title: Promoting Safe Use of Medications: Providing Medication Education to Seniors Receiving Meals on Wheels.
abstract: OBJECTIVE
  To assess whether pharmacist-provided medication education and counseling to Meals on Wheels (MOW) participants decreases medication-related preventable harm and improves adherence.
  
  
  METHODS
  Prospective, quasi-experiment.
  
  
  METHODS
  Ambulatory congregrate dining centers.
  
  
  METHODS
  Persons 60 years of age and older participating in MOW receiving prescription, nonprescription, or complementary products were eligible. In total, 42 patients consented. Five patients did not complete the first visit, and 13 patients did not complete the six-month follow-up visit.
  
  
  METHODS
  Pharmacists provided comprehensive medication education about prescription, nonprescription, and complementary products at baseline. Additional resources to enhance adherence and avoid medication-related preventable harm were provided and discussed.
  
  
  METHODS
  Medication-related preventable harm and medication adherence were assessed before pharmacist intervention and six months after intervention. Adherence was assessed and compared with baseline using the Morisky scale and pill counts.
  
  
  RESULTS
  Women constituted the majority of participants (94.4%) with an average age of 74.5 ± 8.2 years. Mean difference in Morisky score from baseline to six months was 0.28 (-0.11 to 0.56). After adjustment for age and living situation, the change in Morisky score was associated with a 14% improvement in adherence. Mean differences in drug-drug and drug-supplement interactions, and medication-related harm were not significantly reduced from baseline to study end.
  
  
  CONCLUSIONS
  Pharmacist intervention with MOW participants appeared to improve medication adherence rates but had limited effect on medication-related preventable harm. No findings reached statistical significance as the sample size was inadequate. Larger studies are needed to confirm these findings.
authors.affiliation: Department of Pharmacy Practice, University of Rhode Island College of Pharmacy, Kingston, Rhode Island, USA.
authors.forename: Kristina E
authors.initials: KE
authors.lastname: Ward
authors.forename: Lisa B
authors.initials: LB
authors.lastname: Cohen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004347:Drug Interactions; D064420:Drug-Related Side Effects and Adverse Reactions / Q000517:prevention & control*; D005260:Female; D005500:Follow-Up Studies; D005522:Food Services; D006801:Humans; D008297:Male; D010353:Patient Education as Topic / Q000379:methods*; D010593:Pharmaceutical Services / Q000458:organization & administration; D010595:Pharmacists / Q000458:organization & administration*; D010865:Pilot Projects; D011446:Prospective Studies; D016903:Drug Monitoring