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The RESPECT-tool as a facilitator for person-centered medication reviews for nursing home residents: tool development and pilot study

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Abstract

Background

Although support is needed, no method exists to elicit and integrate personal goals into medication optimization interventions for nursing home residents.

Aim

To develop and evaluate a tool to (1) elicit and evaluate residents’ personal goals during medication optimization, and (2) elicit involvement preferences regarding medication decision-making.

Method

A draft was composed by the research team, on which feedback was collected through four focus groups with healthcare professionals (n = 23) and pilot interviews with residents (n = 6). The tool was then pilot tested in 11 nursing homes as means to facilitate person-centered medication reviews, focusing on feasibility, appropriateness, and meaningfulness. Evaluation was performed through interviews and focus groups with residents and healthcare professionals, and reports for executed medication reviews. Interview summaries and reports were analyzed inductively.

Results

The RESident’s Participation in the Evaluation and Customization of Therapy tool (RESPECT-tool) was drafted as a modular approach of five modules. Pilot study results showed that the tool supported the formulation of personal goals. Goals resulted in changes in all aspects of the nursing home stay, indicating the tool’s potential to promote person-centered care. The RESPECT-tool showed value in the context of medication optimization as it allowed to determine potential links between residents’ personal goals and medication plans, and its use regularly led to medication changes.

Conclusion

A person-centered medication review facilitated by the RESPECT-tool holds a promising approach to medication optimization in nursing homes. Further research should assess impact on relevant outcomes like goal attainment, appropriateness of prescribing and quality of life.

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Acknowledgements

The authors want to thank the Master students in Pharmaceutical Care (KU Leuven) that contributed to the draft of the RESPECT-tool and its initial evaluation through focus groups with HCPs and pilot interviews with NHRs: Evelien Maes and Hanne Van Roosbroek. The authors would also like to thank the Research Foundation Flanders (Fonds Wetenschappelijk Onderzoek Vlaanderen, 1S75119N) for funding the study.

Funding

This work was supported by the Research Foundation Flanders (Fonds Wetenschappelijk Onderzoek Vlaanderen, Grant number 1S75119N).

Author information

Authors and Affiliations

  1. Department of Pharmaceutical and Pharmacological Sciences, Clinical Pharmacology and Pharmacotherapy, KU Leuven, Herestraat 49, O&N II, Box 521, 3000, Leuven, Belgium

    Amber Damiaens & Veerle Foulon

  2. Department of Nursing Director, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium

    Ann Van Hecke

  3. Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, 9000, Ghent, Belgium

    Ann Van Hecke

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  1. Amber Damiaens
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  3. Veerle Foulon
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Correspondence to Amber Damiaens.

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Damiaens, A., Van Hecke, A. & Foulon, V. The RESPECT-tool as a facilitator for person-centered medication reviews for nursing home residents: tool development and pilot study. Int J Clin Pharm 45, 1434–1443 (2023). https://doi.org/10.1007/s11096-023-01621-w

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