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Measuring Medication Self-Management Capacity: A Scoping Review of Available Instruments.
Drugs & Aging ( IF 2.8 ) Pub Date : 2020-04-28 , DOI: 10.1007/s40266-020-00764-z Amal M Badawoud 1 , Teresa M Salgado 2 , Juan Lu 3 , Pamela Parsons 4 , Emily P Peron 2 , Patricia W Slattum 2
Drugs & Aging ( IF 2.8 ) Pub Date : 2020-04-28 , DOI: 10.1007/s40266-020-00764-z Amal M Badawoud 1 , Teresa M Salgado 2 , Juan Lu 3 , Pamela Parsons 4 , Emily P Peron 2 , Patricia W Slattum 2
Affiliation
BACKGROUND
Managing a medication regimen is a complex self-care activity that requires a high level of integration and coordination between cognitive and physical skills. This scoping review aims to identify available instruments designed to assess an adult individual's ability to manage a medication regimen independently and to identify reliable and valid tools to be used in clinical practice and research.
METHODS
Five databases (PubMed/MEDLINE, CINAHL Complete, PsycINFO, Embase, and International Pharmaceutical Abstracts) were searched to identify articles reporting the development of an instrument to assess medication self-management capacity in adults. The process included a broad initial search of the databases, followed by screening of titles and abstracts, and full review of relevant articles. For each instrument identified, characteristics, including validity and reliability assessments, were summarized.
RESULTS
Sixteen papers were identified that reviewed or described the development and/or validation of 26 instruments designed to assess medication self-management capacity. Most instruments were designed to identify cognitive and physical barriers to successful medication management, but there was inconsistency across instruments in the specific skills assessed and the assessment method used. Most instruments were validated by testing at least one related construct, such as cognitive function, activities of daily living or instrumental activities of daily living performance, or medication adherence.
CONCLUSION
Development of standardized instruments to quantify medication self-management capacity is still growing. The choice of instrument for use in a specific clinical or research setting will depend on the purpose for making the assessment and the population that it will be applied to. Results of this review can assist in selecting an appropriate instrument or guiding the development of new instruments for assessment of medication self-management capacity for specific clinical or research purposes.
中文翻译:
衡量药物的自我管理能力:现有器械的范围回顾。
背景技术管理用药方案是一项复杂的自我护理活动,需要认知和身体技能之间的高度整合和协调。本范围审查的目的是确定可用的工具,这些工具旨在评估成年个体独立管理药物治疗方案的能力,并确定可在临床实践和研究中使用的可靠有效工具。方法检索了五个数据库(PubMed / MEDLINE,CINAHL Complete,PsycINFO,Embase和International Pharmaceutical Abstracts),以鉴定报道了开发评估成人药物自我管理能力的仪器的文章。该过程包括对数据库进行广泛的初始搜索,然后筛选标题和摘要,并对相关文章进行全面审查。对于确定的每个乐器,总结了特征,包括有效性和可靠性评估。结果确定了16篇论文,这些论文回顾或描述了旨在评估药物自我管理能力的26种仪器的开发和/或验证。大多数工具旨在识别成功进行药物管理的认知障碍和身体障碍,但是各种工具在评估的特定技能和所使用的评估方法上并不一致。大多数仪器通过测试至少一种相关的构造来验证,例如认知功能,日常生活活动或日常生活活动的仪器活动或药物依从性。结论量化药物自我管理能力的标准化工具的开发仍在增长。在特定的临床或研究环境中使用的仪器的选择将取决于进行评估的目的和适用的人群。审查的结果可以帮助选择合适的仪器或指导新仪器的开发,以评估针对特定临床或研究目的的药物自我管理能力。
更新日期:2020-04-28
中文翻译:
衡量药物的自我管理能力:现有器械的范围回顾。
背景技术管理用药方案是一项复杂的自我护理活动,需要认知和身体技能之间的高度整合和协调。本范围审查的目的是确定可用的工具,这些工具旨在评估成年个体独立管理药物治疗方案的能力,并确定可在临床实践和研究中使用的可靠有效工具。方法检索了五个数据库(PubMed / MEDLINE,CINAHL Complete,PsycINFO,Embase和International Pharmaceutical Abstracts),以鉴定报道了开发评估成人药物自我管理能力的仪器的文章。该过程包括对数据库进行广泛的初始搜索,然后筛选标题和摘要,并对相关文章进行全面审查。对于确定的每个乐器,总结了特征,包括有效性和可靠性评估。结果确定了16篇论文,这些论文回顾或描述了旨在评估药物自我管理能力的26种仪器的开发和/或验证。大多数工具旨在识别成功进行药物管理的认知障碍和身体障碍,但是各种工具在评估的特定技能和所使用的评估方法上并不一致。大多数仪器通过测试至少一种相关的构造来验证,例如认知功能,日常生活活动或日常生活活动的仪器活动或药物依从性。结论量化药物自我管理能力的标准化工具的开发仍在增长。在特定的临床或研究环境中使用的仪器的选择将取决于进行评估的目的和适用的人群。审查的结果可以帮助选择合适的仪器或指导新仪器的开发,以评估针对特定临床或研究目的的药物自我管理能力。