A Medication Management Intervention for Patients and Families with SCI and ABI

West J Nurs Res. 2020 Dec;42(12):1113-1128. doi: 10.1177/0193945920926436. Epub 2020 May 25.

Abstract

The purpose of this study was to develop and test the efficacy of a pre-discharge, medication management intervention to improve perceived knowledge and perceived confidence for post-discharge medication management for rehabilitation patients with spinal cord injuries (SCIs) and families of patients with SCIs or acquired brain injuries (ABIs). We used a quasi-experimental, matched-pair design. Treatment participants (n = 112) completed the intervention with pre- and post-tests assessing perceived knowledge and perceived confidence for post-discharge medication management. Control participants (n = 95) enrolled at 60-days post-discharge. All participants (N = 207) completed measures on perceived knowledge, perceived confidence, and medication management by phone at 60-days post-discharge. The intervention significantly increased treatment participants' perceived knowledge and perceived confidence from pre- to post-test. Sex, injury severity, and income were associated with primary outcomes. Treatment participants used more tools for medication management post-discharge. Our findings suggest that patients and family members may benefit from pre-discharge medication management interventions.

Keywords: acquired brain injury; efficacy; inpatient rehabilitation; medication adherence; medication management; spinal cord injury.

MeSH terms

  • Aftercare*
  • Brain Injuries / rehabilitation*
  • Family / psychology*
  • Female
  • Humans
  • Inpatients
  • Male
  • Medication Therapy Management*
  • Middle Aged
  • Patient Discharge
  • Patient Education as Topic*
  • Retrospective Studies
  • Spinal Cord Injuries / rehabilitation*