A randomised controlled trial of a pharmacy care plan for elderly patients discharged from hospital.

ISRCTN ISRCTN66700837
DOI https://doi.org/10.1186/ISRCTN66700837
Secondary identifying numbers PSI02-25
Submission date
23/01/2004
Registration date
23/01/2004
Last edited
01/12/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Irwin Nazareth
Scientific

Department of Primary Care / Population Sciences
Royal Free Hampstead NHS Trust
Pond Street
Hampstead
London
NW3 2QG
United Kingdom

Phone +44 (0)20 7281 3093
Email I.nazareth@ucl.ac.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeOther
Scientific title
Study objectives1. 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(s)Not provided at time of registration
Health condition(s) or problem(s) studiedPharmacy care for the elderly
InterventionA 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 typeOther
Primary outcome measurePatient 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 measuresNot provided at time of registration
Overall study start date01/04/1995
Completion date01/05/1998

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participantsNot provided at time of registration
Key inclusion criteriaPatients 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.
Key exclusion criteriaDoes not match inclusion criteria
Date of first enrolment01/04/1995
Date of final enrolment01/05/1998

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Department of Primary Care / Population Sciences
London
NW3 2QG
United Kingdom

Sponsor information

Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)
Government

The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Website http://www.doh.gov.uk

Funders

Funder type

Government

NHS Primary and Secondary Care Interface National Research and Development Programme (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/01/2001 Yes No