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Med Educ Online. 2011;16. doi: 10.3402/meo.v16i0.7133. Epub 2011 Sep 8.

Development and evaluation of a medication counseling workshop for physicians: can we improve on 'take two pills and call me in the morning'?

Author information

  • 1Department of Medicine, Vanderbilt University, Nashville, TN, USA. sunil.kripalani@vanderbilt.edu

Abstract

BACKGROUND:

Physicians often do not provide adequate medication counseling.

PURPOSE:

To develop and evaluate an educational program to improve physicians' assessment of adherence and their medication counseling skills, with attention to health literacy.

METHODS:

We compared internal medicine residents' confidence and counseling behaviors, measured by self-report at baseline and one month after participation in a two-hour interactive workshop.

RESULTS:

Fifty-four residents participated; 35 (65%) completed the follow-up survey. One month after training, residents reported improved confidence in assessing and counseling patients (p<0.001), including those with low health literacy (p<0.001). Residents also reported more frequent use of desirable behaviors, such as assessing patients' medication understanding and adherence barriers (p<0.05 for each), addressing costs when prescribing (p<0.01), suggesting adherence aids (p<0.01), and confirming patient understanding with teach-back (p<0.05).

CONCLUSION:

A medication counseling workshop significantly improved residents' self-reported confidence and behaviors regarding medication counseling one month later.

KEYWORDS:

health communication; health literacy; medication adherence

PMID:
21915162
[PubMed - indexed for MEDLINE]
PMCID:
PMC3171175
Free PMC Article

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