Abstract
A priority of recovery after a catastrophic injury, such as traumatic brain injury or spinal cord injury, is independence in management of the condition, including managing medications. Upon returning home from inpatient rehabilitation, persons with catastrophic injuries experience difficulties with independence due to cognitive, physical, or emotional impairments that affect their self-management of health and wellness. Research shows family caregivers have difficulty helping the person understand, obtain, and organize medications after discharge home. In addition, medication adherence is a major clinical problem for persons with catastrophic injuries, with poor medication adherence being related to readmissions and suboptimal outcomes. Yet, limited research has addressed development of effective pre-discharge medication management education to increase post-discharge medication adherence. The purpose of this study was to develop and test the efficacy of a pre-discharge course designed to increase perceived knowledge and perceived confidence for post-discharge medication management for persons with catastrophic injuries and their family caregivers.
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