Effectiveness of patient-oriented education and medication management intervention in people with decompensated cirrhosis

Kelly L Hayward; Patricia C Valery; Preya J Patel; Leigh U Horsfall; Penny L Wright; Caroline J Tallis; Katherine A Stuart; Michael David; Katharine M Irvine; W Neil Cottrell; Jennifer H Martin; Elizabeth E Powell

doi:10.1111/imj.14986

Effectiveness of patient-oriented education and medication management intervention in people with decompensated cirrhosis

Intern Med J. 2020 Sep;50(9):1142-1146. doi: 10.1111/imj.14986.

Authors

Kelly L Hayward^{1

2}, Patricia C Valery^{1

3}, Preya J Patel^{1

4}, Leigh U Horsfall^{1

4}, Penny L Wright⁴, Caroline J Tallis⁴, Katherine A Stuart⁴, Michael David⁵, Katharine M Irvine¹, W Neil Cottrell^{6

7}, Jennifer H Martin⁵, Elizabeth E Powell^{1

4}

Affiliations

¹ Centre for Liver Disease Research, Faculty of Medicine, Translational Research Institute, The University of Queensland, Brisbane, Queensland, Australia.
² Pharmacy Department, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
³ Cancer and Chronic Disease Research Group, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia.
⁴ Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
⁵ Centre for Human Drug Research, School of Medicine and Public Health, Hunter Medical Research Institute, The University of Newcastle, Newcastle, New South Wales, Australia.
⁶ Macrophage Biology Research Group, Mater Research, The University of Queensland, Brisbane, Queensland, Australia.
⁷ School of Pharmacy, The University of Queensland, Brisbane, Queensland, Australia.

Abstract

People with chronic disease often have poor comprehension of their disease and medications, which can negatively affect health outcomes. In a randomised-controlled trial, we found that patients with decompensated cirrhosis who received a pharmacist-led, patient-oriented education and medication management intervention (n = 57) had greater knowledge of cirrhosis and key self-care tasks compared with usual care (n = 59). Intervention patients also experienced improved quality of life. Dedicated resources are needed to support implementation of evidence-based measures at local centres to improve outcomes.

Publication types

Randomized Controlled Trial

MeSH terms

Humans
Liver Cirrhosis / drug therapy
Medication Therapy Management*
Pharmacists
Quality of Life*
Self Care

Abstract

Publication types

MeSH terms

Grants and funding