Utility of a brief screening tool for medication-related problems

Margie E. Snyder, Karen S. Pater, Caitlin K. Frail, Karen Suchanek Hudmon, Bradley Doebbeling, Randall B. Smith

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Medication therapy management (MTM) services position pharmacists to prevent, detect, and resolve medication-related problems (MRPs.) However, selecting patients for MTM who are most at risk for MRPs is a challenge. Using self-administered scales that are practical for use in clinical practice are one approach. Objective: The objective of this study was to estimate the psychometric properties of a brief self-administered scale as a screening tool for MRPs. Methods: This was a non-randomized study utilizing questionnaires administered cross-sectionally. In Phase 1, patients (n=394) at community pharmacies and outpatient clinics completed 78 items, provided to the study team by item authors, assessing perceived MRPs. These data were used to select items for further investigation as a brief, self-administered scale, and estimate the reliability and construct validity of the resulting instrument. In Phase 2, a convenience sample of patients (n=200) at community pharmacies completed a nine-item, self-administered scale. After completion, they were engaged in a comprehensive medication review by their pharmacist who was blinded to questionnaire responses. The main outcome measure for estimating the criterion-related validity of the scale was the number of pharmacist-identified medication-related problems (MRPs.) Item statistics were computed as well as bivariate associations between scale scores and other variables with MRPs. A multivariate model was constructed to examine the influence of scale scores on MRPs after controlling for other significant variables. Results: Higher scores on the questionnaire were positively correlated with more pharmacist-identified MRPs (r=0.24; P=0.001) and scores remained as a significant predictor (P=0.031) when controlling for other relevant variables in a multivariate regression model (R2=0.21; P

Original languageEnglish (US)
Pages (from-to)253-264
Number of pages12
JournalResearch in Social and Administrative Pharmacy
Volume11
Issue number2
DOIs
StatePublished - Mar 1 2015
Externally publishedYes

Fingerprint

Pharmacists
Screening
Medication Therapy Management
Pharmacies
Statistics
Ambulatory Care Facilities
Psychometrics
Reproducibility of Results
Outcome Assessment (Health Care)
Surveys and Questionnaires

Keywords

  • Administration
  • Medication therapy management
  • Outcomes
  • Pharmaceutical care
  • Pharmacy practice

ASJC Scopus subject areas

  • Pharmacy
  • Pharmaceutical Science

Cite this

Utility of a brief screening tool for medication-related problems. / Snyder, Margie E.; Pater, Karen S.; Frail, Caitlin K.; Hudmon, Karen Suchanek; Doebbeling, Bradley; Smith, Randall B.

In: Research in Social and Administrative Pharmacy, Vol. 11, No. 2, 01.03.2015, p. 253-264.

Research output: Contribution to journalArticle

Snyder, Margie E. ; Pater, Karen S. ; Frail, Caitlin K. ; Hudmon, Karen Suchanek ; Doebbeling, Bradley ; Smith, Randall B. / Utility of a brief screening tool for medication-related problems. In: Research in Social and Administrative Pharmacy. 2015 ; Vol. 11, No. 2. pp. 253-264.
@article{1ff648bbd01d4d3582353a084249bfce,
title = "Utility of a brief screening tool for medication-related problems",
abstract = "Background: Medication therapy management (MTM) services position pharmacists to prevent, detect, and resolve medication-related problems (MRPs.) However, selecting patients for MTM who are most at risk for MRPs is a challenge. Using self-administered scales that are practical for use in clinical practice are one approach. Objective: The objective of this study was to estimate the psychometric properties of a brief self-administered scale as a screening tool for MRPs. Methods: This was a non-randomized study utilizing questionnaires administered cross-sectionally. In Phase 1, patients (n=394) at community pharmacies and outpatient clinics completed 78 items, provided to the study team by item authors, assessing perceived MRPs. These data were used to select items for further investigation as a brief, self-administered scale, and estimate the reliability and construct validity of the resulting instrument. In Phase 2, a convenience sample of patients (n=200) at community pharmacies completed a nine-item, self-administered scale. After completion, they were engaged in a comprehensive medication review by their pharmacist who was blinded to questionnaire responses. The main outcome measure for estimating the criterion-related validity of the scale was the number of pharmacist-identified medication-related problems (MRPs.) Item statistics were computed as well as bivariate associations between scale scores and other variables with MRPs. A multivariate model was constructed to examine the influence of scale scores on MRPs after controlling for other significant variables. Results: Higher scores on the questionnaire were positively correlated with more pharmacist-identified MRPs (r=0.24; P=0.001) and scores remained as a significant predictor (P=0.031) when controlling for other relevant variables in a multivariate regression model (R2=0.21; P",
keywords = "Administration, Medication therapy management, Outcomes, Pharmaceutical care, Pharmacy practice",
author = "Snyder, {Margie E.} and Pater, {Karen S.} and Frail, {Caitlin K.} and Hudmon, {Karen Suchanek} and Bradley Doebbeling and Smith, {Randall B.}",
year = "2015",
month = "3",
day = "1",
doi = "10.1016/j.sapharm.2014.08.005",
language = "English (US)",
volume = "11",
pages = "253--264",
journal = "Research in Social and Administrative Pharmacy",
issn = "1551-7411",
publisher = "Elsevier Inc.",
number = "2",

