Consumer Involvement in the Design and Development of Medication Safety Interventions or Services in Primary Care: A Scoping Review

ABSTRACT Introduction Medication‐related problems remain a significant burden despite the availability of various interventions and services in primary care. Involving health care consumers to design interventions or services across health disciplines is becoming more widely used as this type of eng...

Full description

Saved in:
Bibliographic Details
Main Authors: Megan DelDot, Esther Lau, Nicole Rayner, Jean Spinks, Fiona Kelly, Lisa Nissen
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Health Expectations
Subjects:
Online Access:https://doi.org/10.1111/hex.70092
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850229346260746240
author Megan DelDot
Esther Lau
Nicole Rayner
Jean Spinks
Fiona Kelly
Lisa Nissen
author_facet Megan DelDot
Esther Lau
Nicole Rayner
Jean Spinks
Fiona Kelly
Lisa Nissen
author_sort Megan DelDot
collection DOAJ
description ABSTRACT Introduction Medication‐related problems remain a significant burden despite the availability of various interventions and services in primary care. Involving health care consumers to design interventions or services across health disciplines is becoming more widely used as this type of engagement reportedly leads to more accessible, acceptable and sustainable health services and quality of life. We conducted a scoping review to examine when and how consumers have been involved in the design and development of medication safety interventions or services within the primary care. Methods We searched five key databases (MEDLINE (EBSCOhost), CINAHL (EBSCOhost), PsycINFO (EBSCOhost), Embase (Elsevier) and Cochrane Library (Wiley)) for relevant articles published up to February 2024. Studies were included if they involved adult consumers (≥ 18 years), their families, carers or the wider community as stakeholders. This review only included studies where the aim was to improve safe and effective medication use, delivered exclusively in primary care. To examine consumer involvement approaches and methods we adapted a framework describing the stages of consumer involvement for the data extraction tool. Results Overall, 15 studies were included (comprising 24 articles). Codesign, experience‐based codesign, coproduction and participatory action research were commonly used approaches. Meetings, interviews, surveys/questionnaires were commonly used methods. Two studies reported consumer involvement across all stages of the research study, and only one study described the consumer experience of being involved in the research process. The impact of consumer involvement on the effectiveness of these services or interventions was mixed. Conclusion The potential benefits of consumer involvement in the design and development of medication safety interventions or services may not have been fully maximised, given that genuine consumer involvement across all stages of the research study appears uncommon. More transparent and consistent reporting around the description of consumers involved, their experience of being involved and overall impact and quality of consumer participation is needed. Patient or Public Contribution This scoping review was undertaken without consumers, patients, service users, caregivers or people with lived experience or members of the public due to resource limitations. This scoping review was undertaken and written by academics, who have undertaken codesign with consumers and stakeholders and also have personal lived experience of medication‐related problems.
format Article
id doaj-art-16740f2db2c54f9c80775e812d48491d
institution OA Journals
issn 1369-6513
1369-7625
language English
publishDate 2024-12-01
publisher Wiley
record_format Article
series Health Expectations
spelling doaj-art-16740f2db2c54f9c80775e812d48491d2025-08-20T02:04:15ZengWileyHealth Expectations1369-65131369-76252024-12-01276n/an/a10.1111/hex.70092Consumer Involvement in the Design and Development of Medication Safety Interventions or Services in Primary Care: A Scoping ReviewMegan DelDot0Esther Lau1Nicole Rayner2Jean Spinks3Fiona Kelly4Lisa Nissen5School of Pharmacy The University of Queensland Brisbane Queensland AustraliaSchool of Pharmacy The University of Queensland Brisbane Queensland AustraliaLibrary, The University of Queensland Brisbane Queensland AustraliaCentre for the Business and Economics of Health The University of Queensland Brisbane Queensland AustraliaSchool of Pharmacy and Medical Sciences Griffith University Gold Coast Queensland AustraliaSchool of Pharmacy The University of Queensland Brisbane Queensland AustraliaABSTRACT Introduction Medication‐related problems remain a significant burden despite the availability of various interventions