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An evidence-based procedure for self-management of medication in hospital : development and validation of the SelfMED procedure

(2018) PHARMACY. 6(3).
Author
Organization
Abstract
Aim: To develop and validate a procedure for self-management of medication by patients whilst in hospital. Background: Self-management of medication allows patients to self-manage their medication in a controlled and supportive hospital environment. This practice is encouraged worldwide, yet an evidence-based procedure to evaluate the ability of patients to self-manage and to monitor and support self-management are absent. Methods: The evidence-based procedure for self-management of medication (SelfMED) was developed based on previous conducted qualitative research, literature review, and the current regulation. It was validated by healthcare providers and a multidisciplinary expert meeting. Questions within the procedure that could be biased were tested for inter-rater reliability. Results: First, the SelfMED procedure was developed. It consists of a stepped assessment of patient's competencies for self-management performed by healthcare providers and the patient. When self-management is allowed, the SelfMED monitoring tool monitors the patient's intake of self-managed medication. Secondly, the procedure was revised for clarity, appropriateness, and face validity by five healthcare providers and a multidisciplinary expert meeting, resulting in the final version. Thirdly, three questions from the final version were tested for interrater reliability. Cohen's Kappa showed moderate to strong levels of agreement. Conclusions: The developed SelfMED procedure provides an evidence based approach of facilitating self-management of medication. The content of the procedure was found valid to evaluate the patient's ability to self-manage and to monitor them while self-managing.
Keywords
INTERRATER RELIABILITY, AGREEMENT, VALIDITY, SCALES, TOOL, hospital medicine, medication management, medication self-management, inpatients

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Citation

Please use this url to cite or link to this publication:

Chicago
Vanwesemael, Toke, Tinne Dilles, Bart Van Rompaey, and Koen Boussery. 2018. “An Evidence-based Procedure for Self-management of Medication in Hospital : Development and Validation of the SelfMED Procedure.” Pharmacy 6 (3).
APA
Vanwesemael, T., Dilles, T., Van Rompaey, B., & Boussery, K. (2018). An evidence-based procedure for self-management of medication in hospital : development and validation of the SelfMED procedure. PHARMACY, 6(3).
Vancouver
1.
Vanwesemael T, Dilles T, Van Rompaey B, Boussery K. An evidence-based procedure for self-management of medication in hospital : development and validation of the SelfMED procedure. PHARMACY. 2018;6(3).
MLA
Vanwesemael, Toke, Tinne Dilles, Bart Van Rompaey, et al. “An Evidence-based Procedure for Self-management of Medication in Hospital : Development and Validation of the SelfMED Procedure.” PHARMACY 6.3 (2018): n. pag. Print.
@article{8587467,
  abstract     = {Aim: To develop and validate a procedure for self-management of medication by patients whilst in hospital.
Background: Self-management of medication allows patients to self-manage their medication in a controlled and supportive hospital environment. This practice is encouraged worldwide, yet an evidence-based procedure to evaluate the ability of patients to self-manage and to monitor and support self-management are absent.
Methods: The evidence-based procedure for self-management of medication (SelfMED) was developed based on previous conducted qualitative research, literature review, and the current regulation. It was validated by healthcare providers and a multidisciplinary expert meeting. Questions within the procedure that could be biased were tested for inter-rater reliability.
Results: First, the SelfMED procedure was developed. It consists of a stepped assessment of patient's competencies for self-management performed by healthcare providers and the patient. When self-management is allowed, the SelfMED monitoring tool monitors the patient's intake of self-managed medication. Secondly, the procedure was revised for clarity, appropriateness, and face validity by five healthcare providers and a multidisciplinary expert meeting, resulting in the final version. Thirdly, three questions from the final version were tested for interrater reliability. Cohen's Kappa showed moderate to strong levels of agreement.
Conclusions: The developed SelfMED procedure provides an evidence based approach of facilitating self-management of medication. The content of the procedure was found valid to evaluate the patient's ability to self-manage and to monitor them while self-managing.},
  articleno    = {77},
  author       = {Vanwesemael, Toke and Dilles, Tinne and Van Rompaey, Bart and Boussery, Koen},
  issn         = {2226-4787},
  journal      = {PHARMACY},
  language     = {eng},
  number       = {3},
  pages        = {11},
  title        = {An evidence-based procedure for self-management of medication in hospital : development and validation of the SelfMED procedure},
  url          = {http://dx.doi.org/10.3390/pharmacy6030077},
  volume       = {6},
  year         = {2018},
}

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