Promoting a Shared Medication Adherence Practice: A Call to Action

      Highlights

      • Between 50% and 80% of patients are nonadherent to their prescribed medications.
      • Nonadherence delays control over chronic conditions and results in preventable deaths.
      • Poor outcomes can be reduced through improved patient-provider communication.
      • A single educational workshop with supportive follow-up resulted in practice change.
      • Medication adherence is part of the Affordable Care Act and Medicare/Medicaid Star Rating.

      Abstract

      Medication nonadherence exists among most patients and leads to increased morbidity, medical costs, and unnecessary hospitalizations. This study trained primary care staff at an urban Federally Qualified Health Center to address medication nonadherence. It included a single educational workshop that described medication nonadherence, demonstrated validated assessment tools to formulate evidence-based interventions, and incorporated motivational interviewing techniques. Evaluations conducted at pre-post training and at 4 weeks showed an increase in staff knowledge (29%), self-confidence (46%), and self-reported practice change (77%). Our findings suggest this training resulted in practice change through increased patient engagement, shared decision making, and strengthening patient-provider trust.

      Keywords

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      Biography

      All authors are at the University of Illinois at Chicago. Elizabeth Ebeywa, DNP, MA, RN, is a DNP Graduate. Valerie Gruss, PhD, GNP-BC, FAAN, is a Clinical Associate Professor, Director of Interprofessional Education College of Nursing and Director, Enhancement of Geriatric Care for All-Illinois (ENGAGE-IL), Department of Biobehavioral Health Science, College of Nursing, and can be contacted at [email protected] . Michael Koronkowski, PharmD, BCGP, is a clinical assistant professor and director, Interprofessional Education, College of Pharmacy.