Date Presented 04/20/2023

This qualitative descriptive study examined the occupational experiences of medication management for adults with multiple chronic conditions. Results support a multidimensional perspective that expands beyond performance of medication tasks.

Primary Author and Speaker: Amy Lorino

Additional Authors and Speakers: Pamela Talero

PURPOSE: Adults with multiple chronic conditions (MCCs) often face difficulties with medication management affecting their experiences of well-being and illness. The aim of the study was to identify and describe the occupational experiences of medication management and their impact on well-being and illness in adults living with MCCs.

DESIGN: This qualitative descriptive study used document analysis methods.

METHOD: 134 illness narrative blog posts authored by 52 adults aged 18 and older with MCCs were included. Content and thematic analysis of their textual content was based on the Pan Occupational Paradigm.

RESULTS: Medication management is enacted through the dimensions of doing, belonging, becoming, being, and knowing, in an inter-connected, non-linear manner, with a more significant impact on illness than well-being due to the complexities associated with medication management for MCCs.

CONCLUSION: Occupational therapy practices for medication management should consider all occupational dimensions and their impact on health rather than focusing primarily on the performance of medication tasks and routines.

References

Nascimento, Y.A., & Ramalho-de-Oliveira, D. (2021). The subjective experience of using medications: What we know and the paths forward. Pharmacy, 9(50). https://doi.org/10.3390/pharmacy9010050

Hitch, D., Pepin, G., & Stagnitti, K. (2018). The pan occupational paradigm: development and key concepts. Scandinavian Journal of Occupational Therapy, 25(1), 27-34. https://doi.org/10.1080/11038128.2017.1337808

Bowen, G.A. (2009). Document analysis as a qualitative research method. Qualitative Research Journal, 9(2), 27-40. https://doi.org/10.3316/QRJ0902027

Francis, H. Caryer, J., & Wilkinson, J. (2019). Patient expertise: Contested territory in the realm of long-term condition care. Chronic Illness, 15(3). https://doi.org/10.1177/1742395318757853