Category: Professional Posters
Purpose: Medication non-adherence is an important barrier to achieving optimal clinical outcomes for patients. Healthcare providers can help patients by addressing and resolving factors that contribute to non-adherence. Currently, there is limited data on the methods used to train medical students about medication adherence as well as the effectiveness of using a peer-to-peer educational session to teach medication adherence. In this study, we aim to assess the knowledge, confidence, and attitudes of 1st-year medical students on medication adherence before and after a pharmacy student-led educational session.
Methods: First year medical students from the College of Osteopathic Medicine at Touro University California were invited to participate in one of three educational sessions held in May 2019. A third-year pharmacy student served as a peer educator and received training from Touro University California College of Pharmacy faculty on how to deliver the sessions. Each session took approximately 50 minutes to complete. The session included a pre-presentation survey, a presentation using the American Medical Association (AMA) STEPS Forward™ Medication Adherence module, a presentation on practical approaches to medication adherence, and a post-presentation survey. Survey items included demographics, knowledge, confidence, and attitudes on medication adherence, and attitudes towards the peer-to-peer educational format. Each participant who completed the session received a $10 gift card. Statistical comparisons of pre-presentation and post-presentation knowledge, confidence, and attitudes on medication adherence were made using paired t-test, McNemar’s test, and Wilcoxon signed rank test. Data analysis was conducted using STATA version 14 statistical software (College Station, TX). P-values < 0.05 were considered statistically significant. The study was approved by Touro University California IRB and informed consent was obtained from all subjects.
Results: Of the 135 students invited, 23 students participated in and completed the study (response rate=17%). Medication adherence knowledge scores improved after the education session (77.4 +/- 17.4 vs. 92.2 +/- 10.0; p= < 0.05). Among the five knowledge questions, students improved the most on the question identifying cost as the top reason for intentional non-adherence (p<0.05). Confidence improved after the educational session with all seven questions (p<0.05). Medical students had more positive attitudes towards medication adherence after the educational session, with eight out of ten survey items in this domain showing improvement (p<0.05). Most of the students had a positive attitude towards the peer-to-peer educational format, indicating that they agreed or strongly agreed that it was an effective format to provide education (100%) and they would recommend it to others (95.7%). The students’ opinions of pharmacists were also positive as they indicated on multiple survey items they were more likely to consult about several drug issues (>95%) and medication adherence counseling (100%) after the session.
Conclusion: The pharmacy student-led peer-to-peer educational session was effective in increasing knowledge and confidence in medication adherence among 1st-year medical students. Future medical and pharmacy school programs may wish to incorporate this type of interprofessional activity to encourage collaborative practice.