5PSQ-008 A digital assistant to support patients in preparing medication reconciliation: patient experiences. Issue 1 (23rd March 2023) - Maat, B
Abstract : Background and Importance: Medication reconciliation has become standard care to obtain a complete overview of the current medication of a patient. However, it is time-consuming and labour-intensive. Studies have shown promising results for online medication reconciliation preparation done by patients. Nonetheless, there is a need for enhanced patient support to make this process as simple and effective as possible. Aim and Objectives: To ascertain the experiences of patients using a digital assistant for pre-visit online medication reconciliation. Material and Methods: This study followed a qualitative, descriptive design. In May 2022, rheumatology and neurology outpatients were approached face-to-face by a rheumatologist/neurologist during their visit, if considered capable to participate. They received an information letter explaining the study. Participation was voluntary. After written consent, patients were instructed to use a digital assistant for verifying and complementing their home medication online, after which semi-structured individual interviews were conducted, audio recorded with the participant's permission. Interview data were anonymised and evaluated using inductive thematic analysis according to the method of Braun and Clarke. A waiver was obtained from the regional Medical Ethics Review Committee. Results: Eleven patients were included. The study population comprised 2 men and 9 women with a median age of 64.0 years (interquartile range [IQR] 50.0-70.0). The main themes identified amongst patient experiences were related to usability, method of input, layout, safety, communication, perception and necessity. Advantages patients mentioned were place and time independence, efficiency and increased awareness of their medication use. Limited information technology (IT) skills among elderly was the most frequently mentioned barrier for using the digital assistant. Suggestions for improvement were related to usability of the digital assistant (e.g. larger font style and ascertain that texts fit the device), layout (e.g. provide overview of given answers) and safety (e.g. integrate digital assistant in online hospital environment and explicitly state that patient data are saved in a secure environment), amongst others. The majority of the patients preferred the digital assistant over a medication reconciliation conversation with a pharmacy technician. Conclusion and Relevance: Overall experiences of patients using a digital assistant for medication reconciliation were positive, demonstrating there is potential for the use of a digital assistant in clinical practice. References and/or Acknowledgements: Conflict of Interest: No conflict of interest