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临床试验/NCT06383364
NCT06383364已完成不适用

The Effect of a Medication Coordinator on the Quality of Patients Medication Treatment (MEDCOOR) - Randomized Controlled Trial

University of Southern Denmark2 个研究点 分布在 1 个国家目标入组 141 人开始时间: 2024年6月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
141
试验地点
2
主要终点
Change in potentially inappropriate medication according to Potentially Inappropriate Medication List

研究概览

简要总结

To examine the effect of a Medication Coordinator, who facilitates medication reviews in close collaboration with patients using My Medication Plan to reduce the risk of post-hospital inappropriate medication usage.

详细描述

Patients' safety can be compromised in the transition of care between healthcare sectors. Optimal information flow across healthcare sectors and individualized medication treatment tailored to each patient is key to prevent adverse events and optimize patient treatment. Particularly, the inclusion of the general practitioner is important in this process; it could become a challenge to keep medication changes if this communication link is missing. The framework for complex intervention allows flexibility and adaption in meeting patients' needs by implementing tailored, possibly complex interventions in different healthcare settings. To examine the effect of a Medication Coordinator, who facilitates medication reviews in close collaboration with patients using My Medication Plan. The primary outcome is the proportion of potentially inappropriate medications. Secondary outcomes include patient-reported outcomes i.e., quality of life and medication burden. Additional outcomes include the patient's individual Medication Risk Score, if the patients are readmitted, and if the patients have contacted the staff at the hospital unit after the hospital discharge.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Health Services Research
盲法
Single (Care Provider)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • all hospitalized patients, who are prescribed at least five medications specified in the Electronic Patient Journal (EPJ) used at ward

排除标准

  • unable to communicate in Danish, cognitively impaired e.g. suffering from dementia or Alzheimer's, or cannot cooperate due to e.g. hallucination or aggressive behavior

研究组 & 干预措施

Interventions group

Active Comparator

The Medication Coordinator facilitates the medication reviews in close collaboration with the patients by applying concepts of motivational interview in combination with My Medication Plan

干预措施: Medication Coordinator (Behavioral)

Control group

No Intervention

Usual treatment from a team consisting of hospital physicians, nurses, nurse assistants, and as needed occupational therapists, physiotherapist, and clinical dieticians. Medication reconciliation might be a part of the patients' usual care performed by physicians or pharmacologist present at the acute ward. Hospital physicians and/or nurses might perform patient counselling about medication treatment during hospitalization

结局指标

主要结局

Change in potentially inappropriate medication according to Potentially Inappropriate Medication List

时间窗: Baseline and 6 months

Evaluating the patients drug treatment to assess if a drug is a potentially inappropriate medication

次要结局

  • Evaluation of patients experiences quality of life with the EQ-5D and EQ-VAS.(Baseline and 3 months)
  • Evaluation of patients experienced treatment burden with the questionnaire Multimorbidity treatment burden questionnaire (MTBQ).(Baseline and 3 months)
  • Patient readmission 30 days after hospital discharge(30 days after the patient has been discharged from the hospital.)
  • Evaluation of patients experienced quality of life with visual analogue scale (VAS).(Baseline and 3 months)
  • Evaluation of patients experienced medication burden with visual analogue scale (VAS).(Baseline and 3 months)
  • Patient contact to the ward 30 days after hospital discharge(30 days after the patient has been discharged from the hospital.)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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