Effect of Occupational Therapy in Promoting Medication Adherence

The purpose of this study is to determine whether the addition of an occupational therapy intervention to counseling by a clinical pharmacist (current usual care) compared to counseling by a clinical pharmacist only, will affect three‐month medication adherence rates among community‐dwelling adults with uncontrolled hypertension and/or diabetes. To meet this purpose, the following objectives will be addressed: 1. to determine if the addition of the delivery of an occupational therapy intervention (specifically the Integrative Self‐Management Intervention) to usual care improves three‐month medication adherence rates, as measured by the Adherence to Refills and Medication Scale (ARMS‐7), pill count, blood pressure and/or hemoglobin A1c. 2. to determine whether the administration of the occupational therapy intervention in addition to usual care influences an individual's readiness for change as measured by the stages of change measure; and 3. to explore whether participant demographics (e.g., gender, age, race/ethnicity, assist at home, co‐morbidities, and number of medications) impact three‐month medication adherence rates.