Tools to evaluate medication management for caregivers of people living with dementia: A systematic review

Melissa Gench; Mouna J. Sawan; Aili Langford; Danijela Gnjidic

doi:10.1111/hex.13318

Tools to evaluate medication management for caregivers of people living with dementia: A systematic review

Melissa Gench, Mouna J. Sawan, Aili Langford, Danijela Gnjidic

Research output: Contribution to journal › Review Article › Research › peer-review

8 Citations (Scopus)

Abstract

Background: Caregivers often undertake medication management for people living with dementia without formal training. There is a need to evaluate caregiver medication management practices for people living with dementia to identify and address the key issues that contribute to caregiver burden.

Objectives: This study aimed to identify and summarize approaches that evaluate medication management for caregivers of people living with dementia and appraise caregiver's involvement in aspects of medication management.

Search Strategy: A systematic search was undertaken in five databases: Medline, Embase, PsycINFO, Scopus and International Pharmaceutical Abstracts. Studies written in English that contained tools and surveys that evaluated aspects of medication management for caregivers of PWD were included.

Results: A total of 10 studies were included. Medication selection was assessed in six studies, supply and monitoring/review was captured in seven studies, with administration assessed in nine studies. Caregivers were commonly involved in decision-making for medication changes (77.1%–86.8%) and in the ordering (55.9%–86.0%) and collection (87.0%–92.4%) of medications. Reported caregiver involvement in medication administration showed a wide range (44%–94.7%) between the studies. Challenges in administration were commonly related to polypharmacy and dosage regimen complexity.

Conclusions: Current tools capture specific aspects of medication management, with medication administration the most evaluated aspect of medication management. Future research is needed to develop a tool to holistically evaluate the complexities of medication management for caregivers of people living with dementia to minimize adverse events at transitions of care. Public Contribution: From the authors' previous research, caregivers highlighted the need to address key issues in medication management for people living with dementia.

Original language	English
Pages (from-to)	1570-1581
Number of pages	12
Journal	Health Expectations
Volume	24
Issue number	5
DOIs	https://doi.org/10.1111/hex.13318
Publication status	Published - Oct 2021
Externally published	Yes

Keywords

caregiver
dementia
medication management
transitions of care

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1111/hex.13318

Cite this

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title = "Tools to evaluate medication management for caregivers of people living with dementia: A systematic review",

abstract = "Background: Caregivers often undertake medication management for people living with dementia without formal training. There is a need to evaluate caregiver medication management practices for people living with dementia to identify and address the key issues that contribute to caregiver burden. Objectives: This study aimed to identify and summarize approaches that evaluate medication management for caregivers of people living with dementia and appraise caregiver's involvement in aspects of medication management. Search Strategy: A systematic search was undertaken in five databases: Medline, Embase, PsycINFO, Scopus and International Pharmaceutical Abstracts. Studies written in English that contained tools and surveys that evaluated aspects of medication management for caregivers of PWD were included. Results: A total of 10 studies were included. Medication selection was assessed in six studies, supply and monitoring/review was captured in seven studies, with administration assessed in nine studies. Caregivers were commonly involved in decision-making for medication changes (77.1%–86.8%) and in the ordering (55.9%–86.0%) and collection (87.0%–92.4%) of medications. Reported caregiver involvement in medication administration showed a wide range (44%–94.7%) between the studies. Challenges in administration were commonly related to polypharmacy and dosage regimen complexity. Conclusions: Current tools capture specific aspects of medication management, with medication administration the most evaluated aspect of medication management. Future research is needed to develop a tool to holistically evaluate the complexities of medication management for caregivers of people living with dementia to minimize adverse events at transitions of care. Public Contribution: From the authors' previous research, caregivers highlighted the need to address key issues in medication management for people living with dementia.",

keywords = "caregiver, dementia, medication management, transitions of care",

author = "Melissa Gench and Sawan, {Mouna J.} and Aili Langford and Danijela Gnjidic",

note = "Funding Information: We would like to thank Roderick Dyson and Yulia Ulyannikova (The University of Sydney Fisher Library) for their assistance with the development of the search strategy. Author Danijela Gnjidic is supported by the National Health and Medical Research Council Dementia Leadership Fellowship (Grant number: 1136849). Funding Information: We would like to thank Roderick Dyson and Yulia Ulyannikova (The University of Sydney Fisher Library) for their assistance with the development of the search strategy. Author Danijela Gnjidic is supported by the National Health and Medical Research Council Dementia Leadership Fellowship (Grant number: 1136849). Publisher Copyright: {\textcopyright} 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd.",

year = "2021",

month = oct,

doi = "10.1111/hex.13318",

language = "English",

volume = "24",

pages = "1570--1581",

journal = "Health Expectations",

issn = "1369-6513",

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T1 - Tools to evaluate medication management for caregivers of people living with dementia

T2 - A systematic review

AU - Gench, Melissa

AU - Sawan, Mouna J.

