Evidence map›Paper›PMID 26537500›Full record

Trial reportBMJ open2015

Supervised pharmacy student-led medication review in primary care for patients with type 2 diabetes: a randomised controlled pilot study.

R P Adams, G Barton, D Bhattacharya, P F Grassby, R Holland, A Howe, N Norris, L Shepstone, D J Wright

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Student-Led discharge counseling program for High-Risk medications in a teaching hospital in Saudi Arabia: A pilot study.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
    Article
  8. Article
  9. Overcoming our nature and nurture.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC
    Article
  10. 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

9 authors.

R P AdamsSchool of Pharmacy, University of East Anglia, Norwich, Research Park, Norwich, UK.
G BartonNorwich Medical School and Norwich Clinical Trials Unit, University of East Anglia, Norwich Research Park, Norwich, UK.
D BhattacharyaSchool of Pharmacy, University of East Anglia, Norwich, Research Park, Norwich, UK.
P F GrassbySchool of Pharmacy, University of Lincoln, Lincoln, UK.
R HollandNorwich Medical School, University of East Anglia, Norwich Research Park, Norwich, UK.
A HoweNorwich Medical School, University of East Anglia, Norwich Research Park, Norwich, UK.
N NorrisSchool of Education & Lifelong Learning, University of East Anglia, Norwich Research Park, Norwich, UK.
L ShepstoneNorwich Medical School and Norwich Clinical Trials Unit, University of East Anglia, Norwich Research Park, Norwich, UK.
D J WrightSchool of Pharmacy, University of East Anglia, Norwich, Research Park, Norwich, UK.

Funding

Department of Health PB-PG-0909-19198
6 · The paper itself

Abstract

objectiveTo pilot and feasibility-test supervised final year undergraduate pharmacy student-led medication reviews for patients with diabetes to enable definitive trial design.

methodThird year pharmacy students were recruited from one UK School of Pharmacy and trained to review patient's medical records and provide face-to-face consultations under supervision while situated within the patient's medical practice. Patients with type 2 diabetes were recruited by postal invitation letter from their medical practice and randomised via automated system to intervention or usual care. Diabetes-related clinical data, quality of life, patient reported beliefs, adherence and satisfaction with medicines information were collected with validated tools at baseline and 6 months postintervention. The process for collecting resource utilisation data was tested. Stakeholder meetings were held before and after intervention to develop study design and learn from its implementation. Recruitment and attrition rates were determined plus the quality of the outcome data. Power calculations for a definitive trial were performed on the different outcome measures to identify the most appropriate primary outcome measure.

results792 patients were identified as eligible from five medical practices. 133 (16.8%) were recruited and randomised to control (n=66) or usual care (n=67). 32 students provided the complete intervention to 58 patients. Initial data analysis showed potential for impact in the right direction for some outcomes measured including glycated haemoglobin, quality of life and patient satisfaction with information about medicines. The intervention was found to be feasible and acceptable to patients. The pilot and feasibility study enabled the design of a future full randomised controlled trial.

conclusionsStudent and patient recruitment are possible. The intervention was well received and demonstrated some potential benefits. While the intervention was relatively inexpensive and provided an experiential learning opportunity for pharmacy students, its cost-effectiveness remains to be determined. TRIAL REGISTRATION NUMBER: ISRCTN26445805; Results.

Indexed as

Patient SatisfactionQuality of LifeStudents, PharmacyAgedAged, 80 and overDiabetes Mellitus, Type 2Feasibility StudiesFemaleGlycated HemoglobinHumansMaleMiddle AgedPilot ProjectsPrimary Health CareUnited KingdomGlycated HemoglobinEDUCATION & TRAINING (see Medical Education & Training)

Identifiers

PMID26537500
PMCPMC4636620

What OpenQuestion holds

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Registered trials

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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.