Evidence mapPaperPMID 40050864Full record

ArticleBMC psychiatry2025

Shared medication coordination in a social psychiatric residence: adaptation to meet local requirements.

Tina Birkeskov Axelsen, Charlotte Arp Sørensen, Anders Lindelof, Mette Spliid Ludvigsen

Abstract read
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Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Tina Birkeskov AxelsenHospital Pharmacy, Central Denmark Region, Palle Juul-Jensens Boulevard 240, Aarhus N, 8200, Denmark. tibiax@clin.au.dk.
Charlotte Arp SørensenHospital Pharmacy, Central Denmark Region, Palle Juul-Jensens Boulevard 240, Aarhus N, 8200, Denmark.
Anders LindelofRegional Psychiatry Randers, Central Denmark Region, Randers, Denmark.
Mette Spliid LudvigsenDepartment of Clinical Medicine, Randers Regional Hospital, Aarhus University, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShared medication coordination (MedCo) is vital yet difficult to manage for residents living with severe mental disorders in residential care, where multidisciplinary teams provide support. A successful Shared MedCo model in one residence included three core components: "shared decision-making," "patient involvement" and "MedCo". This model was effective but transfer to other residential settings needed implementation adaptation. The aim of this study was to meet local MedCo requirements by achieving a good fit between a Shared MedCo intervention core components and a social psychiatric residential context.

methodsThe methodology was guided by a complex intervention adaptation framework involving co-creation with stakeholders to gather iterative feedback. The intervention was adapted through a systematic four-phase process and tested through shared consultations. Ten residents took part in the test, and the intervention's feasibility and acceptability were assessed.

findingsThe adaptation process ensured a good fit between the intervention's core components and the new context. Stakeholder input provided crucial content and contextual insights, while planned adaptations laid the foundation for modulating the individual residence Shared MedCo model. Iterative adaptations during the test phase refined the intervention, leading to near-routine performance by the tenth consultation. Residents gained a stronger voice in their healthcare, and all ten had their medication coordinated and optimised. The intervention was found feasible and acceptable.

conclusionFor effective implementation, complex multidisciplinary Shared MedCo interventions require contextual adaptation and active stakeholder involvement. The shared MedCo intervention offers a guideline for achieving a good fit between the intervention core components and diverse residential contexts, ensuring successful medication coordination for residents living with severe mental disorders.

Indexed as

Decision Making, SharedMental DisordersAdultFemaleHumansMaleMiddle AgedPatient Care TeamPatient ParticipationAdaptationMedication coordinationMental health servicesPatient involvementSevere mental disorderShared decision-makingSocial psychiatric residence

Identifiers

PMID40050864
PMCPMC11887218

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.