Medication Adherence, Medication Therapy Management
Conditions
Keywords
Drug Substitution, Multicompartment Compliance Aid
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.
Interventions
BEHAVIORALAssessment
Assessment of patients' medication organisation and comprehension of generics
Sponsors
University of Basel
University Hospital, Basel, Switzerland
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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. |
Countries
Switzerland
Outcome results
None listed