Primary Care Community Pharmacy Project: Evaluation of Medication Management Service

Status: Recruiting
Location: See all (8) locations...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Medication management services (MMS) is a pharmacist-led service of optimizing the medication use and health outcomes, by promoting medication safety and enhancing the ability in self-management of health and diseases of patients and their caregivers. Yet, only limited evidence on the implementation of MMS service in Hong Kong is available. The goal of this clinical trial is to evaluate the cost effectiveness and effects of implementing MMS in community pharmacies owned by 8 non-government organizations (NGOs) in Hong Kong on humanistic and clinical outcomes in patients with hypertension and/or type II diabetes mellitus. The clinical trial aims to look into the following aspects: * To evaluate the perception and satisfaction of patients on MMS service * To investigate whether MMS could improve patients' adherence to their medication regimen, health-related quality of life, health outcomes and health service utilization, as well as their ability to understand and cope with their illness and drug-related problems * To identify and categorize the types of drug-related problems identified during MMS * To evaluate the cost-effectiveness of implementing MMS in community pharmacies MMS services will be rolled out in a total of 8 NGO community pharmacies progressively (2 pharmacies per phase) in 4 successive phases. Participants will complete the questionnaires at the following time points throughout the trial, namely 1) during recruitment, 2) baseline (1 month before MMS), 3) 3 months after MMS begins, 4) 12 months after MMS begins, and 5) 24 months after MMS begins. Researchers will compare the results of questionnaires conducted at different time points to identify the potential changes in the effects of MMS. Furthermore, researchers will link up the electronic health records of the participants and identify the potential changes in the health outcomes and health service utilizations after receiving MMS.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• aged 18 years or above

• diagnosed with Type 2 diabetes mellitus and/or hypertension

• having regular follow-up on Type 2 diabetes mellitus and/or hypertension at Hospital Authority

• no A\&E admission/hospitalization in the past 3 months

• no recent changes in medication regimen in the past 3 months

• polypharmacy (taking 5 or more chronic medications)

• using at least 1 high-risk medication (Anticoagulants, Oral hypoglycaemics, Insulins, psychotropic medications or immunosuppressants)

• able to communicate in Cantonese and/or English

Locations
Other Locations
Hong Kong Special Administrative Region
Aberdeen Kai-Fong Welfare Association A-Lively Community Pharmacy
RECRUITING
Hong Kong
Health In Action Community Pharmacy
RECRUITING
Hong Kong
Hong Kong Sheng Kung Hui Welfare Council Community Pharmacy
RECRUITING
Hong Kong
PHARM+ Haven of Hope Community Pharmacy
RECRUITING
Hong Kong
PHARM+ Pok Oi Hospital Community Pharmacy
RECRUITING
Hong Kong
PHARM+ St. James' Settlement Community Pharmacy
RECRUITING
Hong Kong
PHARM+ The Lok Sin Tong Community Pharmacy
RECRUITING
Hong Kong
PHARM+ YWCA Community Pharmacy
RECRUITING
Hong Kong
Contact Information
Primary
Ian Chi Kei Wong, PhD
wongick@hku.hk
+852 3917 9441
Backup
Eric Yuk Fai Wan, PhD
yfwan@hku.hk
+852 2831 5057
Time Frame
Start Date: 2024-02-06
Estimated Completion Date: 2027-05-01
Participants
Target number of participants: 640
Treatments
Experimental: Intervention
Participants who join the trial will have have a control period (no intervention) of 3 to 12 months before receiving medication management service (MMS) at 8 NGO community pharmacies. Since there are 8 NGO community pharmacies, 2 NGO community pharmacies will start delivering MMS by phase at 3, 6, 9 and 12 month intervals. Therefore, all participants who join the trial will receive MMS by month 12 from recruitment date. During the MMS service, pharmacists will review the participants' medication history and conduct medication reconciliation, refer them to doctors for reviewing the prescribing decision if necessary, as well as provide education and lifestyle advice on medication management.
No_intervention: Control
Participants who join the trial will have have a control period of 3 to 12 months before receiving medication management service (MMS) at 8 NGO community pharmacies. Participants will have no MMS intervention during the control period. Since there are 8 NGO community pharmacies, two NGO community pharmacies will start delivering MMS by phase at 3, 6, 9 and 12 month intervals. Therefore, all participants who join the trial will receive MMS by month 12 from recruitment date.
Related Therapeutic Areas
Sponsors
Collaborators: Hong Kong Young Women's Christian Association, Haven of Hope Hospital, Health In Action, Aberdeen Kai-fong Welfare Association, Pok Oi Hospital, Hong Kong Sheng Kung Hui Welfare Council Limited, Lok Sin Tong Benevolent Society, Kowloon, St. James' Settlement, The Hong Kong Jockey Club Charities Trust
Leads: The University of Hong Kong

This content was sourced from clinicaltrials.gov