AI Article Synopsis
- Medication management in home hospice is tough for family caregivers, prompting the creation of a program called SiMPLIfy to support them through patient-centered medication reviews.
- A pilot trial involving 22 patient-caregiver pairs showed that a significant proportion of intervention patients experienced a reduction in Medication Regimen Complexity Index (MRCI) compared to control patients, though the results weren't statistically significant.
- The program could potentially ease medication complexity and reduce polypharmacy, highlighting the importance of effective communication between clinicians, caregivers, and patients.
Article Abstract
Medication management in home hospice is challenging for family caregivers (FCGs). We tested a patient-centered medication review and FCG support program delivered by hospice staff called "Shared Medication PLanning In (SiMPLIfy) Home Hospice." A pilot cluster-randomized trial at two U.S. home hospice agencies measured the primary outcome of reduction in Medication Regimen Complexity Index (MRCI) (range 0 [no medications]-no upper limit) and secondary outcome of Family Caregiver Medication Administration Hassle Scale (FCMAHS) (range 0 [no hassle-120 [greatest hassle]). Twenty-two patient-FCG dyads enrolled. Mean baseline MRCI in the intervention group = 39 (95% CI: 30.9, 47.1) and control group = 25.5 (95% CI: 21.0-30.1). Half of intervention patients (3 of 6) had reduced MRCI compared with 26.7% (4 of 15) control patients ( = 0.07). MRCI was not significantly associated with caregiver burden. FCMAHS differed between spousal and nonspousal FCGs ( = 0.12). A clinician-FCG-patient communication program in home hospice is feasible and may reduce medication complexity. SiMPLIfy has the potential to reduce polypharmacy.
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| http://dx.doi.org/10.1089/jpm.2024.0229 | DOI Listing |
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