Effectiveness of an Intervention to Improve the Adherence to Treatment of New Medicines From the Community Pharmacy
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 500
- 试验地点
- 1
- 主要终点
- Adherence to treatment
研究概览
简要总结
The ANM is the first initiative that puts advanced pharmaceutical care into practice in Andalusia (Spain). The aim of this is study is to evaluate the effectiveness of the intervention Assistance to New Medicines (ANM) in the improvement of adherence to treatment in community pharmacies.
详细描述
Design: parallel cluster pragmatic randomized controlled trial. The study includes patients users of a community pharmacies, who meet the following inclusion criteria: patient who starts treatment of any of the following pathologies: Chronic Obstructive Pulmonary Disease (COPD), Arterial Hypertension or Diabetes Mellitus in Andalusia (Spain).
In order to avoid possible contamination between patients assigned to the control and intervention group, randomization will be carried out at the pharmacy level; preventing the pharmacist from applying part of the intervention to the control group.
Interventions: patients randomized: (i) current practice; or (ii) ANM intervention thru a pharmacist delivered support for a newly prescribed medicine.
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 (Outcomes Assessor)
盲法说明
The statistical analysis will be performed by a person who would be blinded to which arm were assigned the subjects.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •patient who starts treatment of any of the following diseases:
- •Chronic Obstructive Pulmonary Disease (COPD).
- •Arterial Hypertension
- •Diabetes Mellitus.
- •Anticoagulants
排除标准
- •those users who do not know how to read and write in Spanish,
- •Suffer from a physical or mental disorder that makes it impossible to perform the
研究组 & 干预措施
Placebo
The usual practice by community pharmacies
干预措施: Placebo (Other)
ANM
This is an intervention based on pharmaceutical-patient communication through an open and fluid conversation, aimed at evaluating the patient's relationship with their new prescription, detecting possible problems, concerns and false beliefs or visual expectations.
干预措施: ANM (Other)
结局指标
主要结局
Adherence to treatment
时间窗: Six months
adherence to treatment may be defined as the extent to which the patient's history of therapeutic drug-taking coincides with the prescribed treatment.
Adherence to treatment
时间窗: Ten weeks
adherence to treatment may be defined as the extent to which the patient's history of therapeutic drug-taking coincides with the prescribed treatment.
次要结局
- Satisfaction with the service(Ten weeks and six months)