Evidence map›Paper›PMID 30208976›Full record

ArticlePrimary health care research & development2019

Consistency and replicability of a pharmacist-led intervention for asthma patients: Italian Medicines Use Review (I-MUR).

Andrea Manfrin, Janet Krska

Abstract readMulticenter Study
In one paragraph

Article in Primary health care research & development, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

2 authors.

Andrea Manfrin1Senior Lecturer in Pharmacy Practice,Sussex Pharmacy,School of Life Sciences,University of Sussex,Falmer,Brighton,UK.ORCID 0000-0003-3457-9981
Janet Krska2Professor of Clinical and Professional Practice,Medway School of Pharmacy,Universities of Greenwich and Kent at Medway,Anson Building,Central Avenue,Chatham Maritime,Chatham,Kent,UK.ORCID 0000-0002-4148-5652

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AimThis study aimed to assess the consistency and replicability of these process measures during provision of the Italian Medicines Use Review (I-MUR).

backgroundMedication review is a common intervention provided by community pharmacists in many countries, but with little evidence of consistency and replicability. The I-MUR utilised a standardised question template in two separate large-scale studies. The template facilitated pharmacists in recording medicines and problems reported by patients, the pharmaceutical care issues (PCIs) they found and actions they took to improve medicines use.

methodsCommunity pharmacists from four cities and across 15 regions were involved in the two studies. Patients included were adults with asthma. Medicines use, adherence, asthma problems, PCIs and actions taken by pharmacists were compared across studies to assess consistency and replicability of I-MUR.FindingsThe total number of pharmacists and patients completing the studies was 275 and 1711, respectively. No statistically significant differences were found between the studies in the following domains: patients' demographic, patients' perceived problems, adherence, asthma medicines used and healthy living advice provided by pharmacists. The proportion of patients in which pharmacists identified PCIs was similar across both studies. There were differences only in the incidence of non-steroidal anti-inflammatory drug use, the frequency of potential drug-disease interactions and in the types of advice given to patients and GPs.

conclusionsThe use of a standardised template for the I-MUR may have contributed to a degree of consistency in the issues found, which suggests this intervention could have good replicability.

Indexed as

Community Pharmacy ServicesAdolescentAdrenergic beta-AntagonistsAdultAgedAngiotensin-Converting Enzyme InhibitorsAnti-Inflammatory Agents, Non-SteroidalAsthmaDrug Utilization ReviewFemaleHumansItalyMaleMiddle AgedPharmacistsReproducibility of ResultsAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAnti-Inflammatory Agents, Non-Steroidalasthmacommunity pharmacyconsistencyMedicines Use Reviewreplicability

Identifiers

PMID30208976
PMCPMC6476346

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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.