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Implementation of a community pharmacy-based falls prevention program.

Carri Casteel1, Susan J Blalock, Stefanie Ferreri

  • 1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina 27599-7505, USA. ccasteel@email.unc.edu

The American Journal of Geriatric Pharmacotherapy
|September 20, 2011
PubMed
Summary
This summary is machine-generated.

Community pharmacy medication reviews show potential for falls prevention in older adults. Improved coordination between pharmacists and prescribers is crucial for implementing medication changes and realizing benefits.

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Area of Science:

  • Gerontology
  • Pharmaceutics
  • Public Health

Background:

  • Falls are a primary cause of injury in older adults.
  • Multifaceted falls prevention programs often include medication review.
  • Evidence from randomized trials on medication review effectiveness is limited.

Purpose of the Study:

  • To conduct a retrospective process evaluation of a randomized trial.
  • To assess a medication review intervention delivered by community pharmacies.
  • To examine the impact on falls in community-dwelling older adults.

Main Methods:

  • Recruited high-risk older adults (≥65 years, ≥4 medications) through 32 pharmacies.
  • Evaluated patient recruitment, intervention delivery, and recommendation implementation.
  • Assessed pharmacist recommendations and prescriber acceptance.

Main Results:

  • 12.6% of contacted patients participated; 42.7% were eligible.
  • Medication reviews were delivered to 78.5% of intervention participants.
  • Only 24.4% of medication change recommendations were implemented, with 32.3% authorized by physicians.

Conclusions:

  • Coordination between community pharmacists and prescribers requires enhancement.
  • Improved collaboration is necessary for effective medication management in falls prevention.
  • Further research should focus on optimizing pharmacist-physician communication for medication interventions.