Performance of Medication Tasks: Relationship Among Patient-Reported Outcomes, Performance-Based Assessments, and Objective Assessments.
Am J Occup Ther
; 78(3)2024 May 01.
Article
en En
| MEDLINE
| ID: mdl-38758764
ABSTRACT
IMPORTANCE Occupational therapy practitioners use standardized assessments to guide their clinical decision-making, but it is unclear how well performance on standardized assessments translates to performance at home. OBJECTIVE:
To understand the concurrent and predictive validity of patient-reported outcomes and performance-based assessments for monitoring performance at home within the context of medication management and adherence.DESIGN:
Exploratory study.SETTING:
Participants completed standardized assessments in a lab or at home, which were followed by home-based electronic monitoring of medication adherence.PARTICIPANTS:
Sixty community-dwelling adults with hypertension or stroke who independently took antihypertensive medications. OUTCOMES ANDMEASURES:
Participants completed the Hill-Bone Medication Adherence Scale, the Hill-Bone Medication Adherence Reasons Scale, the Performance Assessment of Self-Care Skills Medication Management subtask, and the Executive Function Performance Test-Enhanced Medication Management subtest. Then, they used an electronic pill cap to monitor medication adherence at home for 1 month.RESULTS:
Patient-reported outcomes and performance-based assessments in the context of medication management and adherence demonstrated poor concurrent and predictive validity to medication adherence at home. CONCLUSIONS AND RELEVANCE There is a gap between what people think they will do, what they can do on a standardized assessment, and what they actually do at home. Future research is needed to strengthen concurrent and predictive validity to clinically meaningful outcomes. Plain-LanguageSummary:
Occupational therapy practitioners should use caution when using standardized assessments to try to predict client performance at home. They should also continue to use a battery of assessments, clinical reasoning, and client preferences to guide their decision-making for monitoring performance at home within the context of medication management and adherence.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Terapia Ocupacional
/
Cumplimiento de la Medicación
/
Medición de Resultados Informados por el Paciente
Límite:
Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Am J Occup Ther
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Estados Unidos