Contact information
Type
Scientific
Primary contact
Dr Irwin Nazareth
ORCID ID
Contact details
Department of Primary Care / Population Sciences
Royal Free Hampstead NHS Trust
Pond Street
Hampstead
London
NW3 2QG
United Kingdom
+44 (0)20 7281 3093
I.nazareth@ucl.ac.uk
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
PSI02-25
Study information
Scientific title
Acronym
Study hypothesis
1. Evaluate the efficacy of a pharmacy care plan for elderly patients above the age of 75 on four or more medications, discharged from hospital.
2. Assess the views of the hospital and community pharmacist on the service provided.
3. Assess the time taken by the hospital and community pharmacists in developing the pharmacy care plans.
Ethics approval
Not provided at time of registration
Study design
Randomised controlled trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Other
Trial type
Other
Patient information sheet
Condition
Pharmacy care for the elderly
Intervention
A pharmacy care plan (PCP), specific to the needs of each patient was designed to co-ordinate and rationalise their medications. The PCP was then sent to all community professionals involved in the care of the patient. All patients were visited twice by a community pharmacist within two weeks of discharge from hospital to ensure that the care plan had been implemented.
Intervention type
Other
Phase
Not Applicable
Drug names
Primary outcome measures
Patient outcomes: The outcomes measured at 3 and 6 months were:
1. Mortality: total numbers of deaths
2. Morbidity: change in total scores of global well being as measured by the General well being questionnaire
3. Satisfaction with services: changes in total scores of the client satisfaction questionnaire
4. Knowledge of and compliance and hoarding of medication: changes in outcomes derived from the prescribed medicine questionnaire
5. Labelling of prescribed medication and drug interactions: derived from information contained in the prescribed medicine questionnaire
6. Hospital admission and outpatient attendance rates: changes in total numbers
7. General practice attendances and home visits: changes in total numbers
Pharmacist outcomes: The views of all participating hospital and community pharmacists involved in the delivery of the care plans were assessed using a nominal group process and a questionnaire respectively. In addition the time taken to deliver each intervention was assessed using the random bleeper method for the hospital pharmacists and a self report questionnaire for the community pharmacist.
Secondary outcome measures
Not provided at time of registration
Overall trial start date
01/04/1995
Overall trial end date
01/05/1998
Reason abandoned
Eligibility
Participant inclusion criteria
Patients living in Camden and Islington, aged over 75 years and taking four or more medicines due to be discharged between June 1995 to March 1997, were recruited to the study. The hospital pharmacists at all four hospitals and the community pharmacists allocated to each patients on discharge also participated in this study.
Participant type
Patient
Age group
Senior
Gender
Both
Target number of participants
Not provided at time of registration
Participant exclusion criteria
Does not match inclusion criteria
Recruitment start date
01/04/1995
Recruitment end date
01/05/1998
Locations
Countries of recruitment
United Kingdom
Trial participating centre
Department of Primary Care / Population Sciences
London
NW3 2QG
United Kingdom
Sponsor information
Organisation
Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)
Sponsor details
The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom
Sponsor type
Government
Website
Funders
Funder type
Government
Funder name
NHS Primary and Secondary Care Interface National Research and Development Programme (UK)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting
Publication summary
2001 results in http://www.ncbi.nlm.nih.gov/pubmed/11322670
Publication citations
-
Results
Nazareth I, Burton A, Shulman S, Smith P, Haines A, Timberal H, A pharmacy discharge plan for hospitalized elderly patients--a randomized controlled trial., Age Ageing, 2001, 30, 1, 33-40.