Successful medication management is an essential instrumental activity of daily living (IADL) for older adults with polypharmacy; however, between 40%-70% of older adults fail to take their medications as prescribed. Providing interventions to address medication management and restore performance for this IADL is within the scope of practice for occupational therapy (OT), however, there is paucity of evidence for OT interventions to improve medication management in community-dwelling older adults. We have developed a tailored medication management intervention (TIMM) for community-dwelling older adults which recognizes the unique context in which medication management occurs (the home) and addresses the personal and environmental barriers experienced by older adults. TIMM is delivered in the home, by an OT, and in collaboration with a pharmacist to reduce inappropriate polypharmacy.
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Recruitment
Timeframe: 6 months
Dose
Timeframe: 6 months
Treatment Fidelity
Timeframe: 6 months
Intervention Safety- ER Visits
Timeframe: 6 months
Intervention Safety- Hospitalizations
Timeframe: 6 months
Intervention Safety- Doctor Visits
Timeframe: 6 months
Intervention Safety- Falls
Timeframe: 6 months
Intervention Safety
Timeframe: 6 months
Intervention Pharmacy Cost
Timeframe: 6 months
Intervention OT Cost
Timeframe: 6 months
Intervention Modification Cost
Timeframe: 6 months