Programmaleider Zorg en Participatie bij Chronische aandoeningen; bijzonder hoogleraar 'Farmaceutisch zorgonderzoek', Rijksuniversiteit Groningen
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Annual medication consultation among direct-acting oral anticoagulant users in the pharmacy refill service: experiences of pharmacy staff and patients.
Dijk, L. van, Prinsen, D., Slager, M., Vervloet, M., Koster, E. Annual medication consultation among direct-acting oral anticoagulant users in the pharmacy refill service: experiences of pharmacy staff and patients. International Journal of Clinical Pharmacy: 2023, 45, p. 525. Abstract 597 13th PCNE Working Conference “Pharmacies' new roles in pharmaceutical care: bridging research and practice”, 8-11th February 2023, Hilleroed, Denmark
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ABSTRACT:
Background
Optimizing patient adherence is essential, as non-adherence is associated with worse patient outcomes. Implementation of adherence interventions is a challenging process due to barriers in clinical practice. In the city of Amersfoort, a pharmacy-led intervention was implemented in three pharmacies to improve medication adherence by introducing an annual medication consultation in which potential medication-related problems were discussed.
Purpose
This study aimed to evaluate the experiences of patients and pharmacy technicians (PTs) with the implementation of an annual medication consultation to enhance medication adherence among
users of direct-acting oral anticoagulants (DOAC) in the pharmacy refill service.
Method
After each consultation, PTs completed a checklist to determine the intervention fidelity. Semi-structured interviews were conducted among patients and PTs to gain insight into their experiences with the intervention and implementation process. The interviews were recorded and transcribed verbatim. Thematic analysis following dimensions of the RE-AIM implementation framework was used to code the data in Atlas.ti software (version 22.0.2).
Findings
Ten PTs and 21 patients from the three participating pharmacies were interviewed and 114 checklists were filled out. Adoption was high as all interviewed PTs were willing to continue to provide this form of care. Regarding the fidelity, several components of the protocol were not delivered as intended. Barriers to implementation were both patient- and pharmacy-related. Facilitating factors were the communication training to support PTs in communicating about adherence, the TRIAGE questions that helped PTs in
asking patients about their experiences with their medication, and being able to prepare the consultations. Patients mainly appreciated the improved contact and the check of their medication use. PTs
mentioned several factors that were essential for successful maintenance, including clarifying the goal, matching the planning to the workload, being more involved during the implementation process
and better documentation.
Conclusion
This study shows that implementing an annual medication consultation is feasible and supported by both PTs and patients. Fidelity of the intervention can be improved. The annual consultation is a way for the pharmacy to increase its visibility and build a trusting relationship with patients.
Background
Optimizing patient adherence is essential, as non-adherence is associated with worse patient outcomes. Implementation of adherence interventions is a challenging process due to barriers in clinical practice. In the city of Amersfoort, a pharmacy-led intervention was implemented in three pharmacies to improve medication adherence by introducing an annual medication consultation in which potential medication-related problems were discussed.
Purpose
This study aimed to evaluate the experiences of patients and pharmacy technicians (PTs) with the implementation of an annual medication consultation to enhance medication adherence among
users of direct-acting oral anticoagulants (DOAC) in the pharmacy refill service.
Method
After each consultation, PTs completed a checklist to determine the intervention fidelity. Semi-structured interviews were conducted among patients and PTs to gain insight into their experiences with the intervention and implementation process. The interviews were recorded and transcribed verbatim. Thematic analysis following dimensions of the RE-AIM implementation framework was used to code the data in Atlas.ti software (version 22.0.2).
Findings
Ten PTs and 21 patients from the three participating pharmacies were interviewed and 114 checklists were filled out. Adoption was high as all interviewed PTs were willing to continue to provide this form of care. Regarding the fidelity, several components of the protocol were not delivered as intended. Barriers to implementation were both patient- and pharmacy-related. Facilitating factors were the communication training to support PTs in communicating about adherence, the TRIAGE questions that helped PTs in
asking patients about their experiences with their medication, and being able to prepare the consultations. Patients mainly appreciated the improved contact and the check of their medication use. PTs
mentioned several factors that were essential for successful maintenance, including clarifying the goal, matching the planning to the workload, being more involved during the implementation process
and better documentation.
