Tools to Assess Self Administration of Medication

Medi-Cog

The Medi-Cog is a 7-minute tool, which can be used by healthcare providers to assess cognitive literacy and pillbox skills in order to optimize medication safety.  The tool is a combination of the Mini-Cog©, a validated cognitive screen, and the Medication Transfer Screen (MTS), a pillbox skills test. This tool was developed by Katherine Anderson, PharmD.

  • Medi-Cog Presentation [PDF]
    This presentation describes the purpose, methods, and origin of the Medi-Cog.  It includes a pre- and post-test with answers, background information on medication safety, and examples of the Mini-Cog©, MTS and Medi-Cog.
  • Medi-Cog [PDF]
    This blank Medi-Cog form includes instructions for proper administration and scoring.
  • Medi-Cog Example[PDF]
    This completed Medi-Cog form is an example assessment that includes scoring. 

Medication Management Instrument for Deficiencies on the Elderly (MedMaIDE™)

The MedMaIDE™ tool is used to assess the ability to self-administer medications within the aging population.  It examines how much the person knows about their medications, if they know how to take their medications, and if they know how to procure their medications.  The tool also provides a section for the individual’s complete medication list. This tool was developed by Denise Orwig, PhD, Nicole Brandt, PharmD, and Ann Gruber-Baldini, PhD.

  • MedMaIDEā„¢ [PDF]
    This blank MedMaIDE™ form includes scoring instructions, contacts, and references.
  •  Reference article on testing MedMaIDE™ within the community:
    Orwig D, Brandt N, Gruber Baldini A. Medication management assessment for older adults in the community. Gerontologist, The. 2006;46(5):661-8. 

Drug Regimen Unassisted Grading Scale (DRUGS)

The DRUGS tool uses a performance-based measurement to assess the individual’s ability to identify, access, and determine the dosage and timing of their medications. This tool may take about 35 minutes to administer, and is preferred for higher-functioning, community dwelling individuals. This tool was developed by Helen Edelberg, MD, Elizabeth Shallenberger, RN MBA, and Jeanne Wei, MD PhD.

  • Reference:
    Edelberg HK, Shallenberger E, Wei JY.  Medication management capacity in highly functioning community-living older adults: detection of early deficits. J Am Geriatr Soc. 1999 May;47(5):592-6

Self-Administration of Medication (SAM)

The SAM tool was developed by E. Manias, RN MPharm PhD,  C. J. Beanland, RN PhD, R. G. Riley, RN PhD, and A. M. Hutchinson, RN PhD. This tool appears in tables 4 and 5 of the referenced article and is used while the individual is in the hospital to assess medication management.  It is a valid and reliable tool that contains 24 items to determine the individual’s ability to manage their own medications. These items include: a global assessment, a discharge planning assessment, capability to self-medicate, knowledge of medications, individual’s behaviors and activities, and experience with self-medicating.