Home-based medication safety: constructing health education for community-dwelling older adults with chronic diseases in China
Background Chinese older adults with chronic diseases often require long-term medication use. While medication safety education can improve health outcomes and mitigate risks, existing programs lack systematic and comprehensive frameworks. This study aimed to develop Delphi-based consensus content t...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2025.2522978 |
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| author | Yuting Yang Yongwei Yang Miao Yao Ting Lin |
| author_facet | Yuting Yang Yongwei Yang Miao Yao Ting Lin |
| author_sort | Yuting Yang |
| collection | DOAJ |
| description | Background Chinese older adults with chronic diseases often require long-term medication use. While medication safety education can improve health outcomes and mitigate risks, existing programs lack systematic and comprehensive frameworks. This study aimed to develop Delphi-based consensus content to enhance home-based medication safety education for this population.Methods A two-round Delphi study was conducted from June to August 2022 with 16 experts in clinical medicine and pharmacy (87.50% holding senior professional titles). Expertise levels included four experts with >10 years, five with >20 years, and seven with >30 years of experience. Using the WHO’s 5 Moments for Medication Safety framework, a three-part questionnaire was designed: (a) sociodemographics; (b) expert familiarity and importance ratings of indicators; (c) evaluation form for home-based medication safety education. Key metrics included response rates, expert authority coefficient (Cr), coefficient of variation (CV), and Kendall’s W for consensus.Results Response rates were 80.00% (Round 1) and 100% (Round 2), meeting validity thresholds. High expert authority was demonstrated (Cr: 0.917 and 0.933). Consensus improved across rounds (CV: 0.22 and 0.13; Kendall’s W: 0.354 and 0.257, both p < 0.001). After iterative revisions and panel discussions, a finalized system comprising five first-level and 22 second-level items was established.Conclusion We specially designed a content system for medication safety education for older adults. Future researchers could focus on implementing this content system to provide medication safety education for patients. |
| format | Article |
| id | doaj-art-26d9cda1a235457bbc9c9b15e066c4a3 |
| institution | DOAJ |
| issn | 0785-3890 1365-2060 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj-art-26d9cda1a235457bbc9c9b15e066c4a32025-08-20T03:16:17ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2025.2522978Home-based medication safety: constructing health education for community-dwelling older adults with chronic diseases in ChinaYuting Yang0Yongwei Yang1Miao Yao2Ting Lin3Nursing Department, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, ChinaThe School of Nursing, Fujian Medical University, Fuzhou, Fujian, ChinaThe School of Nursing, Fujian Medical University, Fuzhou, Fujian, ChinaThe School of Nursing, Fujian Medical University, Fuzhou, Fujian, ChinaBackground Chinese older adults with chronic diseases often require long-term medication use. While medication safety education can improve health outcomes and mitigate risks, existing programs lack systematic and comprehensive frameworks. This study aimed to develop Delphi-based consensus content to enhance home-based medication safety education for this population.Methods A two-round Delphi study was conducted from June to August 2022 with 16 experts in clinical medicine and pharmacy (87.50% holding senior professional titles). Expertise levels included four experts with >10 years, five with >20 years, and seven with >30 years of experience. Using the WHO’s 5 Moments for Medication Safety framework, a three-part questionnaire was designed: (a) sociodemographics; (b) expert familiarity and importance ratings of indicators; (c) evaluation form for home-based medication safety education. Key metrics included response rates, expert authority coefficient (Cr), coefficient of variation (CV), and Kendall’s W for consensus.Results Response rates were 80.00% (Round 1) and 100% (Round 2), meeting validity thresholds. High expert authority was demonstrated (Cr: 0.917 and 0.933). Consensus improved across rounds (CV: 0.22 and 0.13; Kendall’s W: 0.354 and 0.257, both p < 0.001). After iterative revisions and panel discussions, a finalized system comprising five first-level and 22 second-level items was established.Conclusion We specially designed a content system for medication safety education for older adults. Future researchers could focus on implementing this content system to provide medication safety education for patients.https://www.tandfonline.com/doi/10.1080/07853890.2025.2522978AgedconstructionDelphihealth educationmedication safety |
| spellingShingle | Yuting Yang Yongwei Yang Miao Yao Ting Lin Home-based medication safety: constructing health education for community-dwelling older adults with chronic diseases in China Annals of Medicine Aged construction Delphi health education medication safety |
| title | Home-based medication safety: constructing health education for community-dwelling older adults with chronic diseases in China |
| title_full | Home-based medication safety: constructing health education for community-dwelling older adults with chronic diseases in China |
| title_fullStr | Home-based medication safety: constructing health education for community-dwelling older adults with chronic diseases in China |
| title_full_unstemmed | Home-based medication safety: constructing health education for community-dwelling older adults with chronic diseases in China |
| title_short | Home-based medication safety: constructing health education for community-dwelling older adults with chronic diseases in China |
| title_sort | home based medication safety constructing health education for community dwelling older adults with chronic diseases in china |
| topic | Aged construction Delphi health education medication safety |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2025.2522978 |
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