Lam, Z;
Aikman, K;
Chan, AHY;
(2018)
What’s your PLAN? A pilot study of a brief intervention to improve patient self-reported understanding of their health condition and medication in an inpatient hospital setting.
European Journal of Hospital Pharmacy
10.1136/ejhpharm-2017-001399.
(In press).
Preview |
Text
Chan_PLAN re-write 180112 CLEAN.pdf - Accepted Version Download (501kB) | Preview |
Abstract
OBJECTIVE: Health literacy is poor in many health service users. Although interventions exist, none have been implemented during an inpatient setting. This pilot study investigated the effect of a brief intervention, delivered by hospital pharmacists during an inpatient admission, on patient self-reported understanding of their health condition and medication—one aspect of health literacy. METHODS: Patients admitted to a tertiary hospital in New Zealand on one or more high-risk medication were included. Patients received a brief intervention discussing four steps (PLAN) to help patients: Prepare for their next health visit, Listen and share concerns, Ask questions and Note what to do next. The primary outcome was patient self-reported understanding of their health condition and medication. Secondary outcomes were number and types of pharmacist interventions, patient satisfaction and pharmacist intervention acceptability. RESULTS: Thirty-eight patients received the intervention. Scores improved for how well patients felt they understood their health conditions (increase from 3.65±1.16 to 4.28±0.74, P=0.027), their medication (3.50±1.11 to 4.44±0.77, P=0.001) and how to take their medication (4.12±0.95 to 4.60±0.76, P=0.051). Additional pharmacy interventions were made for 47% of patients. Mean patient satisfaction scores were high (4.64±0.57); however, pharmacist acceptability was only moderately positive with many finding the intervention only somewhat rewarding. CONCLUSION: This pilot study shows that a pharmacist-delivered intervention can have an effect on an aspect of health literacy in an inpatient setting. It suggests the potential for further inpatient interventions, which target health literacy issues.
| Type: | Article |
|---|---|
| Title: | What’s your PLAN? A pilot study of a brief intervention to improve patient self-reported understanding of their health condition and medication in an inpatient hospital setting |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1136/ejhpharm-2017-001399 |
| Publisher version: | http://dx.doi.org/10.1136/ejhpharm-2017-001399 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Clinical Pharmacy, Education and Training, Quality in Healthcare, Pharmacotherapy, Therapeutics, Patient Counselling, Health literacy, Hospital Pharmacists, Medicine Use, Advice-Giving, Pharmaceutical care |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10047745 |
Archive Staff Only
 |
View Item |
