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dc.contributor.authorCusanno, Brianna R.
dc.contributor.authorDean, Marleah
dc.contributor.authorSilva, Vesta T.
dc.date.accessioned2021-10-19T20:13:21Z
dc.date.available2021-10-19T20:13:21Z
dc.date.issued2021-05-04
dc.identifier.citationBrianna R. Cusanno, Marleah Dean & Vesta T. Silva (2021) “I’m Worth Saving”: Making Sense of Medication Taking in a Care Coordination Organization, Health Communication, DOI: 10.1080/10410236.2021.1920713en_US
dc.identifier.issn1532-7027
dc.identifier.urihttps://dspace.allegheny.edu/handle/10456/54510
dc.description.abstractPatients and healthcare providers (HCPs) may communicatively make sense of medication taking in divergent ways. Often, HCPs prioritize medication adherence, the extent to which patients consume medications as prescribed. In contrast, patients may focus on how medications fit in with their everyday lives. Care coordination organizations (CCOs) provide cohesive, interdisciplinary, health services to chronically ill patients and may help bridge the gap between patient and HCP sensemaking. Our qualitative study asked: How do patients and HCPs involved in a CCO communicatively make sense of medication taking? Through thematic analysis, we found three themes related to patients’ sensemaking. Patients (N = 9) made sense of medication taking (1) as necessary and important through embodied experiences, social discourses, and interpersonal interactions; (2) as easy when supported; and (3) through building bonds. We also found three themes related to HCPs’ sensemaking: HCP participants (N = 5) made sense of medication taking (1) through dialogue with patients; (2) by interacting in patients’ home spaces; and (3) through building relationships with patients. Our final theme explores how communicative sensemaking became more complicated for participants in the context of psychotropic medications. Using Mishler’s Voice of the Lifeworld (VoL) and Weick’s sensemaking, we advance a constitutive perspective on medication taking. We suggest that researchers and HCPs should focus on constructing shared meanings about medication taking through dialogue, rather than on increasing adherence. Our study provides evidence that, by promoting engagement with the VoL, CCOs may facilitate such dialogs.en_US
dc.language.isoen_USen_US
dc.publisherRoutledgeen_US
dc.relation.ispartofHealth Communicationen_US
dc.relation.isversionofhttps://www.tandfonline.com/doi/full/10.1080/10410236.2021.1920713en_US
dc.rights© Routledge 2021. All Rights Reserveden_US
dc.title“I’m Worth Saving”: Making Sense of Medication Taking in a Care Coordination Organizationen_US
dc.description.versionPublished articleen_US
dc.contributor.departmentCommunication Arts & Theatreen_US
dc.identifier.doi10.1080/10410236.2021.1920713
dc.contributor.avlauthorSilva, Vesta T.


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