title: The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses.
abstract: It is a challenge for rural health professionals to promote medication safety among older adults taking multiple medications. A volunteer coaching program to promote medication safety among rural elders with chronic illnesses was designed and evaluated. A community-based interventional study randomly assigned 62 rural elders with at least two chronic illnesses to routine care plus volunteer coaching or routine care alone. The volunteer coaching group received a medication safety program, including a coach and reminders by well-trained volunteers, as well as three home visits and five telephone calls over a two-month period. All the subjects received routine medication safety instructions for their chronic illnesses. The program was evaluated using pre- and post-tests of knowledge, attitude and behaviors with regard to medication safety. Results show the volunteer coaching group improved their knowledge of medication safety, but there was no change in attitude after the two-month study period. Moreover, the group demonstrated three improved medication safety behaviors compared to the routine care group. The volunteer coaching program and instructions with pictorial aids can provide a reference for community health professionals who wish to improve the medication safety of chronically ill elders.
authors: Department of Nursing, College of Medicine, National Cheng-Kung University, No. 1, University Rd., Tainan 701, Taiwan. wang49110@yahoo.com.tw
authors: Chi-Jane
authors: CJ
authors: Wang
authors: Susan J
authors: SJ
authors: Fetzer
authors: Yi-Ching
authors: YC
authors: Yang
authors: Jing-Jy
authors: JJ
authors: Wang
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000188:drug therapy*; D003153:Community Health Services; D064420:Drug-Related Side Effects and Adverse Reactions / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D061214:Patient Safety; D010865:Pilot Projects; D012424:Rural Population; D014838:Volunteers; D000078329:Workforce