Improving medication adherence

by Emily Kastner
Master of Communication in Digital Media

From the first time they meet, doctors, patients, and caregivers must partner to effectively manage health. Yet during consultations, low health literacy and high stress can prevent patients from meaningfully engaging with topics that are inherently difficult for doctors to simplify. According to industry literature, patients immediately forget 40-80% of the critical information doctors share. This inability to communicate and comprehend contributes to the medication non-adherence, which results in hundreds of billions of dollars in excess annual costs for the healthcare system. In approaching this challenge, I considered, “How might communication strategies/methodologies support patients and caregivers exhibiting high stress to improve the retention of care directives, and increase associated medication adherence?”

The solution I proposed innovates at the intersection of stress, communication, comprehension, and adherence. Research has shown physicians who increase demonstrated empathy and understanding through encouraging speech can also increase patient recall and decrease patient anxiety.

I created “Sociable Health,” a digital experience and related clinical protocol designed to empower patients/caregivers and educate healthcare providers. The patient experience provides encouragement, while the provider experience aggregates some of the most innovative communication strategies shared by other doctors and researchers. The patient/caregiver and provider lessons are distilled into bite-sized nuggets that could be reviewed over morning coffee or between appointments.

Patient Profile ScreenDoctor Cue Card Screen

The clinical protocol begins by leveraging the 19 minutes patients wait, on average, to see a doctor. At check-in, a patient is given the Quick Check card. The card can be completed in as few as 2 minutes. The patient is asked to bring it back to the desk when finished. The card is added to the file with other materials the doctor will review during the visit. It can be intimidating for patients and caregivers to communicate health concerns during an appointment, especially when anxious or uncertain. The Quick Check card gives patients, caregivers, and doctors a common structure to kick-start the conversation.

Patient Behavior Screen

Before leaving the patient to wait for the doctor’s arrival, the nurse presents an iPad with the Sociable Health digital experience open. The patient is asked to read or listen to the lessons while waiting for the doctor. After the visit, the patient is given a Reminder Card to finish the exercises at home. The day after the appointment, the patient is sent a reminder email.

Sociable Health provides a framework that builds confidence in patients and caregivers, while encouraging empathy in physicians. This creates the foundation for more effective communication. If submitted to, and approved by, the Accreditation Council for Continuing Medical Education (ACCME), the communication training offered by Sociable Health could count toward medical continuing education credits for providers.

Megan JefferyImproving medication adherence
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