NCT03576404

Patient-Centered Pharmacist Care in the Hemodialysis Unit: A Quasi-Experimental Interrupted Time Series Study

The Impact of Comprehensive Medication Review by Pharmacist in Hemodialysis Patients: A Quasi Experimental Interrupted Time Series Study

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 72 (actual)
• Sponsor: King Abdullah International Medical Research Center · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Nonadherence to medications by patients requiring hemodialysis (HD) leads to unfavorable clinical outcomes.Limited data exist on the influence of pharmacists on pharmacoadherence by patients requiring HD. Therefore, we assessed the impact of patient-centered pharmacist care through the implementation of concepts of Medication Therapy Management (MTM) and motivational interview (MI) on pharmacoadherence and its outcomes in patients requiring HD.

Detailed description

Patients were assessed at baseline for baseline characteristics, dialysis-related factors, and medications records 1. Pharmacists conducted brief monthly interview for patients to assess the medications they are receiving 2. A comprehensive interview for patients occurred at month 3 and 5 including concepts of MTM and MI 3. MTM included a review of each participant's medications and personal medication record to identify the use of any over-the-counter medications, design of their medication-related action plan, formulation of specific therapeutic interventions, and referrals for discussion with their physician and subsequent documentation and follow-up. The therapeutic interventions accepted by the physician were further discussed with each patient/caregiver using the MI technique to encourage adherence and this discussion was documented in each patient's medication record. 4. MI incorporated the main components reported in the literature: rolling with resistance; expressing empathy; avoiding argumentative behavior; highlighting the discrepancy between patients' current attitudes compared with the desired therapeutic goals; and empowering patients' self-efficacy

Conditions

• Medication Adherence

Interventions

Type	Name	Description
OTHER	Patient-Centered Pharmacist Care	A comprehensive interview applying the concepts of Medication Therapy Management (MTM) and Motivational Interview (MI)

Timeline

• Start date: 2016-10-13
• Primary completion: 2017-04-23
• Completion: 2017-04-30
• First posted: 2018-07-03
• Last updated: 2018-07-03