Development of the Drug Adherence Work-up (DRAW) tool
Development of the Drug Adherence Work-up (DRAW) tool
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DOI：
10.1331/japha.2012.12001
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发表时间：
2012-11-01
影响因子：
2.1
通讯作者：
Barnes, Jennifer M.
中科院分区：
文献类型：
--
作者：
Doucette, William R.;Farris, Karen B.;Barnes, Jennifer M.
目的：开发和进行初步的药物依从性工作（DRAW）工具，这是开发来指导药剂师在解决药物治疗管理（MTM）visits.Methods不遵守时，现场测试是一个前瞻性队列研究，其中7名训练有素的药剂师使用DRAW评估患者询问可能的原因，不遵守在MTM访问。通过Outcomes Pharmaceutical Health Care分析的药物索赔数据，将发现的潜在不依从患者通知给药剂师。药剂师报告使用DRAW在MTM索赔，并提供意见DRAW通过在线survey.Results：根据在线调查，药剂师报告说，DRAW帮助他们提高他们的MTM服务的重点，并解决更多的坚持问题比他们通常的方法。他们认为该工具易于使用且组织良好。有意见认为，绘图可作为教授药剂师的有用工具。最常见的原因是不良反应（59.1%）或忘记服药（54.5%）。超过四分之三的患者（77.3%）表示一个以上的原因nonadherence.Conclusion：一个简短，全面的工具来评估药物治疗不依从性，如画，可以帮助药剂师解决各种原因的药物治疗不依从性。通常不遵守是多方面的，这使得像DRAW这样的包容性工具成为一种有用的方法;但需要进一步的研究。
Objective: To develop and conduct an initial field test of the Drug Adherence Work-up (DRAW) tool, which was developed to guide pharmacists when addressing nonadherence during medication therapy management (MTM) visits.Methods: The field test was a prospective cohort study, in which seven trained pharmacists used DRAW to evaluate patients by asking about possible reasons for nonadherence during an MTM visit. Pharmacists were notified of potentially nonadherent patients identified through drug claims data analyzed by Outcomes Pharmaceutical Health Care. The pharmacists reported on use of DRAW in an MTM claim and provided opinions about DRAW via an online survey.Results: According to the online survey, pharmacists reported that DRAW helped them to improve the focus of their MTM services and address more adherence problems than their usual approach. They thought the tool was easy to use and well organized. Some commented that DRAW could be a useful tool for teaching pharmacists. The most common reasons reported for nonadherence were the presence of adverse effects (59.1%) or forgetting to take the medication (54.5%). More than three-fourths of patients (77.3%) indicated more than one reason for nonadherence.Conclusion: A brief, comprehensive tool to evaluate medication nonadherence, such as DRAW, may help pharmacists address various reasons for medication nonadherence. Often nonadherence is multifaceted, which makes an inclusive tool like DRAW a useful approach; however further research is needed.