Kooy Marcel Jan, Van Geffen Erica C G, Heerdink Eibert R, Van Dijk Liset, Bouvy Marcel L
Department of Pharmacoepidemiology & Clinical Pharmacology, Utrecht University, Utrecht, The Netherlands.
NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands.
Patient Educ Couns. 2015 Jun;98(6):797-804. doi: 10.1016/j.pec.2015.02.020. Epub 2015 Mar 6.
Assess effects of pharmacists' counseling by telephone on patients' satisfaction with counseling, satisfaction with information and beliefs about medicines for newly prescribed medicines.
A cluster randomized trial in Dutch community pharmacies. Patients ≥18 years were included when starting with antidepressants, bisphosphonates, RAS-inhibitors or statins. The intervention comprised counseling by telephone to address barriers to adherent behavior. It was supported by an interview protocol. Controls received usual care. Outcomes were effects on beliefs about medication, satisfaction with information and counseling. Data was collected with a questionnaire.
Responses of 211 patients in nine pharmacies were analyzed. More intervention arm patients were satisfied with counseling (adj. OR 2.2 (95% CI 1.3, 3.6)). Patients with counseling were significantly more satisfied with information on 4 items, had less concerns and less frequently had a 'skeptical' attitude towards medication (adj. OR 0.5 (0.3-0.9)). Effects on most outcomes were more pronounced in men than in women.
Telephone counseling by pharmacists improved satisfaction with counseling and satisfaction with information on some items. It had a small effect on beliefs about medicines.
Pharmacists can use counseling by telephone, but more research is needed to find out which patients benefit most.
评估药师电话咨询对患者对咨询的满意度、对信息的满意度以及对新处方药物的用药信念的影响。
在荷兰社区药房进行一项整群随机试验。开始使用抗抑郁药、双膦酸盐、RAS抑制剂或他汀类药物的18岁及以上患者被纳入研究。干预措施包括通过电话咨询以解决依从行为的障碍。该咨询有一份访谈协议作为支持。对照组接受常规护理。结局指标为对用药信念、对信息和咨询的满意度的影响。通过问卷调查收集数据。
分析了9家药房中211名患者的回复。更多干预组患者对咨询感到满意（调整后比值比2.2（95%置信区间1.3，3.6））。接受咨询的患者对4项信息明显更满意，担忧更少，对药物持“怀疑”态度的频率更低（调整后比值比0.5（0.3 - 0.9））。对大多数结局指标的影响在男性中比在女性中更明显。
药师电话咨询提高了对咨询的满意度以及对某些项目信息的满意度。它对用药信念有较小影响。
药师可以采用电话咨询，但需要更多研究以确定哪些患者受益最大。
