通过药剂师主导的家庭电视访问在家中药物管理的影响:集群随机对照试验协议
Sheikh Rubana Hossain1, Akanksha N Samant1, Briana C Balsamo2
1James J Peters VA Medical Center, Bronx, NY, United States.
JMIR research protocols
|February 5, 2025
概括
药剂师主导的家庭电视节目可以通过减少差异和不良药物反应 (ADRs) 来改善老年人服用药物的情况. 这种干预为这种人群管理复杂的药物治疗方案提供了一个有希望的方法.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年人经常管理多种慢性疾病和多种药物,增加对药物不良反应 (ADR) 的敏感性.
- 传统的干预药物差异在门诊设置中的传统干预措施已经显示出有限的成功.
- 药剂师主导的干预措施在改善药物使用和减少老年人不良反应方面是有效的.
研究的目的:
- 评估药剂师主导的家庭电视节目对老年人适当药物使用,差异,坚持和副作用的影响.
- 为了比较家庭电视的结果与通常的药物管理护理.
主要方法:
- 进行了一项2站点集群随机对照试验 (RCT).
- 该干预涉及药剂师主导的家庭电视节目,包括药物调和和实际药物使用的评估.
- 主要结果,药物适当性,是使用6个月后的STOPP标准来衡量;使用MAI与EMR进行了对比.
主要成果:
- 涉及20名退伍军人的试点阶段于2021年12月完成.
- 目前正在进行的试验,由斯坦曼模型提供信息,预计将于2025年春季完成.
- 预计初步结果将于2025年发布.
结论:
- 这个集群RCT将通过电视节目提供关于药物管理有效性的证据.
- 如果有效,这种干预措施可能会显著有利于多种慢性疾病和多药的老年人.
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