences study arm medication knowledge nurses rated tool highly acceptablealthough evaluation demonstrate tool effect selfreported medication adherence patients received schedule selfreported medication adherence accurately perhaps indicating improved understanding medication regimen awareness nonadherence