Evidence map›Paper›PMID 30458844›Full record

Observational studyBMC health services research2018

Implementation study of an interprofessional medication adherence program for HIV patients in Switzerland: quantitative and qualitative implementation results.

Mélanie Lelubre, Olivier Clerc, Marielle Grosjean, Karim Amighi, Carine De Vriese, Olivier Bugnon, Marie-Paule Schneider

Abstract readObservational Study
In one paragraph

Observational study in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Effectiveness of an Interprofessional Program (Siscare) for Supporting Patients With Type 2 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2023
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. 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.

Mélanie LelubreCommunity pharmacy, School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, Geneva, Switzerland.ORCID http://orcid.org/0000-0002-4128-3583
Olivier ClercDepartment of Internal Medicine and Infectious Diseases, Pourtalès Hospital, Neuchâtel, Switzerland.
Marielle GrosjeanDepartment of Internal Medicine and Infectious Diseases, Pourtalès Hospital, Neuchâtel, Switzerland.
Karim AmighiDepartment of Pharmacotherapy and Pharmaceutics, Faculté de Pharmacie, Université libre de Bruxelles (ULB), Brussels, Belgium.
Carine De VrieseDepartment of Pharmacotherapy and Pharmaceutics, Faculté de Pharmacie, Université libre de Bruxelles (ULB), Brussels, Belgium.
Olivier BugnonCommunity pharmacy, School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, Geneva, Switzerland.
Marie-Paule SchneiderCommunity pharmacy, School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, Geneva, Switzerland. Marie-Paule.Schneider@hospvd.ch.ORCID http://orcid.org/0000-0002-7557-9278

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn interprofessional medication adherence program (IMAP) for chronic patients was developed and successfully implemented in the community pharmacy of the Department of ambulatory care and community medicine (Lausanne, Switzerland). This study assesses the capacity of a physician and a nurse at the infectious diseases service of a public hospital and of community pharmacists in the Neuchâtel area (Switzerland) to implement the IMAP in their practice.

methodsMixed method, prospective, observational study. Quantitative and qualitative analyses of the implementation process were conducted following the RE-AIM model (reach, effectiveness, adoption, implementation and maintenance).

resultsImplementation started in November 2014. One physician, one nurse, and five pharmacists agreed to participate. Healthcare professionals perceived the benefits of the program and were motivated to implement it in their practice (adoption). Seventeen patients were included in the program; 13 refused to participate. The inclusion of naïve HIV patients was easier than the inclusion of experienced patients with difficult psychosocial issues (reach). Pharmacists were engaged in reinforcing patient medication adherence in 25% of interviews (effectiveness). Key facilitators expressed by healthcare professionals were patient inclusion by the physician and the nurse instead of the pharmacist and the organisation of regular meetings between all stakeholders. In contrast, the encountered barriers were the lack of time and resources, the lack of team uptake, and the lack of adoption by senior managers (implementation). Interviewed patients were all satisfied with this new program, encouraging healthcare professionals to scale it up. Structural changes allowed the hospital and one pharmacy to enter the maintenance stage (maintenance).

conclusionThe research team and collaboration between all professionals involved played an important role in this implementation. However, the dissemination of such a program to a larger scale and for the long term requires financial and structural resources as well as transitional external support.

Indexed as

Medication AdherenceAmbulatory CareAttitude of Health PersonnelClinical CompetenceCommunity Pharmacy ServicesFemaleHealth PersonnelHealth ResourcesHIV InfectionsHospitals, PublicHumansInterprofessional RelationsMaleNurses, Community HealthPerceptionPharmaciesCommunity pharmacy serviceIMAPImplementationImplementation outcomesInterprofessional collaborationMedication adherenceRe-AIM

Identifiers

PMID30458844
PMCPMC6247756

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.