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

ISRCTN	ISRCTN66700837
DOI	https://doi.org/10.1186/ISRCTN66700837
Protocol serial number	PSI02-25
Sponsor	Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)
Funder	NHS Primary and Secondary Care Interface National Research and Development Programme (UK)

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

Primary study design	Interventional
Study design	Randomised controlled trial
Secondary study design	Randomised controlled trial
Scientific title
Study objectives	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(s)	Not provided at time of registration
Health condition(s) or problem(s) studied	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
Primary outcome measure(s)	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.
Key secondary outcome measure(s)	Not provided at time of registration
Completion date	01/05/1998

Eligibility

Participant type(s)	Patient
Age group	Senior
Sex	All
Key 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.
Key exclusion criteria	Does not match inclusion criteria
Date of first enrolment	01/04/1995
Date of final enrolment	01/05/1998

Locations

Countries of recruitment

United Kingdom
England

Study participating centre

Department of Primary Care / Population Sciences

London
NW3 2QG
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not 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