Assessing the Impact of Medication Management Review Service for Females Diagnosed With Depression and Anxiety
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 73
- 主要终点
- Evaluate the effect of the medication management review service delivered to females living in Jordan and diagnosed with depression and anxiety
研究概览
简要总结
This study sought to assess the impact of the MMR service on identifying and resolving TRPs, improving adherence, depression and anxiety scores in females diagnosed with depression and anxiety in Jordan
详细描述
Participants were recruited into this single-blind parallel randomized controlled trial and randomized into active and control groups. A clinical pharmacist identified TRPs for all participants. Adherence, depression and anxiety scores were assessed. Active group patients received the MMR service: pharmacist-delivered counseling and a letter with recommended changes in the patient's treatment plan was sent to the patient's psychiatrist to be applied. Control group participants did not receive the intervention. Follow-up assessments were completed for all patients at 3 months from baseline. Main outcome measures were TRPs, adherence, depression and anxiety scores.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
This single-blind parallel randomized controlled trial
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Jordanian females or residents in Jordan for the last 12 months and planning to stay in Jordan for 6 months (the study follow-up period),
- •above the age of 18 years
- •diagnosed with depression and/or anxiety for at least 4 weeks duration
- •taking medications for depression and/or anxiety
排除标准
- •presence of a cognitive problem or sensory impairment which may prevent communication with the patient (reported by the patient's psychiatrist)
- •being not able to speak or write Arabic (reported by the patient)
研究组 & 干预措施
Intervention
All pharmacist level counseling and education regarding treatment, adherence and self-care activities were delivered to the active group patients only (planned to take 15 minutes). Patient level TRPs (any TRP that could be resolved via patient education and counseling) were resolved directly with the patient by the clinical pharmacist.
A letter with the identified TRPs (prioritized from most important to least important) for each patient in the active group was sent to the patient's psychiatrist by the researcher in sealed envelopes. The psychiatrist either accepted or rejected the recommendations. In case the recommendations were accepted, the psychiatrist implemented the recommended changes. Patients were informed by a phone call by the pharmacist to visit their psychiatrist soon after the recommendations were approved for the changes to be applied.
If the recommendations were rejected, the psychiatrist stated the reason of rejection and discussed it with the pharmacist.
干预措施: Medication management review (Other)
Control
Control group patients also underwent the baseline interview with the researcher at the psychiatric clinic, TRPs were identified and documented. No intervention was provided by the pharmacist and no letter was sent to the patients' psychiatrists. In case a patient was found to have a life-threatening TRP, the patient was excluded from the study and reported to the psychiatrist due to ethical considerations.
After study completion, all patients in the control group received the MMR service, and a letter with their TRPs and recommendations to resolve them was sent by the pharmacist to their psychologist
干预措施: Medication management review (Other)
结局指标
主要结局
Evaluate the effect of the medication management review service delivered to females living in Jordan and diagnosed with depression and anxiety
时间窗: 6 months
the medication management review service will be measured by the reduction of treatment related number after providing the service
次要结局
- Patient's satisfaction with the medication management review service(6 months)