and services in primary care. Involving health care consumers to design interventions or services across health disciplines is becoming more widely used as this type of engagement reportedly leads to more accessible, acceptable and sustainable health services and quality of life. We conducted a scoping review to examine when and how consumers have been involved in the design and development of medication safety interventions or services within the primary care. Methods We searched five key databases (MEDLINE (EBSCOhost), CINAHL (EBSCOhost), PsycINFO (EBSCOhost), Embase (Elsevier) and Cochrane Library (Wiley)) for relevant articles published up to February 2024. Studies were included if they involved adult consumers (≥ 18 years), their families, carers or the wider community as stakeholders. This review only included studies where the aim was to improve safe and effective medication use, delivered exclusively in primary care. To examine consumer involvement approaches and methods we adapted a framework describing the stages of consumer involvement for the data extraction tool. Results Overall, 15 studies were included (comprising 24 articles). Codesign, experience‐based codesign, coproduction and participatory action research were commonly used approaches. Meetings, interviews, surveys/questionnaires were commonly used methods. Two studies reported consumer involvement across all stages of the research study, and only one study described the consumer experience of being involved in the research process. The impact of consumer involvement on the effectiveness of these services or interventions was mixed. Conclusion The potential benefits of consumer involvement in the design and development of medication safety interventions or services may not have been fully maximised, given that genuine consumer involvement across all stages of the research study appears uncommon. More transparent and consistent reporting around the description of consumers involved, their experience of being involved and overall impact and quality of consumer participation is needed. Patient or Public Contribution This scoping review was undertaken without consumers, patients, service users, caregivers or people with lived experience or members of the public due to resource limitations. This scoping review was undertaken and written by academics, who have undertaken codesign with consumers and stakeholders and also have personal lived experience of medication‐related problems.https://doi.org/10.1111/hex.70092consumerconsumer engagementconsumer involvementconsumer participationmedication safetypatient and public involvement
spellingShingle Megan DelDot
Esther Lau
Nicole Rayner
Jean Spinks
Fiona Kelly
Lisa Nissen
Consumer Involvement in the Design and Development of Medication Safety Interventions or Services in Primary Care: A Scoping Review
Health Expectations
consumer
consumer engagement
consumer involvement
consumer participation
medication safety
patient and public involvement
title Consumer Involvement in the Design and Development of Medication Safety Interventions or Services in Primary Care: A Scoping Review
title_full Consumer Involvement in the Design and Development of Medication Safety Interventions or Services in Primary Care: A Scoping Review
title_fullStr Consumer Involvement in the Design and Development of Medication Safety Interventions or Services in Primary Care: A Scoping Review
title_full_unstemmed Consumer Involvement in the Design and Development of Medication Safety Interventions or Services in Primary Care: A Scoping Review
title_short Consumer Involvement in the Design and Development of Medication Safety Interventions or Services in Primary Care: A Scoping Review
title_sort consumer involvement in the design and development of medication safety interventions or services in primary care a scoping review
topic consumer
consumer engagement
consumer involvement
consumer participation
medication safety
patient and public involvement
url https://doi.org/10.1111/hex.70092
work_keys_str_mv AT megandeldot consumerinvolvementinthedesignanddevelopmentofmedicationsafetyinterventionsorservicesinprimarycareascopingreview
AT estherlau consumerinvolvementinthedesignanddevelopmentofmedicationsafetyinterventionsorservicesinprimarycareascopingreview
AT nicolerayner consumerinvolvementinthedesignanddevelopmentofmedicationsafetyinterventionsorservicesinprimarycareascopingreview
AT jeanspinks consumerinvolvementinthedesignanddevelopmentofmedicationsafetyinterventionsorservicesinprimarycareascopingreview
AT fionakelly consumerinvolvementinthedesignanddevelopmentofmedicationsafetyinterventionsorservicesinprimarycareascopingreview
AT lisanissen consumerinvolvementinthedesignanddevelopmentofmedicationsafetyinterventionsorservicesinprimarycareascopingreview