FEASIBILITY OF A PHONE-BASED MOTIVATIONAL INTERVIEWING INTERVENTION TO IMPROVE MEDICATION ADHERENCE BY PHARMACY STUDENTS ON ADVANCED PHARMACY PRACTICE EXPERIENCE ROTATION IN A MEDICARE ADVANTAGE WITH PRESCRIPTION DRUG PLAN
Author(s)
Abughosh S1, Wang X1, Serna O2, Esse TW2, Fleming ML1
1University of Houston, Houston, TX, USA, 2Cigna HealthSpring, Houston, TX, USA
OBJECTIVES: To demonstrate the feasibility of implementing a telephone intervention by pharmacy students trained in MI to improve adherence in a Texas MAPDP. METHODS: A 3 day-MI training was provided to pharmacy students with rotations at the MAPDP between June, 2015 and March, 2016 by a certified MI trainer. Student proficiency with MI skills, like expressing empathy, using reflective listening, and eliciting change was evaluated by the trainer using a 7-point likert scale. The health plan data was used to identify patients on ACE/ARBS with diabetes and hypertension diagnoses. Patients with a 6-month PDC <0.8 were considered non-adherent and randomized in a 3:1 ratio to intervention and control group. The intervention was a telephone call by trained students and 5 monthly follow-up calls to identify and address adherence barriers. RESULTS: In total, 11 students attended the training. Mean scores of evaluations indicated the average use of MI techniques by students. A total of 5,851 non-adherent patients were randomized. Patients receiving call were randomly selected from those randomized to intervention arm (n=4,389) until reaching a target of 250 patients. Initial calls were completed between June 22 and October 29, 2015. In total, 2146 initial calls were attempted and 315 (14.6%) were successful. On average, 18 successful calls were made per week by 2 pharmacy students. Average length of initial call was approximately 12 minutes. Main reasons for unsuccessful calls included: 108 (5.03%) call back requested, 220 (10.25%) declined, 465 (21.67%) left voicemail, 504 (23.48%) no answer, 128 (5.96%) dis-enrolled, 240 (11.18%) wrong /disconnected number. Additionally, 198/286 second and 54/84 third follow up calls were made successfully. Fourth and fifth follow up calls are ongoing until March 31, 2016. CONCLUSIONS: The telephone-based MI intervention by students was feasible and well received by patients. Adherence improvements will be further investigated upon completion of ongoing follow-up calls.
Conference/Value in Health Info
2016-05, ISPOR 2016, Washington DC, USA
Value in Health, Vol. 19, No. 3 (May 2016)
Code
PDB53
Topic
Patient-Centered Research
Topic Subcategory
Adherence, Persistence, & Compliance
Disease
Diabetes/Endocrine/Metabolic Disorders