}

TY - JOUR

T1 - Utility of a brief screening tool for medication-related problems

AU - Snyder, Margie E.

AU - Pater, Karen S.

AU - Frail, Caitlin K.

AU - Hudmon, Karen Suchanek

AU - Doebbeling, Bradley

AU - Smith, Randall B.

PY - 2015/3/1

Y1 - 2015/3/1

N2 - Background: Medication therapy management (MTM) services position pharmacists to prevent, detect, and resolve medication-related problems (MRPs.) However, selecting patients for MTM who are most at risk for MRPs is a challenge. Using self-administered scales that are practical for use in clinical practice are one approach. Objective: The objective of this study was to estimate the psychometric properties of a brief self-administered scale as a screening tool for MRPs. Methods: This was a non-randomized study utilizing questionnaires administered cross-sectionally. In Phase 1, patients (n=394) at community pharmacies and outpatient clinics completed 78 items, provided to the study team by item authors, assessing perceived MRPs. These data were used to select items for further investigation as a brief, self-administered scale, and estimate the reliability and construct validity of the resulting instrument. In Phase 2, a convenience sample of patients (n=200) at community pharmacies completed a nine-item, self-administered scale. After completion, they were engaged in a comprehensive medication review by their pharmacist who was blinded to questionnaire responses. The main outcome measure for estimating the criterion-related validity of the scale was the number of pharmacist-identified medication-related problems (MRPs.) Item statistics were computed as well as bivariate associations between scale scores and other variables with MRPs. A multivariate model was constructed to examine the influence of scale scores on MRPs after controlling for other significant variables. Results: Higher scores on the questionnaire were positively correlated with more pharmacist-identified MRPs (r=0.24; P=0.001) and scores remained as a significant predictor (P=0.031) when controlling for other relevant variables in a multivariate regression model (R2=0.21; P

AB - Background: Medication therapy management (MTM) services position pharmacists to prevent, detect, and resolve medication-related problems (MRPs.) However, selecting patients for MTM who are most at risk for MRPs is a challenge. Using self-administered scales that are practical for use in clinical practice are one approach. Objective: The objective of this study was to estimate the psychometric properties of a brief self-administered scale as a screening tool for MRPs. Methods: This was a non-randomized study utilizing questionnaires administered cross-sectionally. In Phase 1, patients (n=394) at community pharmacies and outpatient clinics completed 78 items, provided to the study team by item authors, assessing perceived MRPs. These data were used to select items for further investigation as a brief, self-administered scale, and estimate the reliability and construct validity of the resulting instrument. In Phase 2, a convenience sample of patients (n=200) at community pharmacies completed a nine-item, self-administered scale. After completion, they were engaged in a comprehensive medication review by their pharmacist who was blinded to questionnaire responses. The main outcome measure for estimating the criterion-related validity of the scale was the number of pharmacist-identified medication-related problems (MRPs.) Item statistics were computed as well as bivariate associations between scale scores and other variables with MRPs. A multivariate model was constructed to examine the influence of scale scores on MRPs after controlling for other significant variables. Results: Higher scores on the questionnaire were positively correlated with more pharmacist-identified MRPs (r=0.24; P=0.001) and scores remained as a significant predictor (P=0.031) when controlling for other relevant variables in a multivariate regression model (R2=0.21; P

KW - Administration

KW - Medication therapy management

KW - Outcomes

KW - Pharmaceutical care

KW - Pharmacy practice

UR - http://www.scopus.com/inward/record.url?scp=84922434657&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84922434657&partnerID=8YFLogxK

U2 - 10.1016/j.sapharm.2014.08.005

DO - 10.1016/j.sapharm.2014.08.005

M3 - Article

C2 - 25443640

AN - SCOPUS:84922434657

VL - 11

SP - 253

EP - 264

JO - Research in Social and Administrative Pharmacy

JF - Research in Social and Administrative Pharmacy

SN - 1551-7411

IS - 2

ER -