Overcoming Barriers to Warfarin Patient Self-Management (PSM) in the US Healthcare System: Implementation Trial Study Protocol.

ABSTRACT:

Introduction

Warfarin is a narrow therapeutic index drug that requires frequent monitoring using the international normalized ratio (INR). Current clinic-based INR monitoring models lead to suboptimal warfarin management. Warfarin patient self-management (PSM) has consistently demonstrated superior efficacy compared to clinic-based management but is virtually unused in the US healthcare system. The objective of this study is to implement PSM in the US healthcare system using strategies developed to overcome previously identified barriers associated with PSM underutilization as well as potential PSM facilitators.

Methods and analysis

We aim to implement PSM with 150 adult patients at four sites using strategies developed to address barriers to PSM specific to the US healthcar

SUBMITTER: Hong H 

PROVIDER: S-EPMC12393654 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature