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Assessing feasibility of conducting medication review with follow-up among older adults at community pharmacy: a pilot randomised controlled trial

Christina Malini Christopher Orcid Logo, Ali Blebil Orcid Logo, KC Bhuvan, Deepa Alex, Mohamed Izham Mohamed Ibrahim, Norhasimah Ismail, Mark Wing Loong Cheong

International Journal of Clinical Pharmacy, Volume: 46, Pages: 843 - 853

Swansea University Author: Ali Blebil Orcid Logo

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DOI (Published version): 10.1007/s11096-024-01711-3

Abstract

Background: Medication review with follow-up is essential for optimising medication utilisation among the older adult population in primary healthcare. Aim: This study aimed to evaluate the feasibility of implementing medication reviews with follow-up for older adults in community pharmacies and exa...

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Published in: International Journal of Clinical Pharmacy
ISSN: 2210-7703 2210-7711
Published: Springer Science and Business Media LLC 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa66839
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Aim: This study aimed to evaluate the feasibility of implementing medication reviews with follow-up for older adults in community pharmacies and examined potential outcomes on medication use. Method: A pilot randomised controlled trial was conducted with 4 cluster-randomised community pharmacies to assess the feasibility of the intervention. Two community pharmacies served as intervention and control groups. Both groups recruited older adults over 60 who were followed over 6 months. The translated Medication use Questionnaire (MedUseQ) was administered at baseline and 6 months for both groups. The outcomes were to assess the feasibility of conducting medication review with follow-up and the probable medication use outcomes from the intervention. Results: The intervention and control groups comprised 14 and 13 older adults. A total of 35 recommendations were made by pharmacists in the intervention group and 8 in the control group. MedUseQ was easily administered, providing some evidence the feasibility of the intervention. However, there were feasibility challenges such as a lack of pharmacists, collaborative practice, difficulties with the tool language, time constraints, and limited funds. Questionnaire results provided a signal of improvement in medication administration, adherence, and polypharmacy among intervention participants. The incidence of drug related problems was significantly higher in the control group (median = 1) after 6 months, U = 15, z = − 2.98, p = 0.01. Conclusion: Medication review with follow-up is potentialy practical in community pharmacies, but there are feasibility issues. While these challenges can be addressed, it is essential to study larger sample sizes to establish more robust evidence regarding outcomes. 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spelling v2 66839 2024-06-21 Assessing feasibility of conducting medication review with follow-up among older adults at community pharmacy: a pilot randomised controlled trial ae3f126adda1dec7b84f0a12698f0b7d 0000-0002-7480-1260 Ali Blebil Ali Blebil true false 2024-06-21 MEDS Background: Medication review with follow-up is essential for optimising medication utilisation among the older adult population in primary healthcare. Aim: This study aimed to evaluate the feasibility of implementing medication reviews with follow-up for older adults in community pharmacies and examined potential outcomes on medication use. Method: A pilot randomised controlled trial was conducted with 4 cluster-randomised community pharmacies to assess the feasibility of the intervention. Two community pharmacies served as intervention and control groups. Both groups recruited older adults over 60 who were followed over 6 months. The translated Medication use Questionnaire (MedUseQ) was administered at baseline and 6 months for both groups. The outcomes were to assess the feasibility of conducting medication review with follow-up and the probable medication use outcomes from the intervention. Results: The intervention and control groups comprised 14 and 13 older adults. A total of 35 recommendations were made by pharmacists in the intervention group and 8 in the control group. MedUseQ was easily administered, providing some evidence the feasibility of the intervention. However, there were feasibility challenges such as a lack of pharmacists, collaborative practice, difficulties with the tool language, time constraints, and limited funds. Questionnaire results provided a signal of improvement in medication administration, adherence, and polypharmacy among intervention participants. The incidence of drug related problems was significantly higher in the control group (median = 1) after 6 months, U = 15, z = − 2.98, p = 0.01. Conclusion: Medication review with follow-up is potentialy practical in community pharmacies, but there are feasibility issues. While these challenges can be addressed, it is essential to study larger sample sizes to establish more robust evidence regarding outcomes. Clinical trial registry: ClinicalTrials.Gov NCT05297461. Journal Article International Journal of Clinical Pharmacy 46 843 853 Springer Science and Business Media LLC 2210-7703 2210-7711 Community pharmacy, feasibility, medication review, older adults, pilot RCT 18 4 2024 2024-04-18 10.1007/s11096-024-01711-3 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee Open Access funding enabled and organized by CAUL and its Member Institutions. The authors did not receive support from any organisation for the submitted work. 2024-11-01T15:01:29.2747253 2024-06-21T13:08:49.9220989 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Christina Malini Christopher 0000-0002-0272-2117 1 Ali Blebil 0000-0002-7480-1260 2 KC Bhuvan 3 Deepa Alex 4 Mohamed Izham Mohamed Ibrahim 5 Norhasimah Ismail 6 Mark Wing Loong Cheong 7 66839__30943__864104c27023482ebd9d09fa9a22d1d0.pdf 66839.VoR.pdf 2024-07-23T11:46:44.2739285 Output 784361 application/pdf Version of Record true © The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License. true eng http://creativecommons.org/licenses/by/4.0/
title Assessing feasibility of conducting medication review with follow-up among older adults at community pharmacy: a pilot randomised controlled trial
spellingShingle Assessing feasibility of conducting medication review with follow-up among older adults at community pharmacy: a pilot randomised controlled trial
Ali Blebil
title_short Assessing feasibility of conducting medication review with follow-up among older adults at community pharmacy: a pilot randomised controlled trial
title_full Assessing feasibility of conducting medication review with follow-up among older adults at community pharmacy: a pilot randomised controlled trial
title_fullStr Assessing feasibility of conducting medication review with follow-up among older adults at community pharmacy: a pilot randomised controlled trial
title_full_unstemmed Assessing feasibility of conducting medication review with follow-up among older adults at community pharmacy: a pilot randomised controlled trial
title_sort Assessing feasibility of conducting medication review with follow-up among older adults at community pharmacy: a pilot randomised controlled trial
author_id_str_mv ae3f126adda1dec7b84f0a12698f0b7d
author_id_fullname_str_mv ae3f126adda1dec7b84f0a12698f0b7d_***_Ali Blebil
author Ali Blebil
author2 Christina Malini Christopher
Ali Blebil
KC Bhuvan
Deepa Alex
Mohamed Izham Mohamed Ibrahim
Norhasimah Ismail
Mark Wing Loong Cheong
format Journal article
container_title International Journal of Clinical Pharmacy
container_volume 46
container_start_page 843
publishDate 2024
institution Swansea University
issn 2210-7703
2210-7711
doi_str_mv 10.1007/s11096-024-01711-3
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description Background: Medication review with follow-up is essential for optimising medication utilisation among the older adult population in primary healthcare. Aim: This study aimed to evaluate the feasibility of implementing medication reviews with follow-up for older adults in community pharmacies and examined potential outcomes on medication use. Method: A pilot randomised controlled trial was conducted with 4 cluster-randomised community pharmacies to assess the feasibility of the intervention. Two community pharmacies served as intervention and control groups. Both groups recruited older adults over 60 who were followed over 6 months. The translated Medication use Questionnaire (MedUseQ) was administered at baseline and 6 months for both groups. The outcomes were to assess the feasibility of conducting medication review with follow-up and the probable medication use outcomes from the intervention. Results: The intervention and control groups comprised 14 and 13 older adults. A total of 35 recommendations were made by pharmacists in the intervention group and 8 in the control group. MedUseQ was easily administered, providing some evidence the feasibility of the intervention. However, there were feasibility challenges such as a lack of pharmacists, collaborative practice, difficulties with the tool language, time constraints, and limited funds. Questionnaire results provided a signal of improvement in medication administration, adherence, and polypharmacy among intervention participants. The incidence of drug related problems was significantly higher in the control group (median = 1) after 6 months, U = 15, z = − 2.98, p = 0.01. Conclusion: Medication review with follow-up is potentialy practical in community pharmacies, but there are feasibility issues. While these challenges can be addressed, it is essential to study larger sample sizes to establish more robust evidence regarding outcomes. Clinical trial registry: ClinicalTrials.Gov NCT05297461.
published_date 2024-04-18T15:01:27Z
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