A Tool to Characterize the Components of Pharmacist Interventions in Clinical Pharmacy Services: The DEPICT Project

Correr, Cassyano Januário; Melchiors, Ana Carolina; Souza, Thaís Teles de; Rotta, Inajara; Salgado, Teresa M.; Fernández-Llimós, Fernando

doi:10.1345/aph.1s006

Cited by 36 publications

(42 citation statements)

References 26 publications

(22 reference statements)

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“…An instrument that could standardize or minimally structure a clinical pharmacy service would have a great value to improve the quality of pharmacist-led patient care. Recently, an attempt has been made to describe pharmacist-led interventions by a systematic tool (DEPICT: descriptive elements of pharmacist interventions characterization tool), which allows a better understanding of clinical pharmacy services and its components to ensure reproducibility of manuscripts and external validity to a given practice scenario [106].…”

Section: Structure Processes and Technical Contents Of Pharmacists' mentioning

confidence: 99%

Assessment of pharmacist-led patient counseling in randomized controlled trials: a systematic review

2014

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Background Pharmacists' counseling has improved health-related outcomes in many acute and chronic conditions. Several studies have shown how pharmacists have been contributing to reduce morbidity and mortality related to drug-therapy (MMRDT). However, there still is a lack of reviews that assemble evidence-based clinical pharmacists' counseling. Equally, there is also a need to understand structure characteristics, processes and technical contents of these clinical services. Aim of the review To review the structure, processes and technical contents of pharmacist counseling or education reported in randomized controlled trials (RCT) that had positive health-related outcomes. Methods We performed a systematic search in specialized databases to identify RCT published between 1990 and 2013 that have evaluated pharmacists' counseling or educational interventions to patients. Methodological quality of the trials was assessed using the Jadad scale. Pharmacists' interventions with positive clinical outcomes (p < 0.05) were evaluated according to patients' characteristics, setting and timing of intervention, reported written and verbal counseling. Results 753 studies were found and 101 RCT matched inclusion criteria. Most of the included RCTs showed a Jadad score between two (37 studies) and three (32 studies). Pharmacists were more likely to provide counseling at ambulatories (60 %) and hospital discharge (25 %); on the other hand pharmacists intervention were less likely to happen when dispensing a medication. Teaching back and explanations about the drug therapy purposes and precautions related to its use were often reported in RCT, whereas few studies used reminder charts, diaries, group or electronic counseling. Most of studies reported the provision of a printed material (letter, leaflet or medication record card), regarding accessible contents and cultural-concerned informations about drug therapy and disease. Conclusion Pharmacist counseling is an intervention directed to patients' health-related needs that improve inter-professional and inter-institutional communication, by collaborating to integrate health services. In spite of reducing MMRDT, we found that pharmacists' counseling reported in RCT should be better explored and described in details, hence collaborating to improve medication-counseling practice among other countries and settings.

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Section: Structure Processes and Technical Contents Of Pharmacists' mentioning

confidence: 99%

Assessment of pharmacist-led patient counseling in randomized controlled trials: a systematic review

2014

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“…23 This tool was developed to be used as reference guide to compare/ assess the main domains of the pharmacists interventions. The DEPICT was used here to assess the two tools used in our study (Appendix 1 and Appendix 2).…”

Section: Characterizing the Components Of Pharmacists Interventionsmentioning

confidence: 99%

“…Two tools (Questionnaire and Intervention checklist) used in this study were described using the DEPICT Tool. 23 The results are presented in …”

Section: Description Of Components Of Pharmacist Interventionsmentioning

confidence: 99%

“…This is because we used a targeted screening approach, contrary to the population approach used in the previously mention study. A marked improvement in self-monitoring of blood glucose in type 2 diabetes patients in the German population resulted from of component (domain) of complex pharmacist's intervention (screening and counseling) using DEPICT 23 -recommendation of some product; -referral patients to GP.…”

Section: -28mentioning

confidence: 99%

“…Furthermore, for policy makers an understanding of all components of the pharmacist interventions, and a process road map describing the setting and resources are important to ensure the quality of the research being used. 23,24 Pharmaceutical care, as a professional orientation with a patient centered approach is not commonly implemented in community pharmacy practice in Serbia. A few local (municipality based) projects have been performed, and some international projects are ongoing, with specific issue and aims, but identification of risk factors of diabetes 2 in the pharmacy setting and postscreening pharmacist intervention was the first study in Serbia.…”

Section: Introductionmentioning

confidence: 99%

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Identification of Risk Factors for Diabetes Type 2 and Components of Pharmacists’ Interventions in Community Pharmacy Setting: A Serbian Pilot Study.

Tasić¹,

Pešić²

2016

IJPER

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Prevention of Type 2 diabetes (T2D) is clinical service useful to implement on community pharmacy settings (CP). The objectives of study were: to determine the risk factors for T2D in adults visiting a community pharmacy; to determine and describe component of pharmacists' interventions (PI) focusing on feasibility of complex intervention (CI). A cross-sectional study design and conducted (January 2010 to June 2011) on 20 CP in Serbia. Adult population was enrolled (304 patients).The pharmacist trained for implementation of complex PI (screening and counseling session). The national Questionnaire for T2D risk estimation was used for screening and Intervention check list was design and used for process of counseling. The DEPICT (Descriptive Elements of Pharmacist Intervention Characterization Tool) was used to describe the component of CI. High and very high risk score was estimated in age group 45-54 (10.80%) forward in age group 55-64 (9.60%); into the cohort below 45 year the 59 adults has low T2D risk score. The average value of PI/per patients was 4.02. From the eight domain/component (operational descriptor in DEPICT) the main component are 'education and counseling' with four type (items) of intervention performed in counseling session. As a conclusion, the pharmacists in CP detected and scoring risk of T2D in Serbian adults' population. The number and type of PI in counseling session adequate to participants clinical profile. Feasibility of the CI within the CP in Serbia was proved. For the outcomes measurements and impact of PI, a proper endpoint and follow-up study design should be conduct.

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Randomised Controlled Trials and Pharmacy Practice Research

Curley

Lin

2020

Pharmacy Practice Research Methods

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A Tool to Characterize the Components of Pharmacist Interventions in Clinical Pharmacy Services: The DEPICT Project

Abstract: DEPICT is a reproducible instrument for describing the components of pharmacist interventions performed as part of clinical pharmacy services. It allows retrospective analysis of published studies and can be used as a reference guide to report pharmacist interventions in future studies.

Cited by 36 publications

References 26 publications

Assessment of pharmacist-led patient counseling in randomized controlled trials: a systematic review

Assessment of pharmacist-led patient counseling in randomized controlled trials: a systematic review

Identification of Risk Factors for Diabetes Type 2 and Components of Pharmacists’ Interventions in Community Pharmacy Setting: A Serbian Pilot Study.

Randomised Controlled Trials and Pharmacy Practice Research

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