AU - Langford, Aili

AU - Gnjidic, Danijela

N1 - Funding Information: We would like to thank Roderick Dyson and Yulia Ulyannikova (The University of Sydney Fisher Library) for their assistance with the development of the search strategy. Author Danijela Gnjidic is supported by the National Health and Medical Research Council Dementia Leadership Fellowship (Grant number: 1136849). Funding Information: We would like to thank Roderick Dyson and Yulia Ulyannikova (The University of Sydney Fisher Library) for their assistance with the development of the search strategy. Author Danijela Gnjidic is supported by the National Health and Medical Research Council Dementia Leadership Fellowship (Grant number: 1136849). Publisher Copyright: © 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd.

PY - 2021/10

Y1 - 2021/10

N2 - Background: Caregivers often undertake medication management for people living with dementia without formal training. There is a need to evaluate caregiver medication management practices for people living with dementia to identify and address the key issues that contribute to caregiver burden. Objectives: This study aimed to identify and summarize approaches that evaluate medication management for caregivers of people living with dementia and appraise caregiver's involvement in aspects of medication management. Search Strategy: A systematic search was undertaken in five databases: Medline, Embase, PsycINFO, Scopus and International Pharmaceutical Abstracts. Studies written in English that contained tools and surveys that evaluated aspects of medication management for caregivers of PWD were included. Results: A total of 10 studies were included. Medication selection was assessed in six studies, supply and monitoring/review was captured in seven studies, with administration assessed in nine studies. Caregivers were commonly involved in decision-making for medication changes (77.1%–86.8%) and in the ordering (55.9%–86.0%) and collection (87.0%–92.4%) of medications. Reported caregiver involvement in medication administration showed a wide range (44%–94.7%) between the studies. Challenges in administration were commonly related to polypharmacy and dosage regimen complexity. Conclusions: Current tools capture specific aspects of medication management, with medication administration the most evaluated aspect of medication management. Future research is needed to develop a tool to holistically evaluate the complexities of medication management for caregivers of people living with dementia to minimize adverse events at transitions of care. Public Contribution: From the authors' previous research, caregivers highlighted the need to address key issues in medication management for people living with dementia.

AB - Background: Caregivers often undertake medication management for people living with dementia without formal training. There is a need to evaluate caregiver medication management practices for people living with dementia to identify and address the key issues that contribute to caregiver burden. Objectives: This study aimed to identify and summarize approaches that evaluate medication management for caregivers of people living with dementia and appraise caregiver's involvement in aspects of medication management. Search Strategy: A systematic search was undertaken in five databases: Medline, Embase, PsycINFO, Scopus and International Pharmaceutical Abstracts. Studies written in English that contained tools and surveys that evaluated aspects of medication management for caregivers of PWD were included. Results: A total of 10 studies were included. Medication selection was assessed in six studies, supply and monitoring/review was captured in seven studies, with administration assessed in nine studies. Caregivers were commonly involved in decision-making for medication changes (77.1%–86.8%) and in the ordering (55.9%–86.0%) and collection (87.0%–92.4%) of medications. Reported caregiver involvement in medication administration showed a wide range (44%–94.7%) between the studies. Challenges in administration were commonly related to polypharmacy and dosage regimen complexity. Conclusions: Current tools capture specific aspects of medication management, with medication administration the most evaluated aspect of medication management. Future research is needed to develop a tool to holistically evaluate the complexities of medication management for caregivers of people living with dementia to minimize adverse events at transitions of care. Public Contribution: From the authors' previous research, caregivers highlighted the need to address key issues in medication management for people living with dementia.

KW - caregiver

KW - dementia

KW - medication management

KW - transitions of care

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DO - 10.1111/hex.13318

M3 - Review Article

C2 - 34289214

AN - SCOPUS:85110971220

SN - 1369-6513

VL - 24

SP - 1570

EP - 1581

JO - Health Expectations

JF - Health Expectations

IS - 5

ER -

Tools to evaluate medication management for caregivers of people living with dementia: A systematic review

Abstract

Keywords

UN SDGs

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