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Design and Procedure:
The design is a randomised controlled multi-centre pilot study. 18 community pharmacies located in Mecklenburg-Western Pomerania, Germany, were randomised to either a control or an intervention group. These pharmacies recruited eligible patients out of their clientele and invited them to take part in the study. Participants were visited at home by the pharmacist and home-based medication reviews were conducted. The survey form has been developed by the research team and comprised amongst others items to adherence, adverse effects, drug intake, storage and quality of life. Thereafter all data were analysed by the pharmacist with a newly developed document called "analysis guide" aiming at the detection of drug related problems. Pharmacists of the intervention group discussed the results with the family doctor of the patients and the patients and tried to solve the drug related problems. This procedure was not undertaken in the control group.
Six months later a second medication review was carried out in both groups.
Study hypothesis:
Pharmaceutical care reduces the overall number of drug-related problems of elderly patients with diabetes and impairments in mobility.
Aim:
The purpose of this study is to show that pharmaceutical care reduces the overall number of drug-related problems of elderly diabetes-patients with impairments in mobility and leads to both an improved health status and an improved quality of life.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pharmaceutical care | Active Comparator |
| |
| Standard care | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| counseling | Behavioral | The patients grouped to the intervention cohort receive pharmaceutical care by a pharmacist during the study period. |
|
| Measure | Description | Time Frame |
|---|---|---|
| adherence | MMAS-8d | 6 months |
| adverse events | SHIP-trend 8-items questionnaire | 6 months |
| drug-drug-interactions | ABDATA drug-drug interaction identification tool | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| quality of life | improvement of quality of life, measured with eq-5d | 6 months |
| improved overall health status | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christoph A Ritter, Prof. Dr. | Ernst-Moritz-Arndt-University Greifswald, Germany | Principal Investigator |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Sep 11, 2017 | |
| Reset | May 30, 2018 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Sep 11, 2017 | May 30, 2018 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D003376 | Counseling |
| ID | Term |
|---|---|
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
| D003153 | Community Health Services |
| D006296 | Health Services |
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| D005159 | Health Care Facilities Workforce and Services |