Medication coaching program for patients with minor stroke or TIA: a pilot study.
Abstract
BACKGROUND: Patients who are hospitalized with a first or recurrent stroke often are
discharged with new medications or adjustment to the doses of pre-admission medications,
which can be confusing and pose safety issues if misunderstood. The purpose of this
pilot study was to assess the feasibility of medication coaching via telephone after
discharge in patients with stroke. METHODS: Two-arm pilot study of a medication coaching
program with 30 patients (20 intervention, 10 control). Consecutive patients admitted
with stroke or TIA with at least 2 medications changed between admission and discharge
were included. The medication coach contacted intervention arm patients post-discharge
via phone call to discuss risk factors, review medications and triage patients' questions
to a stroke nurse and/or pharmacist. Intervention and control participants were contacted
at 3 months for outcomes. The main outcomes were feasibility (appropriateness of script,
ability to reach participants, and provide requested information) and participant
evaluation of medication coaching. RESULTS: The median lengths of the coaching and
follow-up calls with requested answers to these questions were 27 minutes and 12 minutes,
respectively, and participant evaluations of the coaching were positive. The intervention
participants were more likely to have seen their primary care provider than were control
participants by 3 months post discharge. CONCLUSIONS: This medication coaching study
executed early after discharge demonstrated feasibility of coaching and educating
stroke patients with a trained coach. Results from our small pilot showed a possible
trend towards improved appointment-keeping with primary care providers in those who
received coaching.
Type
Journal articleSubject
AgedCase-Control Studies
Continuity of Patient Care
Feasibility Studies
Female
Follow-Up Studies
Humans
Ischemic Attack, Transient
Male
Middle Aged
Patient Discharge
Patient Education as Topic
Pilot Projects
Primary Health Care
Program Evaluation
Stroke
Telemedicine
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https://hdl.handle.net/10161/15021Published Version (Please cite this version)
10.1186/1471-2458-12-549Publication Info
Sides, Elizabeth G; Zimmer, Louise O; Wilson, Leslie; Pan, Wenqin; Olson, Daiwai M;
Peterson, Eric D; & Bushnell, Cheryl (2012). Medication coaching program for patients with minor stroke or TIA: a pilot study.
BMC Public Health, 12. pp. 549. 10.1186/1471-2458-12-549. Retrieved from https://hdl.handle.net/10161/15021.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Eric David Peterson
Fred Cobb, M.D. Distinguished Professor of Medicine
Dr Peterson is the Fred Cobb Distinguished Professor of Medicine in the Division of
Cardiology, a DukeMed Scholar, and the Past Executive Director of the Duke Clinical
Research Institute (DCRI), Durham, NC, USA.
Dr Peterson is the Principal Investigator of the National Institute of Health, Lung
and Blood Institute (NHLBI) Spironolactone Initiation Registry Randomized Interventional
Trial in Heart Failure With Preserved Ejection Fraction (SPIRRIT) Trial He is also
the Principal I
This author no longer has a Scholars@Duke profile, so the information shown here reflects
their Duke status at the time this item was deposited.

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