Facilitators and barriers to medication self-management for patients with multiple long-term conditions transitioning from hospital to home
Background: Being a patient with multiple long-term conditions (MLTCs) often entails a need for complex medication treatment, which poses a challenge to medication self-management. Medication self-management during transition of care is often hindered by challenges such as inadequate communication,...
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Elsevier
2025-06-01
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| Series: | Exploratory Research in Clinical and Social Pharmacy |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667276625000393 |
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| author | Malin Olsen Syversen Mikas Glatkauskas Liv Mathiesen Marianne Lea Berit Gallefoss Denstad Karin Svensberg |
| author_facet | Malin Olsen Syversen Mikas Glatkauskas Liv Mathiesen Marianne Lea Berit Gallefoss Denstad Karin Svensberg |
| author_sort | Malin Olsen Syversen |
| collection | DOAJ |
| description | Background: Being a patient with multiple long-term conditions (MLTCs) often entails a need for complex medication treatment, which poses a challenge to medication self-management. Medication self-management during transition of care is often hindered by challenges such as inadequate communication, which increases the risk of medication errors and adverse outcomes. Aim: Identify facilitators and barriers to medication self-management for patients with MLTCs transitioning from hospital to home. Methods: Semi-structured interviews were conducted in patient's homes 1–2 weeks after hospital discharge. Interviews were transcribed and analysed by qualitative deductive content analysis using the Taxonomy of Every Day Self-management Strategies (TEDSS) framework. The data collection continued until enough information power and meaning saturation was reached. Results: Twenty-one patients and three next of kin participated. Numerous facilitators and barriers to medication self-management were identified within all seven TEDSS domains, which varied extensively between individuals. Resource and process strategies were the most frequently discussed domains, while health behaviour and social interaction strategies were less frequently discussed. Key facilitators identified were access to resources that support medication self-management and knowing the medication's purpose. Key barriers included patients perceiving medications as burdensome or not recognising the importance of their medications. Conclusions: This study highlights the complex and wide spectre of facilitators and barriers to medication self-management for patients with MLTCs transitioning from hospital to home. In clinical practice, patients' medication self-management could be supported through a holistic approach adapted to the individual patient's daily life, including improved care coordination and patient empowerment. |
| format | Article |
| id | doaj-art-d776e2294f3040e2872be43e6750e014 |
| institution | OA Journals |
| issn | 2667-2766 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Exploratory Research in Clinical and Social Pharmacy |
| spelling | doaj-art-d776e2294f3040e2872be43e6750e0142025-08-20T01:51:04ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662025-06-011810059810.1016/j.rcsop.2025.100598Facilitators and barriers to medication self-management for patients with multiple long-term conditions transitioning from hospital to homeMalin Olsen Syversen0Mikas Glatkauskas1Liv Mathiesen2Marianne Lea3Berit Gallefoss Denstad4Karin Svensberg5Department of Pharmacy, Section for Pharmacology and Pharmaceutical Biosciences, University of Oslo, Oslo, Norway; Corresponding author at: Gydas vei 8, 0363 Oslo, Norway.Department of Pharmacy, Section for Pharmacology and Pharmaceutical Biosciences, University of Oslo, Oslo, NorwayDepartment of Pharmacy, Section for Pharmacology and Pharmaceutical Biosciences, University of Oslo, Oslo, NorwayDepartment of Pharmacy, Section for Pharmacology and Pharmaceutical Biosciences, University of Oslo, Oslo, Norway; Department of Pharmaceutical Services, Oslo Hospital Pharmacy, Hospital Pharmacies Enterprise, South-Eastern Norway, Oslo, NorwayUsers representative, Lillehammer, NorwayDepartment of Pharmacy, Uppsala University, Uppsala, SwedenBackground: Being a patient with multiple long-term conditions (MLTCs) often entails a need for complex medication treatment, which poses a challenge to medication self-management. Medication self-management during transition of care is often hindered by challenges such as inadequate communication, which increases the risk of medication errors and adverse outcomes. Aim: Identify facilitators and barriers to medication self-management for patients with MLTCs transitioning from hospital to home. Methods: Semi-structured interviews were conducted in patient's homes 1–2 weeks after hospital discharge. Interviews were transcribed and analysed by qualitative deductive content analysis using the Taxonomy of Every Day Self-management Strategies (TEDSS) framework. The data collection continued until enough information power and meaning saturation was reached. Results: Twenty-one patients and three next of kin participated. Numerous facilitators and barriers to medication self-management were identified within all seven TEDSS domains, which varied extensively between individuals. Resource and process strategies were the most frequently discussed domains, while health behaviour and social interaction strategies were less frequently discussed. Key facilitators identified were access to resources that support medication self-management and knowing the medication's purpose. Key barriers included patients perceiving medications as burdensome or not recognising the importance of their medications. Conclusions: This study highlights the complex and wide spectre of facilitators and barriers to medication self-management for patients with MLTCs transitioning from hospital to home. In clinical practice, patients' medication self-management could be supported through a holistic approach adapted to the individual patient's daily life, including improved care coordination and patient empowerment.http://www.sciencedirect.com/science/article/pii/S2667276625000393Self-managementMedication therapy managementHospital to home transitionMultiple chronic conditionsFacilitators and barriers |
| spellingShingle | Malin Olsen Syversen Mikas Glatkauskas Liv Mathiesen Marianne Lea Berit Gallefoss Denstad Karin Svensberg Facilitators and barriers to medication self-management for patients with multiple long-term conditions transitioning from hospital to home Exploratory Research in Clinical and Social Pharmacy Self-management Medication therapy management Hospital to home transition Multiple chronic conditions Facilitators and barriers |
| title | Facilitators and barriers to medication self-management for patients with multiple long-term conditions transitioning from hospital to home |
| title_full | Facilitators and barriers to medication self-management for patients with multiple long-term conditions transitioning from hospital to home |
| title_fullStr | Facilitators and barriers to medication self-management for patients with multiple long-term conditions transitioning from hospital to home |
| title_full_unstemmed | Facilitators and barriers to medication self-management for patients with multiple long-term conditions transitioning from hospital to home |
| title_short | Facilitators and barriers to medication self-management for patients with multiple long-term conditions transitioning from hospital to home |
| title_sort | facilitators and barriers to medication self management for patients with multiple long term conditions transitioning from hospital to home |
| topic | Self-management Medication therapy management Hospital to home transition Multiple chronic conditions Facilitators and barriers |
| url | http://www.sciencedirect.com/science/article/pii/S2667276625000393 |
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