Watson Michelle, van Dongen Anne, Hewitt Catherine, Mandefield Laura, Stewart Duncan, Watson Judith, McCambridge Jim
Department of Health Sciences, University of York, York, YO10 5DD, UK.
F1000Res. 2020 Aug 25;9:1042. doi: 10.12688/f1000research.25372.2. eCollection 2020.
: The CHAMP-1 ( Community pharmacy: Highlighting Alcohol use in Medication a Ppointments) pilot trial aimed to explore an intervention discussing alcohol during medication consultations with community pharmacists. It presented various challenges regarding patient retention, as participants were recruited by their pharmacist and followed-up remotely by a trained researcher, who they had not met, two months later. We discuss our actions and experiences of completing follow-up activities. : Community pharmacists recruited patients aged 18 and over, attending a Medicine Use Review (MUR) or New Medicine Service (NMS) consultation, and drinking alcohol at least twice per week. Pharmacies were randomised to conduct their consultations as usual (control), or to incorporate the Medicines and Alcohol Consultation (MAC) intervention. All participants were followed-up by a researcher after two months to complete data collection via telephone or post. We employed standard follow-up strategies, including a plan to text participants with a reminder in advance of their follow-up. : Forty-seven of 51 participants (92%) completed the two month follow-up. Thirty-eight (81%) responses were provided by telephone and nine (19%) by post. Of the 38 follow-up calls completed by telephone, 17 (45%) participants were reached at first attempt; 16 (42%) at second attempt; and five (13%) at the third attempt. We observed a high percentage of data completion across telephone and postal collection methods. Participants were willing to discuss potentially sensitive issues, such as alcohol consumption, anxiety, and depression, with a researcher who was external to the pharmacy team. : The results suggest that patients recruited to a trial by community pharmacists are willing to take part in data collection activities, and remote follow-up can be successfully conducted by researchers. The techniques employed to encourage high levels of retention should be investigated further in a larger study, alongside consideration of optimal strategies to collect data within community pharmacies.
CHAMP-1（社区药房：在药物预约中突出饮酒问题）试点试验旨在探索在与社区药剂师进行药物咨询时讨论饮酒问题的干预措施。该试验在患者留存方面面临各种挑战，因为参与者由他们的药剂师招募，两个月后由一名他们未曾见过的经过培训的研究人员进行远程随访。我们讨论了完成随访活动的行动和经验。社区药剂师招募了年龄在18岁及以上、参加用药审查（MUR）或新药服务（NMS）咨询且每周至少饮酒两次的患者。药房被随机分配，要么照常进行咨询（对照组），要么纳入药物与酒精咨询（MAC）干预措施。两个月后，所有参与者由一名研究人员进行随访，通过电话或邮寄方式完成数据收集。我们采用了标准的随访策略，包括提前给参与者发送短信提醒的计划。51名参与者中有47名（92%）完成了两个月的随访。38份（81%）回复通过电话提供，9份（19%）通过邮寄提供。在通过电话完成的38次随访中，17名（45%）参与者在首次尝试时联系上；16名（42%）在第二次尝试时联系上；5名（13%）在第三次尝试时联系上。我们观察到通过电话和邮寄收集方法的数据完成率很高。参与者愿意与药房团队之外的研究人员讨论潜在敏感问题，如饮酒、焦虑和抑郁。结果表明，由社区药剂师招募参加试验的患者愿意参与数据收集活动，研究人员可以成功进行远程随访。在更大规模的研究中，应进一步研究用于鼓励高留存率的技术，同时考虑在社区药房内收集数据的最佳策略。
