Polymedication-Check With Insight in Patients' Medication Organisation and Comprehension of Generics

Completed

• Conditions: Medication Therapy Management; Medication Adherence

• Registration Number: NCT03321058
• Lead Sponsor: University Hospital, Basel, Switzerland

Brief Summary

Patients using multiple drugs including generics have found different solutions to manage their medication. During a Polymedication-Check (medication review type 2a service in community pharmacies) additional information about the organisation of patients' medication in daily life will be compiled in Swiss community pharmacies. Data will allow to better address patients' needs in their medication organisation and comprehension of generics.

Detailed Description

Not available

Study Timeline

• Study Start: 2017-01-06
• Study First Submitted: 2017-06-01
• Status Verified: 2017-10
• Primary Completion: 2017-10-01
• Study Completion: 2017-10-24
• Study First Submitted QC: 2017-10-24
• Last Update Submitted: 2017-10-24
• Study First Posted: 2017-10-25
• Last Update Posted: 2017-10-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 125

Inclusion Criteria

• at least 4 medicines for at least 3 months
• at least 1 generic drug
• at least 1 medicine of ATC code cardiovascular system (C01-10)

Exclusion Criteria

• medication provided in Multicompartment Compliance Aid or similar device by specific service (pharmacy, elderly home, home care)

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Insight in patients' organisation of polymedication	retrospective 3 months	Patients organise their multiple medications differently in daily life. The study will investigate the different organisation strategies to get a better understanding of patients' behaviour. The behaviour is assessed with a questionnaire containing 14 questions on the management of medication including single choice, multiple choice and free text questions. As example the number of patients already using a medication organisation system will be assessed, the number of patients using a weekly or daily pillbox will be assessed, and who is filling the medication organisation system.
Insight in patients' comprehension of generics	retrospective 3 months	Patients have a different comprehension of generics including their advantages and disadvantages. The study will investigate patients' comprehension of generics to get a better understanding of patients' behaviour. The comprehension is assessed with a questionnaire containing 4 questions on the believes about generics including single choice, multiple choice and free text questions. As example the number of patients knowing that they use generics is assessed and the patient's personal opinion on advantages and disadvantages of generics is investigated.

Secondary Outcome Measures

Name	Time	Method
Number of patients using Multicompartment Compliance Aids.	retrospective 3 months	Assessment of proportion of patients already using Multicompartment Compliance Aids prior to interview.
Number of substitutable medicines.	retrospective 3 months	Assessment of number of brand name medication which could be substituted by generic medication and willingness of pharmacists to recommend generic medicines.
Swallowing difficulties	retrospective 3 months	Prevalence of present and/or past swallowing difficulties and coping strategies will be assessed. A specific question (from SWAMECO) on the experienced swallowing difficulties is asked and will be answered on a visual analog scale (0 to 100%). If swallowing-difficulties are present, 2 more questions are asked: Which medication is difficult to swallow and how medication is altered in order to be able to swallow them.
Recommended use of Multicompartment Compliance Aids	retrospective 3 months	Number of recommended use of Multicompartment Compliance Aids by pharmacists.

Trial Locations

Locations (1)

University of Basel; 🇨🇭 Basel, Basel-Stadt, Switzerland