Conclusion
This study shows that implementing an annual medication consultation is feasible and supported by both PTs and patients. Fidelity of the intervention can be improved. The annual consultation is a way for the pharmacy to increase its visibility and build a trusting relationship with patients.
ABSTRACT:
Background
Optimizing patient adherence is essential, as non-adherence is associated with worse patient outcomes. Implementation of adherence interventions is a challenging process due to barriers in clinical practice. In the city of Amersfoort, a pharmacy-led intervention was implemented in three pharmacies to improve medication adherence by introducing an annual medication consultation in which potential medication-related problems were discussed.
Purpose
This study aimed to evaluate the experiences of patients and pharmacy technicians (PTs) with the implementation of an annual medication consultation to enhance medication adherence among
users of direct-acting oral anticoagulants (DOAC) in the pharmacy refill service.
Method
After each consultation, PTs completed a checklist to determine the intervention fidelity. Semi-structured interviews were conducted among patients and PTs to gain insight into their experiences with the intervention and implementation process. The interviews were recorded and transcribed verbatim. Thematic analysis following dimensions of the RE-AIM implementation framework was used to code the data in Atlas.ti software (version 22.0.2).
Findings
Ten PTs and 21 patients from the three participating pharmacies were interviewed and 114 checklists were filled out. Adoption was high as all interviewed PTs were willing to continue to provide this form of care. Regarding the fidelity, several components of the protocol were not delivered as intended. Barriers to implementation were both patient- and pharmacy-related. Facilitating factors were the communication training to support PTs in communicating about adherence, the TRIAGE questions that helped PTs in
asking patients about their experiences with their medication, and being able to prepare the consultations. Patients mainly appreciated the improved contact and the check of their medication use. PTs
mentioned several factors that were essential for successful maintenance, including clarifying the goal, matching the planning to the workload, being more involved during the implementation process
and better documentation.
Conclusion
This study shows that implementing an annual medication consultation is feasible and supported by both PTs and patients. Fidelity of the intervention can be improved. The annual consultation is a way for the pharmacy to increase its visibility and build a trusting relationship with patients.
Background
Optimizing patient adherence is essential, as non-adherence is associated with worse patient outcomes. Implementation of adherence interventions is a challenging process due to barriers in clinical practice. In the city of Amersfoort, a pharmacy-led intervention was implemented in three pharmacies to improve medication adherence by introducing an annual medication consultation in which potential medication-related problems were discussed.
Purpose
This study aimed to evaluate the experiences of patients and pharmacy technicians (PTs) with the implementation of an annual medication consultation to enhance medication adherence among
users of direct-acting oral anticoagulants (DOAC) in the pharmacy refill service.
Method
After each consultation, PTs completed a checklist to determine the intervention fidelity. Semi-structured interviews were conducted among patients and PTs to gain insight into their experiences with the intervention and implementation process. The interviews were recorded and transcribed verbatim. Thematic analysis following dimensions of the RE-AIM implementation framework was used to code the data in Atlas.ti software (version 22.0.2).
Findings
Ten PTs and 21 patients from the three participating pharmacies were interviewed and 114 checklists were filled out. Adoption was high as all interviewed PTs were willing to continue to provide this form of care. Regarding the fidelity, several components of the protocol were not delivered as intended. Barriers to implementation were both patient- and pharmacy-related. Facilitating factors were the communication training to support PTs in communicating about adherence, the TRIAGE questions that helped PTs in
asking patients about their experiences with their medication, and being able to prepare the consultations. Patients mainly appreciated the improved contact and the check of their medication use. PTs
mentioned several factors that were essential for successful maintenance, including clarifying the goal, matching the planning to the workload, being more involved during the implementation process
and better documentation.
Conclusion
This study shows that implementing an annual medication consultation is feasible and supported by both PTs and patients. Fidelity of the intervention can be improved. The annual consultation is a way for the pharmacy to increase its visibility and build a trusting relationship with patients.
