Evidence map›Paper›PMID 27625605›Full record

ArticleFrontiers in pharmacology2016

Effects of Telephone Counseling Intervention by Pharmacists (TelCIP) on Medication Adherence; Results of a Cluster Randomized Trial.

Marcel J Kooij, Eibert R Heerdink, Liset van Dijk, Erica C G van Geffen, Svetlana V Belitser, Marcel L Bouvy

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 5 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

27 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Guideline
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  5. Pharmacy-based management for depression in adults.The Cochrane database of systematic reviews · 2019
    Pooled it
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  10. Observational
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  19. The impact of COVID-19 on pharmacy transitions of care services.Research in social & administrative pharmacy : RSAP · 2021
    Article
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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

6 authors.

Marcel J KooijDepartment of Pharmacoepidemiology and Clinical Pharmacology, Utrecht UniversityUtrecht, Netherlands; Service Apotheek KoningAmsterdam, Netherlands.
Eibert R HeerdinkDepartment of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University Utrecht, Netherlands.
Liset van DijkNIVEL (Netherlands Institute for Health Services Research) Utrecht, Netherlands.
Erica C G van GeffenKidney Foundation (Nierstichting) Bussum, Netherlands.
Svetlana V BelitserDepartment of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University Utrecht, Netherlands.
Marcel L BouvyDepartment of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University Utrecht, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the effect of a pharmacist telephone counseling intervention on patients' medication adherence.

designPragmatic cluster randomized controlled trial.

setting53 Community pharmacies in The Netherlands.

participantsPatients ≥18 years initiating treatment with antidepressants, bisphosphonates, Renin-Angiotensin System (RAS)-inhibitors, or statins (lipid lowering drugs). Pharmacies in arm A provided the intervention for antidepressants and bisphosphonates and usual care for RAS-inhibitors and statins. Pharmacies in arm B provided the intervention for RAS-inhibitors and statins and usual care for antidepressants and bisphosphonates.

interventionINTERVENTION consisted of a telephone counseling intervention 7-21 days after the start of therapy. Counseling included assessment of practical and perceptual barriers and provision of information and motivation.

main outcome measurePrimary outcome was refill adherence measured over 1 year expressed as continuous outcome and dichotomous (refill rate≥80%). Secondary outcome was discontinuation within 1 year.

resultsIn the control arms 3627 patients were eligible and in the intervention arms 3094 patients. Of the latter, 1054 patients (34%) received the intervention. Intention to treat analysis showed no difference in adherence rates between the intervention and the usual care arm (74.7%, SD 37.5 respectively 74.5%, 37.9). More patients starting with RAS-inhibitors had a refill ratio ≥80% in the intervention arm compared to usual care (81.4 vs. 74.9% with odds ratio (OR) 1.43, 95%CI 1.11-1.99). Comparing patients with counseling to patients with usual care (per protocol analysis), adherence was statistically significant higher for patients starting with RAS-inhibitors, statins and bisphosphonates. Patients initiating antidepressants did not benefit from the intervention.

conclusionsTelephone counseling at start of therapy improved adherence in patients initiating RAS-inhibitors. The per protocol analysis indicated an improvement for lipid lowering drugs and bisphosphonates. No effect for on adherence in patients initiating antidepressants was found. The trial was registered at www.trialregister.nl under the identifier NTR3237.

Indexed as

antidepressantbisphosphonatecounselinginterventionmedication adherencepharmaceutical careRAS-inhibitorstatins

Identifiers

PMID27625605
PMCPMC5003869

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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.