Evidence map›Paper›PMID 24021216›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2014

Enhancing Quality in Psychiatry with Psychiatrists (EQUIPP)--results from a pilot study.

Lea C Watson, Denise A Esserman, Jena L Ivey, Carmen L Lewis, Richard Hansen, Morris Weinberger, Mary T Roth

Abstract readClinical Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lea C WatsonDepartment of Psychiatry, UNC School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC. Electronic address: lea_watson@med.unc.edu.
Denise A EssermanDivision of General Medicine and Clinical Epidemiology, UNC School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Biostatistics, UNC Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Jena L IveyDivision of Pharmacy Practice and Experiential Education, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Carmen L LewisDivision of General Medicine and Clinical Epidemiology, UNC School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Richard HansenDepartment of Pharmacy Care Systems, Harrison School of Pharmacy, Auburn University, Auburn, AL.
Morris WeinbergerDepartment of Health Policy and Management, UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill School, Chapel Hill, NC; Center for Health Services Research, Durham Veterans Affairs Medical Center, Durham, NC.
Mary T RothDivision of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC.

Funding

UNC CLINICAL AND TRANSLATIONAL SCIENCE AWARD: BPCAUL1RR025747 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$44.6M
UNC Clinical Translation Science Award-K12 Scholars Program (KL2)KL2RR025746 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$9.0M
Improving the Quality of Medication Use in Older AdultsK23AG024229 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROTH, MARY T · 2006 to 2010
$749k
Colon Cancer Screening Decisions in Late LifeK07CA104128 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LEWIS, CARMEN LYNN · 2005 to 2009
$718k
NCI NIH HHS 5K07CA104128NCI NIH HHS K07 CA104128NCRR NIH HHS KL2 RR025746NCRR NIH HHS UL1 RR025747NCRR NIH HHS UL1RR025747NIA NIH HHS 5K23AG024229NIA NIH HHS K23 AG024229NICHD NIH HHS 1K12HD052191
6 · The paper itself

Abstract

objectivesTo pilot a pharmacist-led, patient centered medication management program.

designProspective, single arm trial.

settingAcademic geriatric psychiatry outpatient clinic.

participantsOutpatients at least 65 years old, proxy available if demented, and on two or more psychiatric medications.

interventionA clinical pharmacist completed a baseline medication review and made evidence-based recommendations that were implemented by the pharmacist after discussion with the physician. The pharmacist made a minimum of monthly contact for 6 months to review medications and related issues. MEASUREMENTS: The primary outcome was the change in number of medication related problems over time (3 and 6 months) as defined by a predetermined classification system.

resultsThe mean age of the 27 patients was 75 years, 10 of whom required a proxy to participate. On average, patients had nine chronic conditions and were taking 14 medications. The mean number (SD; range) of medication related problems at baseline was 4.1 (2.2; 0-8) and at 3 and 6 months were 3.6 (2.4, 0-9) and 3.4 (2.1; 0-8), respectively. Most follow-up problems were new (80% and 89% at 3 and 6 months, respectively).

conclusionUsing a pharmacist to deliver a medication management program was feasible and addressed existing problems. New problems, however, developed over a short interval (3-6 months), suggesting that ongoing intervention is required.

Indexed as

Medication Therapy ManagementQuality of Health CareAgedChronic DiseaseClinical CompetenceFemaleHumansMaleMedication ErrorsMedication ReconciliationMental DisordersPharmacy Service, HospitalPilot ProjectsProspective StudiesPsychiatryMedicationspharmacistquality

Identifiers

PMID24021216
PMCPMC3864144

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.