TY - JOUR
T1 - An EMR-based tool to support collaborative planning for medication use among adults with diabetes
T2 - Design of a multi-site randomized control trial
AU - Morrow, Daniel G.
AU - Conner-Garcia, Thembi
AU - Graumlich, James F.
AU - Wolf, Michael S.
AU - McKeever, Stacey
AU - Madison, Anna
AU - Davis, Kathryn
AU - Wilson, Elizabeth A H
AU - Liao, Vera
AU - Chin, Chieh Li
AU - Kaiser, Darren
N1 - Funding Information:
This material is based upon work supported by the National Institutes of Health grant # 1R01NR01130. Any opinions, findings, and conclusions or recommendations expressed in this publication are those of the authors and do not necessarily reflect the views of the NIH. We thank Sameem Samad and Imadhulah Syed for Medtable development and support.
PY - 2012/9
Y1 - 2012/9
N2 - Patients with type II diabetes often struggle with self-care, including adhering to complex medication regimens and managing their blood glucose levels. Medication nonadherence in this population reflects many factors, including a gap between the demands of taking medication and the limited literacy and cognitive resources that many patients bring to this task. This gap is exacerbated by a lack of health system support, such as inadequate patient-provider collaboration. The goal of our project is to improve self-management of medications and related health outcomes by providing system support. The Medtable™ is an Electronic Medical Record (EMR)-integrated tool designed to support patient-provider collaboration needed for medication management. It helps providers and patients work together to create effective medication schedules that are easy to implement. We describe the development and initial evaluation of the tool, as well as the process of integrating it with an EMR system in general internal medicine clinics. A planned evaluation study will investigate whether an intervention centered on the Medtable™ improves medication knowledge, adherence, and health outcomes relative to a usual care control condition among type II diabetic patients struggling to manage multiple medications.
AB - Patients with type II diabetes often struggle with self-care, including adhering to complex medication regimens and managing their blood glucose levels. Medication nonadherence in this population reflects many factors, including a gap between the demands of taking medication and the limited literacy and cognitive resources that many patients bring to this task. This gap is exacerbated by a lack of health system support, such as inadequate patient-provider collaboration. The goal of our project is to improve self-management of medications and related health outcomes by providing system support. The Medtable™ is an Electronic Medical Record (EMR)-integrated tool designed to support patient-provider collaboration needed for medication management. It helps providers and patients work together to create effective medication schedules that are easy to implement. We describe the development and initial evaluation of the tool, as well as the process of integrating it with an EMR system in general internal medicine clinics. A planned evaluation study will investigate whether an intervention centered on the Medtable™ improves medication knowledge, adherence, and health outcomes relative to a usual care control condition among type II diabetic patients struggling to manage multiple medications.
KW - Cognition
KW - Electronic medical record
KW - Health literacy
KW - Illness self-management
KW - Medication adherence
KW - Patient/provider collaboration
UR - http://www.scopus.com/inward/record.url?scp=84864302419&partnerID=8YFLogxK
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U2 - 10.1016/j.cct.2012.05.010
DO - 10.1016/j.cct.2012.05.010
M3 - Article
C2 - 22664648
AN - SCOPUS:84864302419
SN - 1551-7144
VL - 33
SP - 1023
EP - 1032
JO - Contemporary Clinical Trials
JF - Contemporary Clinical Trials
IS - 5
ER -