{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T14:11:34Z","timestamp":1778940694297,"version":"3.51.4"},"reference-count":59,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["OTJR: Occupational Therapy Journal of Research"],"abstract":"<jats:p>\n                    Interventions to address polypharmacy and improve adherence are insufficient for community-dwelling older adults. To examine the feasibility, acceptability, and preliminary efficacy of a tailored medication management intervention (TIMM) to decrease inappropriate polypharmacy and improve medication management in community-dwelling older adults. We completed a single-blind, parallel-group randomized controlled trial. The intervention group received TIMM, including a comprehensive medication review by a pharmacist and an in-home intervention by an occupational therapist. About 78.8% of participants completed the study (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 26). TIMM participants adhered to treatment recommendations from the occupational therapist (94%) and pharmacist (58%). At 6 months, TIMM participants experienced a significant reduction in medication management barriers (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .01) and improvement in performance (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .01). No significant differences were found between groups in reducing inappropriate medications (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .302) or adherence (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .458). TIMM is a feasible and acceptable intervention for community-dwelling older adults. It reduces barriers to medication management and improves medication management.\n                  <\/jats:p>","DOI":"10.1177\/15394492261442163","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T12:09:14Z","timestamp":1778760554000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility, Acceptability, and Preliminary Efficacy of a Medication Intervention for Older Adults"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2843-9640","authenticated-orcid":false,"given":"Emily","family":"Somerville","sequence":"first","affiliation":[{"name":"Washington University in St. Louis, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1931-8372","authenticated-orcid":false,"given":"Rebecca M.","family":"Bollinger","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan","family":"Haxton","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brianna","family":"Holden","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szu-Wei","family":"Chen","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Audrey","family":"Keleman","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Behnaz","family":"Sarrami","sequence":"additional","affiliation":[{"name":"Missouri Pharmacogenomics Consulting, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Yan","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2816-7158","authenticated-orcid":false,"given":"Susan","family":"Stark","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Abshire M. 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