Patient Knowledge about Oral Anticoagulation Therapy Assessed during an Intermediate Medication Review in Swiss Community Pharmacies
<b>Background:</b> Therapy with oral anticoagulation (OAC) can be challenging, especially in high risk groups such as chronic patients. Gaps in patient knowledge about OAC are linked to reduced effectiveness and safety of treatment. The objectives of this study were i) to assess OAC know...
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| Format: | Article |
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MDPI AG
2020-03-01
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| Series: | Pharmacy |
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| Online Access: | https://www.mdpi.com/2226-4787/8/2/54 |
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| author | Corina Metaxas Valerie Albert Susanne Habegger Markus Messerli Kurt E. Hersberger Isabelle Arnet |
| author_facet | Corina Metaxas Valerie Albert Susanne Habegger Markus Messerli Kurt E. Hersberger Isabelle Arnet |
| author_sort | Corina Metaxas |
| collection | DOAJ |
| description | <b>Background:</b> Therapy with oral anticoagulation (OAC) can be challenging, especially in high risk groups such as chronic patients. Gaps in patient knowledge about OAC are linked to reduced effectiveness and safety of treatment. The objectives of this study were i) to assess OAC knowledge gathered during an intermediate medication review (MR) in patients taking vitamin K antagonists (VKA) or non-vitamin K antagonist oral anticoagulants (NOAC); ii) to assess OAC knowledge two weeks after the MR, and iii) to evaluate patient satisfaction with the MR service in community pharmacies. <b>Methods:</b> Chronic OAC patients were invited for a regular MR service in Swiss community pharmacies, the so-called “Polymedication-Check” (PMC). OAC knowledge was assessed with seven newly generated items asked face-to-face during a PMC and by telephone two weeks later. Knowledge gaps, pharmacists’ spontaneous interventions, and patient satisfaction were documented by observing pharmacy students. Treatment groups were compared. <b>Results:</b> Of all patients (n = 81), the number of patients with one or more knowledge gaps decreased from 66% to 31.3% after PMC (<i>p</i> < 0.001). NOAC patients (n = 31) had more knowledge gaps than VKA patients (n = 50; <i>p</i> < 0.05). Most patients (98.6%) were satisfied with the counselling provided by the pharmacists. <b>Conclusion:</b> The majority of chronic OAC patients shows knowledge gaps. Although spontaneous, the provision of tailored education during a PMC increased patient OAC knowledge. |
| first_indexed | 2024-03-11T10:10:58Z |
| format | Article |
| id | doaj.art-8103841fec7c48f69483b36218d28eae |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-03-11T10:10:58Z |
| publishDate | 2020-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-8103841fec7c48f69483b36218d28eae2023-11-16T14:33:04ZengMDPI AGPharmacy2226-47872020-03-01825410.3390/pharmacy8020054Patient Knowledge about Oral Anticoagulation Therapy Assessed during an Intermediate Medication Review in Swiss Community PharmaciesCorina Metaxas0Valerie Albert1Susanne Habegger2Markus Messerli3Kurt E. Hersberger4Isabelle Arnet5Department of Pharmaceutical Sciences, Pharmaceutical Care Research Group, University of Basel, Petersplatz 14, Postfach 2148, 4001 Basel, SwitzerlandDepartment of Pharmaceutical Sciences, Pharmaceutical Care Research Group, University of Basel, Petersplatz 14, Postfach 2148, 4001 Basel, SwitzerlandDepartment of Pharmaceutical Sciences, Pharmaceutical Care Research Group, University of Basel, Petersplatz 14, Postfach 2148, 4001 Basel, SwitzerlandDepartment of Pharmaceutical Sciences, Pharmaceutical Care Research Group, University of Basel, Petersplatz 14, Postfach 2148, 4001 Basel, SwitzerlandDepartment of Pharmaceutical Sciences, Pharmaceutical Care Research Group, University of Basel, Petersplatz 14, Postfach 2148, 4001 Basel, SwitzerlandDepartment of Pharmaceutical Sciences, Pharmaceutical Care Research Group, University of Basel, Petersplatz 14, Postfach 2148, 4001 Basel, Switzerland<b>Background:</b> Therapy with oral anticoagulation (OAC) can be challenging, especially in high risk groups such as chronic patients. Gaps in patient knowledge about OAC are linked to reduced effectiveness and safety of treatment. The objectives of this study were i) to assess OAC knowledge gathered during an intermediate medication review (MR) in patients taking vitamin K antagonists (VKA) or non-vitamin K antagonist oral anticoagulants (NOAC); ii) to assess OAC knowledge two weeks after the MR, and iii) to evaluate patient satisfaction with the MR service in community pharmacies. <b>Methods:</b> Chronic OAC patients were invited for a regular MR service in Swiss community pharmacies, the so-called “Polymedication-Check” (PMC). OAC knowledge was assessed with seven newly generated items asked face-to-face during a PMC and by telephone two weeks later. Knowledge gaps, pharmacists’ spontaneous interventions, and patient satisfaction were documented by observing pharmacy students. Treatment groups were compared. <b>Results:</b> Of all patients (n = 81), the number of patients with one or more knowledge gaps decreased from 66% to 31.3% after PMC (<i>p</i> < 0.001). NOAC patients (n = 31) had more knowledge gaps than VKA patients (n = 50; <i>p</i> < 0.05). Most patients (98.6%) were satisfied with the counselling provided by the pharmacists. <b>Conclusion:</b> The majority of chronic OAC patients shows knowledge gaps. Although spontaneous, the provision of tailored education during a PMC increased patient OAC knowledge.https://www.mdpi.com/2226-4787/8/2/54oral anticoagulationpatient medication knowledgemedication review |
| spellingShingle | Corina Metaxas Valerie Albert Susanne Habegger Markus Messerli Kurt E. Hersberger Isabelle Arnet Patient Knowledge about Oral Anticoagulation Therapy Assessed during an Intermediate Medication Review in Swiss Community Pharmacies Pharmacy oral anticoagulation patient medication knowledge medication review |
| title | Patient Knowledge about Oral Anticoagulation Therapy Assessed during an Intermediate Medication Review in Swiss Community Pharmacies |
| title_full | Patient Knowledge about Oral Anticoagulation Therapy Assessed during an Intermediate Medication Review in Swiss Community Pharmacies |
| title_fullStr | Patient Knowledge about Oral Anticoagulation Therapy Assessed during an Intermediate Medication Review in Swiss Community Pharmacies |
| title_full_unstemmed | Patient Knowledge about Oral Anticoagulation Therapy Assessed during an Intermediate Medication Review in Swiss Community Pharmacies |
| title_short | Patient Knowledge about Oral Anticoagulation Therapy Assessed during an Intermediate Medication Review in Swiss Community Pharmacies |
| title_sort | patient knowledge about oral anticoagulation therapy assessed during an intermediate medication review in swiss community pharmacies |
| topic | oral anticoagulation patient medication knowledge medication review |
| url | https://www.mdpi.com/2226-4787/8/2/54 |
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