Development of a medication literacy assessment instrument (MELIA) for older people receiving home care.

The four patients were suggested by the home care nurses who cared for them, which may have shaped the medication literacy represented. The sample was very small, so no subgroup analysis was done. A planned pilot test did not happen because of the pandemic, so the instrument has not been tested in practice. The original instrument was in German, and the English version was translated by the research group rather than validated. Some experts did not fully complete the second Delphi round, producing missing data. The paper reports instrument development, not patient outcomes or medication error rates.

No specific grant funded the research, and the authors declared no conflict of interest.

Do not conclude that MELIA is a validated assessment or that it improves medication safety. The paper reports development and expert consensus, but the instrument has not been tested in practice and still needs validation.