Effect of Pharmacist Provided Drug Information Services After Hospital Discharge: Patient Satisfaction and Sense Of Security Regarding Drug Treatment.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 250
- 试验地点
- 2
- 主要终点
- Sense of security regarding drug treatment and satisfaction with drug counseling.
研究概览
简要总结
Objective:
The aim of this study is to evaluate if offering drug counseling from a hospital pharmacy increases patient satisfaction and sense of security regarding drug treatment after hospital discharge.
详细描述
Method and design:
This study was estimated to include 250 participants in a clinical randomized controlled trial. The participants were included from the Acute Medical Ward and the Department of Respiratory Medicine at Bispebjerg Hospital when discharged. The participants were randomized to one of two groups with unequal sizes: the control (50 participants) or intervention group (200 participants). This study used blocked randomization with block sizes of 5/10/15/20/25. The control group received the normal care following the Danish standard procedure. Participants in the intervention group also received the normal care but was also offered the possibility to contact a hospital pharmacy department by phone or mail and ask questions regarding drug-related issues.
Data for the primary outcome measures was collected 14 days after discharge through structured phone interviews. An interview guide with a semi-structured questionnaire and already validated questions were developed, pre-tested and optimized. The participants were asked to answer open-ended questions, closed-ended question and rate statements or questions on a five-point scale.
The participants in the control group were asked to answer 13 items (seven questions or statements on a five-point scale, four closed-ended questions and two open-ended questions).
The participants in the intervention group who did not make any queries were asked the same questions as the participants in the control group and additionally three closed-ended questions. A total of 16 items.
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
- None
盲法说明
The study is a open-label trial. The pharmacist know, whether the patient is randomized to the intervention group or the control group.
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
- •Patients discharged from the acute medical ward and department of respiratory medicine at Bispebjerg Hospital.
- •Patients discharged to own home.
- •Can speak the danish language.
- •≥18 years old.
- •Can be contacted by phone.
排除标准
- •Cognitive and communicative problems (e.g. dementia, aphasia, suicidal) or other barriers that unable the participant to use the intervention service.
- •Patient does not answer phone within five attempts on five different days, when trying to conduct patient interview.
- •Cognitive and communicative problems that unable the participant to answer questions in the patient interview.
- •Deceased or readmitted before patient interview.
研究组 & 干预措施
Control group
Participants in the control group received the normal care following the Danish standard procedure.
Intervention group
Participants in the intervention group received the normal care following the Danish stadard procedure. Additionally the participants was also offered the possibility to contact a hospital pharmacy department by phone or mail for drug counseling.
干预措施: Drug counseling (Other)
结局指标
主要结局
Sense of security regarding drug treatment and satisfaction with drug counseling.
时间窗: 2-4 weeks after discharge.
The questionnaire comprised closed-ended questions, open-ended questions and questions or statements where the respondents were asked to rate the questions or statements on a five-point scale. The scale used is a attitude measurement scale that assess attitudes by presenting respondents with sentences that state beliefs about the particular attitude being measured. The respondents then decide to what extent he or she agrees with the statement. The responses are divided numerically into a series of ordered responses. Ratings: 1 = not at all, 2 = to a small extent, 3 = to some extent, 4 = to a great extent, 5 = to a very great extent.
次要结局
- Number of patients that received medication review by pharmacist during admission.(Within one week after discharge.)
- Number of enquiries.(Directly after the patient received drug counseling.)
- Number of medications by admission.(Within one week after discharge.)
- Number of medications by discharge.(Within one week after discharge.)
- Number of patients that received help with medication at home after discharge.(Within one week after discharge.)
- Number of potentially prevented drug-related problems.(Directly after the patient received drug counseling.)
- Cause of hospitalization.(Within one week after discharge.)
研究者
Tim Emil Vejborg
Principal Investigator
Region Hovedstadens Apotek