Presentation on theme: "Med Ed : Making sense of medication. A reflective exercise… In your practice, do you: Work with youth who take medications? Feel that youth have enough."— Presentation transcript:
Med Ed : Making sense of medication
A reflective exercise… In your practice, do you: Work with youth who take medications? Feel that youth have enough information about their medications? Find information about medications for your clients? Feel that this information is readily available and accessible?
Background and context Youth taking psychotropic medications often do not know enough about these medications Youth-oriented materials are very hard to find Most resources dont work to promote dialogue between youth, caregivers, and health providers
The team Developers 2 pharmacists (Drs. Andrea Murphy and David Gardner) 1 psychiatrist (Dr. Stan Kutcher) Partners The Provincial Centre of Excellence for Child and Youth Mental Health at CHEO (Drs. Ian Manion and Simon Davidson)
Other key people Youth with mental illnesses Clinicians Graphic designer Plain language consultant Expert review panel (Ontario) Legal consultation Stakeholder feedback Basic booklet template
Why are information sources about medications needed? To enhance the clients ability to make informed decisions about medication To support collaborative treatment planning To improve treatment-related outcomes
Considerations in developing information resources What do clients want to know? What is the best way of getting this information to clients? Who should be involved in the conversation? Source: Zwaenepoel L, et al. (2005), Pharm World 27:47-53
Ways to provide medication information Verbal Written Video Internet Media
Concerns with the Internet Consumers frequently default to the Internet to find health and medication information Clients rarely share or discuss information that they have found on the Internet with their health providers Information found on the Internet is often inaccurate or misleading Source: Diaz JA, et al. J Gen Intern Med. 2002;17: ; Sciamanna CN, et al. Int J Med Inform. 2003;72:1-8; Hansen DL, et al. J Med Internet Res. 2003;5:e25.
Concerns with the media 1999 survey: 84% of Canadian doctors reported that they believed media reports influenced the kind of treatments their clients requested 1997 US National Health Council: 58% of people surveyed said they were prompted to modify some aspect of their behaviour by a health-related story reported in the media Source: Gregg A, Kelly C, Sullivan M, Woolstencroft T. A report on the attitudes of Canadian physicians regarding media coverage of health issues. Toronto: The Strategic Counsel, Inc.; 1999; Americans talk about science and medical news: the National Health Council Report. New York: Roper Starch Worldwide; 1997.
Concerns with written materials Documents are too long Information is common knowledge Print is too small Difficult to understand/language barriers Information is worrisome Information is confusing Information is not useful Source: Nathan JP, et al. Ann Pharmacother 2007; 41:
Despite this, the literature says that… Clients still prefer to receive medication information verbally or through printed materials Health care providers tend to prefer face-to- face interactions and paper-based resources Multiple approaches work best Source: Raynor DK, et al. Health Technol Assess. 2007;11:iii, 1-160; Bennett NL, et al. BMC Med Inform Decis Mak. 2005;5:9; Bennett NL, et al., J Contin Educ Health Prof. 2006;26: ; Murphy AL, et al. BMC Nurs. 2006; 5:5.
Target users 1.Youth aged 12 to 24 either currently using or considering psychotropic medication as a part of treatment for a mental illness 2.Parents/caregivers and family members 3.Health providers such as physicians, pharmacists, nurses, psychologists, occupational therapists, and social workers
Developing the content 1.Order of information 2.Style (font, size, graphics) 3.Medicaleze 4.Illustrations 5.Written at a grade 6 level 6.Concise, bulleted format 7.Consistent design and information
The booklet Content rich Three main sections: Frequently asked questions (FAQs) Tools and checklists Glossary
The passport Portable, concealable Full of tools A companion to the booklet Abbreviated sections FAQs Checklists
Preliminary findings related to the tool A good resource to help clients take ownership of their treatment… Just a great way to engage kids in their health care… This is a great idea and instrument with many possibilities… …very informative for my every day administering of meds…(helps me to) recognize my need to do more reviews on clients' meds…
Evaluation next steps Continue to analyze data from new round of champions and the service providers they train Conduct and analyze semi-structured interviews with service providers, parents/caregivers, and youth