Koninklijke Nederlandse Maatschappij ter Bevordering der Pharmacie
Pharmacy World & Science vol:31 issue:4 pages:506-507
PCNE Working Conference edition:6 location:Vimeiro date:4-7 March 2009
STUDYING THE IMPACT OF MEDICATION COUNSELLING FOR PATIENTS STARTING A TREATMENT WITH ANTIDEPRESSANT DRUGS
Marijn Wouters, Veerle Foulon
Relevance of the work
Depressive disorders have a global impact on health-related quality of life as well as on socio-economic parameters. Treatment with antidepressant drugs has shown to be effective if executed correctly for an appropriate period of time. However, recent data suggest that only a minority of patients taking antidepressant drugs adhere to treatment recommendations. Therefore, it seems obvious to develop interventions that might have a positive impact on adherence and health outcomes.
I. The overall aim of this project is to study the impact of medication counselling by the community pharmacist on the use of antidepressant drugs. The counselling will focus on new users and the impact will be measured on clinical, economic and humanistic parameters.
The project will also investigate
II. the patterns of clinical use of antidepressant drugs in Belgium
III. the attitudes and stigma of community pharmacists towards patients with mental disorders
IV. the impact of an education program involving consumer educators on stigma and attitudes
To answer the main research question, a randomized controlled trial will be set up. Pharmacists in the intervention arm will be trained to counsel patients with a new prescription for an antidepressant drug. Pharmacists in the control arm will deliver standard care. All patients in the study will be called 4 times in 6 months to gather information on the different parameters using appropriate questionnaires.
The database of a pharmacy-network, containing patient-level data, will be used to address the second research question.
To investigate stigma and attitudes of pharmacists and the impact of an education program, a survey instrument will be used that was previously tested on pharmacy students.
The analysis of the dataset of the pharmacy-network is the first step in the realisation of this project. This analysis is still on-going. Some provisional results will be presented at the conference.
The project described in this abstract is set up to investigate the impact of community pharmacy counselling on the use of antidepressant drugs. The authors would greatly appreciate any suggestions on the design of this project as well as on the proposed methodology.