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August 29, 2026Journal of Ambulatory Care Management

Formative Evaluation of a Pharmacist-Led Area Agency on Aging Community Care Transition Initiative: A Qualitative Interview Study From Staff Perspectives

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Why the study?

The study aimed to conduct a formative evaluation of a pharmacist-led Area Agency on Aging community care transition initiative to identify areas for program refinement.

Design

Qualitative semistructured interview study

Key result

Qualitative interviews with 5 staff members identified key areas for refining a pharmacist-led community care transition initiative, including adding pharmacist personnel and ongoing CHW training.

Authors

HCHao-Ping ChiangBRBrigid RowellKFKaren B. Farris

Discussion

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Overview

May inform refinements to rural care transitions; leaves open effects on readmissions pending rigorous trials.

Key Points

  • To conduct a formative evaluation of a pharmacist-led community care transition initiative implemented by an Area Agency on Aging to identify strategies for program refinement.
  • Conducted semistructured qualitative interviews via Zoom with key staff informants (N=5) from the Michigan Region VII Area Agency on Aging.
  • Analyzed interview transcripts using qualitative content analysis to evaluate program resources, procedural inputs, implementation fidelity, and participant feedback.
  • Identified core operational strengths including agency reputation, skilled community health workers (CHWs), strong referral networks, and effective integration of CHW home visits with pharmacist telehealth medication reviews.
  • Highlighted essential areas for refinement, specifically securing sustainable funding, adding dedicated pharmacist personnel, enhancing ongoing CHW training, and optimizing follow-up schedules.
  • Observed positive client receptivity and high satisfaction with person-centered transitional care, although some participants initially declined home visits.

Structured PICO

P
Population
5 staff members of a Michigan community care transition initiative participated in qualitative interviews to evaluate program implementation and refinement.
E
Exposure
Qualitative formative evaluation using semistructured interviews
O
Outcome
Identification of areas for program refinement (categories related to existing resources, inputs needing adjustment, delivery of planned procedures, suggested procedural changes, and client responses)

A qualitative evaluation of a rural care transition program highlights the value of combining community health worker home visits with pharmacist telehealth and identifies areas for program refinement.

Cite This Study

Chiang et al. (2026) studied Hospital readmission (n=5). Pharmacist-Led Area Agency on Aging Community Care Transition Initiative was evaluated on Program refinement strategies and implementation feedback. Qualitative interviews with 5 staff members identified key areas for refining a pharmacist-led community care transition initiative, including adding pharmacist personnel and ongoing CHW training.

synapsesocial.com/papers/6a92994d8e5d7d1fc0c112edhttps://doi.org/10.1097/jac.0000000000000566
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