Ontology highlight
ABSTRACT: Background
Pharmaceutical drug therapy problems (DTPs) are a major public health problem. We examined patient-level risk factors for DTPs among Cambodian Americans.Methods
Community health workers (CHWs) verbally administered surveys and completed a detailed medication review form with participants. A doctoral-level pharmacist reviewed the form with the patient and CHW to determine DTP number and type (appropriateness, effectiveness, safety, and adherence).Results
Participants (n = 63) averaged 55 years old, 6 years of education, 52% were married, 87% spoke Khmer at home, with modal household income <$20,000 (41%). The percentage of participants with DTPs was: 45% appropriateness, 25% effectiveness, 64% safety, and 30% adherence, averaging 3.7 DTPs per patient. In multiple regressions, patient characteristics uniquely predicted each type of DTP. In a multiple regression controlling for number of medications, being married reduced total DTPs (IRR = 0.70) and being depressed increased total DTPs (IRR = 1.26).Conclusions
Vulnerable patients should be prioritized for pharmacist/CHW teams to identify DTPs.Trial registration: ClinicalTrials.gov identifier: NCT02502929.
SUBMITTER: Wagner JA
PROVIDER: S-EPMC8788352 | biostudies-literature | 2022
REPOSITORIES: biostudies-literature
Wagner Julie A JA Bermudez-Millan Angela A Berthold S Megan SM Buckley Thomas T Buxton Orfeu M OM Feinn Richard R Kuoch Theanvy T Kong Sengly S Lim Mackenzie M Polomoff Christina C Scully Mary M
Health psychology and behavioral medicine 20220124 1
<h4>Background</h4>Pharmaceutical drug therapy problems (DTPs) are a major public health problem. We examined patient-level risk factors for DTPs among Cambodian Americans.<h4>Methods</h4>Community health workers (CHWs) verbally administered surveys and completed a detailed medication review form with participants. A doctoral-level pharmacist reviewed the form with the patient and CHW to determine DTP number and type (appropriateness, effectiveness, safety, and adherence).<h4>Results</h4>Partici ...[more]