A scoping review of medication self-management intervention tools to support persons with traumatic spinal cord injury.
<h4>Background</h4>Persons with traumatic spinal cord injury (SCI) use multiple medications (polypharmacy) to manage the high number of secondary complications and concurrent conditions. Despite the prevalence of polypharmacy and challenges associated with managing medications, there are...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0284199&type=printable |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832540122465173504 |
|---|---|
| author | Lauren Cadel Stephanie R Cimino Glyneva Bradley-Ridout Sander L Hitzig Tanya L Packer Lisa M McCarthy Tejal Patel Aisha K Lofters Shoshana Hahn-Goldberg Chester H Ho Sara J T Guilcher |
| author_facet | Lauren Cadel Stephanie R Cimino Glyneva Bradley-Ridout Sander L Hitzig Tanya L Packer Lisa M McCarthy Tejal Patel Aisha K Lofters Shoshana Hahn-Goldberg Chester H Ho Sara J T Guilcher |
| author_sort | Lauren Cadel |
| collection | DOAJ |
| description | <h4>Background</h4>Persons with traumatic spinal cord injury (SCI) use multiple medications (polypharmacy) to manage the high number of secondary complications and concurrent conditions. Despite the prevalence of polypharmacy and challenges associated with managing medications, there are few tools to support medication self-management for persons with SCI.<h4>Objective</h4>The purpose of this scoping review was to identify and summarize what is reported in the literature on medication self-management interventions for adults with traumatic SCI.<h4>Methods</h4>Electronic databases and grey literature were searched for articles that included an adult population with a traumatic SCI and an intervention targeting medication management. The intervention was required to incorporate a component of self-management. Articles were double screened and data were extracted and synthesized using descriptive approaches.<h4>Results</h4>Three studies were included in this review, all of which were quantitative. A mobile app and two education-based interventions to address self-management of SCI, medication management, and pain management, respectively, were included. Only one of the interventions was co-developed with patients, caregivers, and clinicians. There was minimal overlap in the outcomes measured across the studies, but learning outcomes (e.g., perceived knowledge and confidence), behavioural outcomes (e.g., management strategies, data entry), and clinical outcomes (e.g., number of medications, pain scores, functional outcomes) were evaluated. Results of the interventions varied, but some positive outcomes were noted.<h4>Conclusions</h4>There is an opportunity to better support medication self-management for persons with SCI by co-designing an intervention with end-users that comprehensively addresses self-management. This will aid in understanding why interventions work, for whom, in what setting, and under what circumstances. |
| format | Article |
| id | doaj-art-86b75a4e7bcc44e787b05903b5803b45 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-86b75a4e7bcc44e787b05903b5803b452025-02-05T05:32:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01184e028419910.1371/journal.pone.0284199A scoping review of medication self-management intervention tools to support persons with traumatic spinal cord injury.Lauren CadelStephanie R CiminoGlyneva Bradley-RidoutSander L HitzigTanya L PackerLisa M McCarthyTejal PatelAisha K LoftersShoshana Hahn-GoldbergChester H HoSara J T Guilcher<h4>Background</h4>Persons with traumatic spinal cord injury (SCI) use multiple medications (polypharmacy) to manage the high number of secondary complications and concurrent conditions. Despite the prevalence of polypharmacy and challenges associated with managing medications, there are few tools to support medication self-management for persons with SCI.<h4>Objective</h4>The purpose of this scoping review was to identify and summarize what is reported in the literature on medication self-management interventions for adults with traumatic SCI.<h4>Methods</h4>Electronic databases and grey literature were searched for articles that included an adult population with a traumatic SCI and an intervention targeting medication management. The intervention was required to incorporate a component of self-management. Articles were double screened and data were extracted and synthesized using descriptive approaches.<h4>Results</h4>Three studies were included in this review, all of which were quantitative. A mobile app and two education-based interventions to address self-management of SCI, medication management, and pain management, respectively, were included. Only one of the interventions was co-developed with patients, caregivers, and clinicians. There was minimal overlap in the outcomes measured across the studies, but learning outcomes (e.g., perceived knowledge and confidence), behavioural outcomes (e.g., management strategies, data entry), and clinical outcomes (e.g., number of medications, pain scores, functional outcomes) were evaluated. Results of the interventions varied, but some positive outcomes were noted.<h4>Conclusions</h4>There is an opportunity to better support medication self-management for persons with SCI by co-designing an intervention with end-users that comprehensively addresses self-management. This will aid in understanding why interventions work, for whom, in what setting, and under what circumstances.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0284199&type=printable |
| spellingShingle | Lauren Cadel Stephanie R Cimino Glyneva Bradley-Ridout Sander L Hitzig Tanya L Packer Lisa M McCarthy Tejal Patel Aisha K Lofters Shoshana Hahn-Goldberg Chester H Ho Sara J T Guilcher A scoping review of medication self-management intervention tools to support persons with traumatic spinal cord injury. PLoS ONE |
| title | A scoping review of medication self-management intervention tools to support persons with traumatic spinal cord injury. |
| title_full | A scoping review of medication self-management intervention tools to support persons with traumatic spinal cord injury. |
| title_fullStr | A scoping review of medication self-management intervention tools to support persons with traumatic spinal cord injury. |
| title_full_unstemmed | A scoping review of medication self-management intervention tools to support persons with traumatic spinal cord injury. |
| title_short | A scoping review of medication self-management intervention tools to support persons with traumatic spinal cord injury. |
| title_sort | scoping review of medication self management intervention tools to support persons with traumatic spinal cord injury |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0284199&type=printable |
| work_keys_str_mv | AT laurencadel ascopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT stephaniercimino ascopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT glynevabradleyridout ascopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT sanderlhitzig ascopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT tanyalpacker ascopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT lisammccarthy ascopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT tejalpatel ascopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT aishaklofters ascopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT shoshanahahngoldberg ascopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT chesterhho ascopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT sarajtguilcher ascopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT laurencadel scopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT stephaniercimino scopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT glynevabradleyridout scopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT sanderlhitzig scopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT tanyalpacker scopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT lisammccarthy scopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT tejalpatel scopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT aishaklofters scopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT shoshanahahngoldberg scopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT chesterhho scopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury AT sarajtguilcher scopingreviewofmedicationselfmanagementinterventiontoolstosupportpersonswithtraumaticspinalcordinjury |