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Preserving Self: Empowering Older Persons with Multiple Chronic Medical Conditions

Patient Centered Outcomes Research Institute – $49,991
7/1/15 – 10/31/15

The award is designed to allow the research team to implement and disseminate findings from a PCORI-funded research project related to medication taking practices and preferences of older adults with multiple chronic conditions. The purpose of the grant is to broadly disseminate the research findings to empower older persons with multiple chronic health conditions to better engage with healthcare providers and to educate healthcare providers regarding the practices and preferences of older adults who take multiple medications. Deliverables include: (1) development of an educational toolkit for patients in collaboration with relevant stakeholders; (2) presentation of findings at local, regional, and national venues; and (3) publication of findings in key journals.


Health providers of all disciplines need to understand the meaning of medication prescribing and medication taking so that the problem of nonadherence is mollified. This will continue as products from this study are successfully disseminated and suggestions for practice and education are implemented and evaluated. Thus, the final process of analysis, parallaxic praxis, includes the combined insights of all research partners, including patient stakeholders, representative physician, pharmacist and nurse stakeholders, in a comprehensive look at the data and analyses as rendered. (Sameshima & Vandermause, 2009). This step is informed by principles of participatory research (Small, 1995; Israel, et al. 2005) and is a way of enriching (not validating) findings. Perspectives of various stakeholders are, thus, added to participant voices to expand the dialogue. Such summative analyses are compatible with content analysis, interpretive phenomenological approaches and comprise parallaxic praxis. This process was initiated in the pilot project and will be rendered further in this dissemination plan. Our continued work will address the overarching interpretive idea gleaned from this project and already projected: Preserving Self: Living with Chronic Conditions/Being with Health Care Providers.

Our dissemination approach will, in turn, be two-fold:

  1. Engage stakeholders to translate our findings into a Toolkit for presentation to older adults with multiple chronic medical conditions to empower them to better engage their health providers; and
  2. Disseminate our pilot project findings to healthcare professionals via manuscript publications and local presentations.

Primary Investigator

Joshua Neumiller, PharmD