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Med Ed : Making sense of medication
A reflective exercise…A reflective exercise…
In your practice: Do you work with youth who take medications? Do you feel that youth have enough information
about their medications? Are you asked to find information about
medications for your clients?
Today’s presentationToday’s presentation
Background and context Resource development Description Using Med Ed Training Evaluation Next steps
Background and contextBackground and context Youth taking psychotropic
medications often do not know enough about these medications
Youth-oriented materials are very hard to find
Most resources don’t work to promote dialogue between youth, caregivers, and health providers
Resource DevelopmentResource Development
The teamThe team
Developers2 pharmacists (Drs. Andrea Murphy and David Gardner)
1 psychiatrist (Dr. Stan Kutcher)
PartnersThe Provincial Centre of Excellence for Child and Youth Mental Health at CHEO(Drs. Ian Manion and Simon Davidson)
Other key peopleOther key people
Youth with mental illnesses Clinicians Graphic designer Plain language consultant Expert review panel
(Ontario) Legal consultation
Revisions Stakeholder
feedback
Revisions Stakeholder
feedback
Basic booklet template
Developing the contentDeveloping the content
1. Order of information
2. Style (font, size, graphics)
3. “Medicaleze”
4. Illustrations
5. Written at a grade 6 level
6. Concise, bulleted format
7. Consistent design and information
Description of Med EdDescription of Med Ed
The bookletThe booklet
Content rich Three main sections:
• Frequently asked questions (FAQs)
• Tools and checklists• Glossary
The passportThe passport
Portable, concealable Full of tools A companion to the booklet Abbreviated sections
• FAQs• Checklists
Med Ed ContentMed Ed Content
Contact informationContact information
General information and disclaimersGeneral information and disclaimers
Legal rights regarding meds in OntarioLegal rights regarding meds in Ontario
Q: What information should be provided to
me about my treatment?
Q: I consented to treatment, but now I’ve
changed my mind. What should I do?
FAQsFAQs Q: How long do I need to take this medication?
Q: Will taking this medication affect my relationship with my boyfriend/girlfriend?
Q: Everyone keeps talking about side
effects – what are they?
Med Ed information boxesMed Ed information boxes
Table of medicationsTable of medicationsClasses of drugs
Anti-anxiety and sleep medications
Common group namesBenzodiazapines
AntihistaminesAntidepressants
Common examplesGeneric nameTrade name
Side effectsSide effects
Med Ed ToolsMed Ed Tools
ChecklistsChecklists
Designed to support communication between clients and care providers
Lists questions to ask prescriber and pharmacist
Includes space to make notes
Checklist DocChecklist Doc
What is this medication for?
Should I avoid any foods or alcohol?
What are my other treatment options?
What should I do if I have an emergency?
TrackersTrackers
Also includes…Also includes…Medication listAppointments Notes pageGlossary
Med Ed PassportMed Ed Passport
Includes: FAQs Tools Trackers Medication list Appointments
Med Ed TrainingMed Ed Training Train-the-trainer model 19 trained Champions from across the
province in a range of roles, mostly in residential treatment facilities
Champions are currently providing training within their organizations
Ongoing support is provided to Champions via web portal and regular teleconferences
Med Ed evaluationMed Ed evaluation Focus
• Effectiveness of training, utility of tool for end-users
Sources• Champions, trained service providers, end-users
(youth and caregivers)
Methods • Questionnaires, telephone interviews
Preliminary findings related to trainingPreliminary findings related to trainingN Mean (/6)
The Med-Ed tool is easy to learn. 74 5.55
It is easy to use. 74 5.45
It is useful for decision-making for children and youth on psychotropic medications.
72 5.33
I can find the time to disseminate the Med-Ed tools.
73 4.90
It is too much trouble to apply. 74 2.26
It is consistent with other initiatives in our organization.
71 4.70
Preliminary findings related to the toolPreliminary findings related to the toolA good resource to help clients take ownership of their treatment…
Just a great way to engage kids in their health care…
This is a great idea and instrument with many possibilities…
…very informative for my every day administering of meds…(helps me to) recognize my need to do more reviews on clients' meds…
Evaluation next stepsEvaluation next steps• Continue to analyze data from new round
of champions and the service providers they train.
• Conduct and analyze semi-structured interviews with service providers, parents/caregivers, and youth.
Med Ed in your practice settingMed Ed in your practice setting
Just because Med Ed is available doesn’t mean it will be used
A number of variables influence whether or not health care innovations are adopted
Small group exerciseSmall group exercise What factors may influence the
uptake of Med Ed in your practice setting?
What are the barriers? What are the facilitators? What strategies can be used to
overcome barriers and capitalize on facilitators?
Next steps…Next steps…
Continued evaluation Second round of Champion training Planning for future dissemination
Purnima Sundar, PhDResearch and Knowledge Exchange Consultant
613.737.7600 ext. [email protected]
For more information:For more information:
