Polymedication-Check With Insight in Patients' Medication Organisation and Comprehension of Generics
Study Details
Study Description
Brief Summary
Patients using multiple drugs including generics have found different solutions to manage their medication. During a Polymedication-Check (medication review type 2a service in community pharmacies) additional information about the organisation of patients' medication in daily life will be compiled in Swiss community pharmacies. Data will allow to better address patients' needs in their medication organisation and comprehension of generics.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Outcome Measures
Primary Outcome Measures
- Insight in patients' organisation of polymedication [retrospective 3 months]
Patients organise their multiple medications differently in daily life. The study will investigate the different organisation strategies to get a better understanding of patients' behaviour. The behaviour is assessed with a questionnaire containing 14 questions on the management of medication including single choice, multiple choice and free text questions. As example the number of patients already using a medication organisation system will be assessed, the number of patients using a weekly or daily pillbox will be assessed, and who is filling the medication organisation system.
- Insight in patients' comprehension of generics [retrospective 3 months]
Patients have a different comprehension of generics including their advantages and disadvantages. The study will investigate patients' comprehension of generics to get a better understanding of patients' behaviour. The comprehension is assessed with a questionnaire containing 4 questions on the believes about generics including single choice, multiple choice and free text questions. As example the number of patients knowing that they use generics is assessed and the patient's personal opinion on advantages and disadvantages of generics is investigated.
Secondary Outcome Measures
- Number of patients using Multicompartment Compliance Aids. [retrospective 3 months]
Assessment of proportion of patients already using Multicompartment Compliance Aids prior to interview.
- Number of substitutable medicines. [retrospective 3 months]
Assessment of number of brand name medication which could be substituted by generic medication and willingness of pharmacists to recommend generic medicines.
- Swallowing difficulties [retrospective 3 months]
Prevalence of present and/or past swallowing difficulties and coping strategies will be assessed. A specific question (from SWAMECO) on the experienced swallowing difficulties is asked and will be answered on a visual analog scale (0 to 100%). If swallowing-difficulties are present, 2 more questions are asked: Which medication is difficult to swallow and how medication is altered in order to be able to swallow them.
- Recommended use of Multicompartment Compliance Aids [retrospective 3 months]
Number of recommended use of Multicompartment Compliance Aids by pharmacists.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
at least 4 medicines for at least 3 months
-
at least 1 generic drug
-
at least 1 medicine of ATC code cardiovascular system (C01-10)
Exclusion Criteria:
- medication provided in Multicompartment Compliance Aid or similar device by specific service (pharmacy, elderly home, home care)
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University of Basel | Basel | Basel-Stadt | Switzerland | 4056 |
Sponsors and Collaborators
- University Hospital, Basel, Switzerland
- University of Basel
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Håkonsen H, Eilertsen M, Borge H, Toverud EL. Generic substitution: additional challenge for adherence in hypertensive patients? Curr Med Res Opin. 2009 Oct;25(10):2515-21. doi: 10.1185/03007990903192223.
- Messerli M, Blozik E, Vriends N, Hersberger KE. Impact of a community pharmacist-led medication review on medicines use in patients on polypharmacy--a prospective randomised controlled trial. BMC Health Serv Res. 2016 Apr 23;16:145. doi: 10.1186/s12913-016-1384-8.
- Nunney J, Raynor DK, Knapp P, Closs SJ. How do the attitudes and beliefs of older people and healthcare professionals impact on the use of multi-compartment compliance aids?: a qualitative study using grounded theory. Drugs Aging. 2011 May 1;28(5):403-14. doi: 10.2165/11587180-000000000-00000. Review.
- Olsson E, Kälvemark Sporrong S. Pharmacists' experiences and attitudes regarding generic drugs and generic substitution: two sides of the coin. Int J Pharm Pract. 2012 Dec;20(6):377-83. doi: 10.1111/j.2042-7174.2012.00214.x. Epub 2012 Jun 1.
- PMC-Medication-Organisation