Depressed patients’ preferences for education about medications by pharmacists in Kuwait

Al-Saffar, Nabeel; Abdulraheem, Abdulkareem; Alsughayer, Abdulhakeem; Alqattan, Salah; Metwalli, Heba

doi:10.1016/j.pec.2008.01.027

Cited by 30 publications

(21 citation statements)

References 21 publications

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“…Several studies have shown how pharmacists have been contributing to reduce morbidity and mortality related to drugtherapy (MMRDT) [2][3][4][5][6][7]. Health-related outcomes and other surrogate endpoints have been used to demonstrate effectiveness from these services, such as patients' drug therapy knowledge, disease knowledge, self-care and medication adherence [5,6].…”

Section: Introductionmentioning

confidence: 99%

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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: Introductionmentioning

confidence: 99%

“…Therefore, pharmacists' counseling is a clinical service that has been playing an important role to public health [2][3][4][5][6][7]. However, there are few reviews that assemble and discuss about evidence-based clinical pharmacists' counseling or education interventions that focus on pharmacy practice.…”

Section: Introductionmentioning

confidence: 99%

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

2014

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“…43 In the same vein, pharmacists can take up the mantle and assume a more significant role, given that research in the past has indicated that patients feel more comfortable discussing medication use with them, as compared to other health professionals. 44,45 This is especially relevant to community pharmacists as they are often one of the first points of contact when it comes to the purchase of CAM. Pharmacists are the undisputed and underutilised drug experts and have more time to counsel patients.…”

Section: Discussionmentioning

confidence: 99%

Brief review of complementary and alternative medicine use among Malaysian women with breast cancer

Khan

Jacob

2017

Pharmacy Practice and Res

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Breast cancer is rated as the most common cancer among women in Malaysia, resulting in 25% of cancer‐related deaths in women. However, effective management has been impeded by the burgeoning use of complementary and alternative medicine (CAM) by these patients. Indeed, women with breast cancer in Malaysia present at a later stage of the disease compared to women from other countries, and a contributing factor has been their preference for CAM treatment prior to seeking conventional therapy. This article explores the impetus behind the use of CAM, and highlights some measures that can be taken to address this issue. Some of the influencing factors noted were patients' lack of knowledge, sociocultural factors, as well as poor communication with healthcare providers. There needs to be a concerted effort by the key players who are either directly or indirectly involved in the care of these patients to address whatever misconceptions they may have that are related to cancer as well as CAM use. Pharmacists especially, as the drug experts, can play a bigger role in educating these patients on the importance of using evidence‐based treatments.

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“…Only three studies had high risk of bias in at least four of the six domains. 25,78,83 Performance bias…”

Section: Quality Assessmentmentioning

confidence: 99%

“…51 In six studies, several methods were used. 25,29,31,35,45 In one study, the patients were given a blood-pressure measuring device to take home and instructions on how to use it. 84 Another study included a demonstration dose of sublingual nitroglycerin, for which the physician was present.…”

Section: Clinical Diseasesmentioning

confidence: 99%

Delivery of patient adherence support: a systematic review of the role of pharmacists and doctors

Andersson¹,

Garfield²,

Eliasson³

et al. 2014

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We conducted a systematic review of adherence support programs involving doctors and pharmacists. We searched MEDLINE ® , Embase, International Pharmaceutical Abstracts, PsycINFO ® , and CINAHL using the keywords "pharmacist" or "doctor" and "adhere*" or " compli*" and "randomized controlled trials". We found 89 studies involving pharmacists; in contrast, only 14 studies involved doctors. The roles of pharmacists and doctors ranged from providing education and counseling to adjusting treatment. Most interventions that specified a patient group were carried out with patients with chronic conditions (n=79) and only six included short-term treatments. The majority of interventions improved adherence and clinical outcomes to some extent, although the size of effect size was sometimes small. Resource utilization (eg, hospitalization rates, visits to doctors) did not change in the majority of studies that reported it. Few studies included cost analyses. All but one study had high risk of performance bias due to the nature of the interventions, which made it impossible to blind the participants. The majority of studies did not report tailoring the interventions to patient needs and the vast majority of papers did not report taking a concordant patient-centered approach or considering patients' own views and experiences when providing adherence support. In addition, the majority of studies did not describe training for the health care professionals involved in providing adherence support. Providing training for doctors and pharmacists to take a more patient-centered concordant approach would be expected to increase the effectiveness of adherence support further.

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Depressed patients’ preferences for education about medications by pharmacists in Kuwait

Cited by 30 publications

References 21 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

Brief review of complementary and alternative medicine use among Malaysian women with breast cancer

Delivery of patient adherence support: a systematic review of the role of pharmacists and doctors

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