Polypharmacy (10 or more medicines) Other
Conditions
Interventions
Phase 1: Observational audio recordings of structured medication reviews between pharmacists and patients
Phase 2: Semi-structured interviews with pharmacists
Phase 3: Semi-Structured interviews with
Sponsors
University of Exeter
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: For Pharmacists (in Phases 1 and 2): 1. Registered as a Pharmacist with the General Pharmaceutical Council 2. Employed in the primary care sector, based in either a general practice or primary care network setting 3. Currently delivering or able to deliver structured medication reviews For Patients (in Phases 1 and 3): 1. 18 years old or older 2. Prescribed 10 or more medications on repeat 3. Booked to have a structured medication review with a clinical pharmacist in primary care 4. Able to freely give informed consent
Exclusion criteria
Exclusion criteria: For Pharmacists: 1. Pharmacists working in secondary care or community pharmacy settings 2. Healthcare professionals who are not registered pharmacists 3. Pharmacists with no experience or ability to deliver SMRs For Patients: 1. Under 18 years of age 2. Patients who are unable to freely give consent or lack capacity 3. End of Life Care patients 4. Care Home Residents 5. Patients identified by the host research site as being unsuitable for participation by virtue of being acutely or significantly unwell, difficulties in communicating, safety issues (e.g. noted on patient records or have overtly declined to be contacted by the practice) or welfare issues
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Perceptions and experiences of clinical uncertainty using audio recordings of naturalistic encounters where pharmacists review polypharmacy with patients in GP practice settings | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Joint navigation of clinical uncertainty using audio recordings of naturalistic encounters where pharmacists review polypharmacy with patients in GP practice settings 2. Pharmacist perceptions of clinical uncertainty using qualitative interviews 3. Patient perceptions of pharmacist-delivered polypharmacy reviews, including shared decision making, using qualitative interviews | — |
Countries
England, United Kingdom
Contacts
Public ContactTomazo Kallis
Outcome results
None listed