Abstract
Introduction: Medication nonadherence among older adults who experience comorbidities and a high pill burden is a significant healthcare issue in the United States.1 Older adults are at risk for adverse drug effects, significant harm, and hospital readmissions if medications are not taken as prescribed.2-3
Purpose: This study aimed to develop a prototype design, Pill Passport, a tool intended for patients to participate in their own care by improving medication knowledge and reducing medication nonadherence.4
Methods: Electronic health records were reviewed to identify a convenience sample of participants from two medical centers. Inclusion criteria were patients or their caregivers aged 18 to 89 years, a 30-day readmission risk score of 4 or higher, and a pill burden defined as three or more medications taken daily. A feedback-driven iterative design identified the most user-friendly version of the prototype. Stage 1 was a needs analysis through a qualitative survey. Stage 2 obtained patient and caregiver feedback through interviews comparing two prototype designs. The final stage tested the prototype through an interview and activity assessment using the prototype, simulated medications, and pill organizers.
Results: Data collection was completed. Data analysis is in process.
Nursing Implications and Impact: Older adults are often underrepresented in the design and development of interventions and tools to improve medication adherence.5 Pill Passport serves as an ongoing medication education tool for patients and caregivers to use during healthcare interactions and for at-home medication management.
Notes
References:
Bartlett Ellis RJ, Haase JE, Ruppar TM. Understanding processes, outcomes, and contexts in medication adherence: The Medication Adherence Context and Outcomes (MACO) Framework. Patient Preference and Adherence. 2023;17:239-248. doi.org/10.2147/PPA.S387813
Shah H, Nagi J, Khare S, et al. Limiting factors in implementing pharmacovigilance principles in the elderly. Cureus. 2023;15(3). doi.org/10.7759/cureus.36899
Bajeux E, Alix L, Cornée L, et al. Pharmacist-led medication reconciliation at patient discharge: A tool to reduce healthcare utilization? an observational study in patients 65 years or older. BMC Geriatrics.2022;22(1):576. doi.org/10.1186/s12877-022-03192-3
Molina-Weiger D. Trailblazer Challenge: Pill Passport. OSF HealthCare Blog. February 1, 2023. https://www.osfhealthcare.org/blog/trailblazer-challenge-pill-passport/
Previdoli G, Cheong VL, Alldred D, et al. A rapid review of interventions to improve medicine self-management for older people living at home. Health Expectations. 2023; 26(3):945–988. doi.org/10.1111/hex.13729
Sigma Membership
Xi Pi
Type
Poster
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Academic-clinical Partnership, Instrument and Tool Development, Public and Community Health, Medication Nonadherence, Older Adults, High Pill Burdens
Recommended Citation
Pence, Patricia Lynn; Gonzalez, Rachel A.; Formella, Kyle F.; Sultana, Safura; and Klute, Ryan M., "Pill Passport: Optimizing Patient Education Tools Through Usability Testing" (2025). International Nursing Research Congress (INRC). 112.
https://www.sigmarepository.org/inrc/2025/posters_2025/112
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Pill Passport: Optimizing Patient Education Tools Through Usability Testing
Seattle, Washington, USA
Introduction: Medication nonadherence among older adults who experience comorbidities and a high pill burden is a significant healthcare issue in the United States.1 Older adults are at risk for adverse drug effects, significant harm, and hospital readmissions if medications are not taken as prescribed.2-3
Purpose: This study aimed to develop a prototype design, Pill Passport, a tool intended for patients to participate in their own care by improving medication knowledge and reducing medication nonadherence.4
Methods: Electronic health records were reviewed to identify a convenience sample of participants from two medical centers. Inclusion criteria were patients or their caregivers aged 18 to 89 years, a 30-day readmission risk score of 4 or higher, and a pill burden defined as three or more medications taken daily. A feedback-driven iterative design identified the most user-friendly version of the prototype. Stage 1 was a needs analysis through a qualitative survey. Stage 2 obtained patient and caregiver feedback through interviews comparing two prototype designs. The final stage tested the prototype through an interview and activity assessment using the prototype, simulated medications, and pill organizers.
Results: Data collection was completed. Data analysis is in process.
Nursing Implications and Impact: Older adults are often underrepresented in the design and development of interventions and tools to improve medication adherence.5 Pill Passport serves as an ongoing medication education tool for patients and caregivers to use during healthcare interactions and for at-home medication management.
Description
This project designed a prototype for Pill Passport intended for patients to participate in their own care by improving medication knowledge and reducing medication nonadherence. A convenience sample of patients or their caregivers from two medical centers provided feedback in a needs analysis, interviews, surveys, and assessment activity with the prototype, simulated medications, and pill organizers. A feedback-driven iterative design identified the most user-friendly version of the prototype.