Development and evaluation of pharmacist-provided teach-back medication counselling at hospital discharge

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Date
2023
Authors
O’Mahony, E.
Kenny, J.
Hayde, J.
Dalton, Kieran
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Publisher
Springer Science and Business Media Deutschland GmbH
Published Version
https://doi.org/10.1007/s11096-023-01558-0
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Abstract
Background: Pharmacists can use teach-back to improve patients’ understanding of medication; however, the evidence of its impact on patient outcomes is inconsistent. From the literature, there is no standardised way to provide pharmacist-delivered medication counselling at hospital discharge, with limited reporting on training. Aim: To develop a standardised medication counselling procedure using teach-back at hospital discharge, and to evaluate feedback from patients and pharmacists on this initiative. Method: A standardised intervention procedure was developed. Participating pharmacists (n = 9) were trained on teach-back via an online education module and watching a demonstration video created by the researchers. Pharmacists provided patients with discharge medication counselling utilising teach-back and a patient-friendly list of medication changes to take home. To obtain feedback, patients were surveyed within seven days of discharge via telephone and pharmacists answered an anonymous survey online. Results: Thirty-two patients (mean age: 57 years; range: 19–91) were counselled on a mean 2.94 medications/patient with the mean counselling time as 23.6 min/patient. All patients responded to the survey, whereby 93.7% had increased confidence regarding medication knowledge and were satisfied with the counselling and the information provided. All pharmacist survey respondents (n = 8) agreed they were given adequate training and that teach-back was feasible to apply in practice. Conclusion: This is the first study to evaluate patients’ views on pharmacist-provided teach-back medication counselling. With positive patient outcomes, a standardised procedure, and a comprehensive description of the training, this study can inform the development of discharge medication counselling utilising teach-back going forward. © 2023, The Author(s).
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Keywords
Communication , Hospitals , Patient discharge , Patient medication knowledge , Pharmaceutical services , Pharmacists , Teach-back
Citation
O’Mahony, E., Kenny, J., Hayde, J. and Dalton, K. (2023) 'Development and evaluation of pharmacist-provided teach-back medication counselling at hospital discharge', International Journal of Clinical Pharmacy, 45(3), pp.698-711. https://doi.org/10.1007/s11096-023-01558-0
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https://hdl.handle.net/10468/16764
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Pharmacy - Journal Articles
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© 2023, the Authors. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.