Document Detail

The evaluation of an intervention based on the application of patient self-completion concordance forms in Dutch community pharmacies and the effect on adherence to chronic medication.
MedLine Citation:
PMID:  19443169     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the use of patient self-completion concordance forms and to determine the effect of patient counselling by using concordance forms on adherence to chronic medication.
METHODS: Patients with a prescription for new chronic treatment were randomised in an intervention or control group. The intervention group received a concordance form to fill in at home and to discuss during a consultation 2 weeks later in the pharmacy. The control group received the usual information and instruction on how to use the medicine. Afterwards, all patients were asked to fill in a questionnaire about their use of medicines and contact with the pharmacy employees. Adherence to the medicine was determined using rates of prescription refills after 6 months of use.
RESULTS: The questionnaires showed that patients were satisfied about the concordance model. After 6 months of use, 79% of the patients from both intervention and control group were defined as adherent.
CONCLUSIONS: There was no significant difference found in adherence between intervention and control group.
PRACTICE IMPLICATIONS: Use five selected questions from the concordance form which provided most answers. Focus on one drug group and have more consultation moments.
Marlies M E Geurts; Johan L W Pot; Emiel H Schepers; Chris Tromp; Corine G Colijn; Arie Dijkstra; Johan J de Gier
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-05-14
Journal Detail:
Title:  Patient education and counseling     Volume:  78     ISSN:  1873-5134     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-01     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  85-90     Citation Subset:  N    
University of Groningen, Department of Pharmacotherapy and Pharmaceutical Care, GUIDE Graduate School for Drug Exploration, Graduate School for Health Research SHARE, Groningen, The Netherlands.
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MeSH Terms
Chronic Disease
Directive Counseling*
Medication Adherence*
Middle Aged
Models, Theoretical
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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