The content consisted of rotating sets of queries about self-care (such as diet, exercise, and medication adherence), psychosocial issues (such as depressive symptoms), and access to preventive services (such as eye care).
The Institute of Medicine estimates that about 530,000 ADEs occur annually among outpatient Medicare patients over the age of 65 and can be a result of forgetting to take medications, taking the wrong quantity, and taking the wrong medication, among other medication adherence related issues [ 3, 4].
HPs will attend to medication adherence-related issues by identifying barriers, solving problems, and providing autonomy support.
2. Pharmacist+HP: Includes clinical pharmacist services, plus a health promoter who will attend to both lifestyle and medication adherence-related issues by identifying barriers, solving problems, and providing support through home visits and telephone contact.
The whanau worker records in the 'Participant Medication Log Book' the details about medication adherence and any issues around administration.
PCPs also faced difficulties in addressing patients' concerns, and dealing with patients' medication requests and adherence issues.
Other challenges include living with an incurable chronic disease, lifelong medication dependence and adherence issues, drug-related toxicity and unwanted effects [ 11, 15– 15].
The practice nurses were trained to engage their patients through a series of scheduled and structured telephone sessions dealing with lifestyle issues, medication adherence and dosing, self monitoring of their disease, and how to take greater initiative in the therapeutic alliance with the treating doctor, facilitating appropriate intensification of medications to achieve treatment goals.
In addition to usual primary care, intervention participants received 27 weekly calls in their preferred language with rotating queries and response-triggered education about self-care, medication adherence, safety concerns, psychological issues, and preventive services.
The COACH model includes a structured training course for coaches and a series of scheduled and structured telephone sessions with patients addressing lifestyle issues, medication adherence and dosing, how to monitor their disease and how to consult with their GP and allied health services.
