Medication Review Focusing on Anticoagulation Therapy in Swiss Community Pharmacies

NCT ID: NCT02703727

Last Updated: 2016-12-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

90 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-11-30

Study Completion Date

2016-12-31

Brief Summary

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Oral anticoagulation therapy (OAC) entails a high potential for adverse events and strict adherence is needed.Thus, medication review and identification of safety issues and knowledge gaps about OAC is critically important. The polymedication check (PMC) is a reimbursed intermediate medication review focusing on adherence and medication management for Swiss primary care. Investigators aime to assess the impact of the PMC extended with a semi-structured interview focusing on OAC.

Detailed Description

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Conditions

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Drug Therapy Management

Keywords

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polypharmacy polymedication check anticoagulation treatment

Study Design

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Study Time Perspective

PROSPECTIVE

Study Groups

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OAC

Patients on oral anticoagulation therapy (OAC) will receive a pharmacists led medication review with a focus on anticoagulation therapy (extended polymedication check)

Extended polymedication check

Intervention Type BEHAVIORAL

Behavioral: Medication review

Patients on oral anticoagulants and polypharmacy will receive extended polymedication check to identify Pharmaceutical Care Issues, Adherence Issues, Drug related problems and Knowledge Gaps

The PMC has been implemented in 2010 as a new cognitive service provided by any community pharmacist to patient with polypharmacy (n\>3 drugs) on long term conditions (\> 3 months) and is reimbursed by swiss health insurance. The semi-structured interview contains questions about knowledge on oral anticoagulation therapy. This extended PMC follows a structured predefined protocol.

As an outcome, pharmacist may install a compliance support e.g. weekly filled pill organizer.

Interventions

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Extended polymedication check

Behavioral: Medication review

Patients on oral anticoagulants and polypharmacy will receive extended polymedication check to identify Pharmaceutical Care Issues, Adherence Issues, Drug related problems and Knowledge Gaps

The PMC has been implemented in 2010 as a new cognitive service provided by any community pharmacist to patient with polypharmacy (n\>3 drugs) on long term conditions (\> 3 months) and is reimbursed by swiss health insurance. The semi-structured interview contains questions about knowledge on oral anticoagulation therapy. This extended PMC follows a structured predefined protocol.

As an outcome, pharmacist may install a compliance support e.g. weekly filled pill organizer.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* intake of an oral anticoagulant
* more than 3 drugs over at least 3 months prior to recruitment
* german language (written and spoken)
* medicines use in self management

Exclusion Criteria

* living in a nursing home
* provision of polymedication check in the past
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Basel

OTHER

Sponsor Role collaborator

University Hospital, Basel, Switzerland

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kurt E Hersberger, Prof.

Role: PRINCIPAL_INVESTIGATOR

Pharmaceutical Care Research Group

Locations

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Pharmaceutical Care Research Group University of Basel

Basel, Basel, Switzerland

Site Status

Countries

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Switzerland

References

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Vrijens B, De Geest S, Hughes DA, Przemyslaw K, Demonceau J, Ruppar T, Dobbels F, Fargher E, Morrison V, Lewek P, Matyjaszczyk M, Mshelia C, Clyne W, Aronson JK, Urquhart J; ABC Project Team. A new taxonomy for describing and defining adherence to medications. Br J Clin Pharmacol. 2012 May;73(5):691-705. doi: 10.1111/j.1365-2125.2012.04167.x.

Reference Type BACKGROUND
PMID: 22486599 (View on PubMed)

Krska J, Avery AJ; Community Pharmacy Medicines Management Project Evaluation Team. Evaluation of medication reviews conducted by community pharmacists: a quantitative analysis of documented issues and recommendations. Br J Clin Pharmacol. 2008 Mar;65(3):386-96. doi: 10.1111/j.1365-2125.2007.03022.x. Epub 2007 Oct 8.

Reference Type BACKGROUND
PMID: 17922887 (View on PubMed)

Clifford S, Barber N, Elliott R, Hartley E, Horne R. Patient-centred advice is effective in improving adherence to medicines. Pharm World Sci. 2006 Jun;28(3):165-70. doi: 10.1007/s11096-006-9026-6. Epub 2006 Sep 27.

Reference Type BACKGROUND
PMID: 17004019 (View on PubMed)

Kwint HF, Faber A, Gussekloo J, Bouvy ML. Effects of medication review on drug-related problems in patients using automated drug-dispensing systems: a pragmatic randomized controlled study. Drugs Aging. 2011 Apr 1;28(4):305-14. doi: 10.2165/11586850-000000000-00000.

Reference Type BACKGROUND
PMID: 21428465 (View on PubMed)

Bryant LJ, Coster G, Gamble GD, McCormick RN. The General Practitioner-Pharmacist Collaboration (GPPC) study: a randomised controlled trial of clinical medication reviews in community pharmacy. Int J Pharm Pract. 2011 Apr;19(2):94-105. doi: 10.1111/j.2042-7174.2010.00079.x. Epub 2011 Feb 25.

Reference Type BACKGROUND
PMID: 21385240 (View on PubMed)

Other Identifiers

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evalPMC-OAC

Identifier Type: -

Identifier Source: org_study_id