Does early identification of high work related stress affect pharmacological treatment of primary care patients? - analysis of Swedish pharmacy dispensing data in a randomised control study
Abstract Background The study is part of a randomised controlled trial with the overall aim to evaluate if use of the Work Stress Questionnaire (WSQ), combined with feedback at consultation, can be used by healthcare professionals in primary health care to prevent sickness absence. The specific aim...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-04-01
|
| Series: | BMC Family Practice |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12875-020-01140-x |
| _version_ | 1818119728146677760 |
|---|---|
| author | Pernilla J. Bjerkeli Ingmarie Skoglund Kristina Holmgren |
| author_facet | Pernilla J. Bjerkeli Ingmarie Skoglund Kristina Holmgren |
| author_sort | Pernilla J. Bjerkeli |
| collection | DOAJ |
| description | Abstract Background The study is part of a randomised controlled trial with the overall aim to evaluate if use of the Work Stress Questionnaire (WSQ), combined with feedback at consultation, can be used by healthcare professionals in primary health care to prevent sickness absence. The specific aim of the present study was to investigate whether there were differences in pharmacy dispensing of prescription medications between the intervention group and the control group. Methods The study was a randomized controlled trial. Non-sick-listed employed women and men, aged 18 to 64 years, seeking care at primary health care centres (PHCCs) were eligible participants. The intervention included early identification of work-related stress by the WSQ, general practitioner (GP) training and GP feedback at consultation. Pharmacy dispensing data from the Swedish Prescription Drug Register for a period of 12 months following the intervention was used. Primary outcomes were the number of different medications used, type of medication and number of prescribing clinics. Data was analysed using Mann Whitney U tests and chi-square tests. Results The study population included 271 individuals (132 in the intervention group and 139 in the control group). The number of different medications used per individual did not differ significantly between the control group (median 4.0) and the intervention group (median 4.0, p-value 0.076). The proportion of individuals who collected more than 10 different medications was higher in the control group than in the intervention group (15.8% versus 4.5%, p = 0.002). In addition, the proportion of individuals filling prescriptions issued from more than three different clinics was higher in the control group than in the intervention group (17.3% versus 6.8%, p = 0.007). Conclusion Systematic use of the WSQ combined with training of GPs and feedback at consultation may affect certain aspects of pharmacological treatment in primary health care patients. In this randomised control trial, analysis of pharmacy dispensing data show that patients in the intervention group had less polypharmacy and filled prescriptions issued from a smaller number of different clinics. Trial registration ClinicalTrials.gov . Identifier: NCT02480855 . Registered 20 May 2015. |
| first_indexed | 2024-12-11T05:14:48Z |
| format | Article |
| id | doaj.art-fc9305e575044760be202f2aa507a567 |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-12-11T05:14:48Z |
| publishDate | 2020-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-fc9305e575044760be202f2aa507a5672022-12-22T01:19:50ZengBMCBMC Family Practice1471-22962020-04-012111710.1186/s12875-020-01140-xDoes early identification of high work related stress affect pharmacological treatment of primary care patients? - analysis of Swedish pharmacy dispensing data in a randomised control studyPernilla J. Bjerkeli0Ingmarie Skoglund1Kristina Holmgren2School of Health and Education, University of SkövdeDepartment of Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of GothenburgDepartment of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of GothenburgAbstract Background The study is part of a randomised controlled trial with the overall aim to evaluate if use of the Work Stress Questionnaire (WSQ), combined with feedback at consultation, can be used by healthcare professionals in primary health care to prevent sickness absence. The specific aim of the present study was to investigate whether there were differences in pharmacy dispensing of prescription medications between the intervention group and the control group. Methods The study was a randomized controlled trial. Non-sick-listed employed women and men, aged 18 to 64 years, seeking care at primary health care centres (PHCCs) were eligible participants. The intervention included early identification of work-related stress by the WSQ, general practitioner (GP) training and GP feedback at consultation. Pharmacy dispensing data from the Swedish Prescription Drug Register for a period of 12 months following the intervention was used. Primary outcomes were the number of different medications used, type of medication and number of prescribing clinics. Data was analysed using Mann Whitney U tests and chi-square tests. Results The study population included 271 individuals (132 in the intervention group and 139 in the control group). The number of different medications used per individual did not differ significantly between the control group (median 4.0) and the intervention group (median 4.0, p-value 0.076). The proportion of individuals who collected more than 10 different medications was higher in the control group than in the intervention group (15.8% versus 4.5%, p = 0.002). In addition, the proportion of individuals filling prescriptions issued from more than three different clinics was higher in the control group than in the intervention group (17.3% versus 6.8%, p = 0.007). Conclusion Systematic use of the WSQ combined with training of GPs and feedback at consultation may affect certain aspects of pharmacological treatment in primary health care patients. In this randomised control trial, analysis of pharmacy dispensing data show that patients in the intervention group had less polypharmacy and filled prescriptions issued from a smaller number of different clinics. Trial registration ClinicalTrials.gov . Identifier: NCT02480855 . Registered 20 May 2015.http://link.springer.com/article/10.1186/s12875-020-01140-xWork related stressStressMedication usePharmacy dispensing dataIntervention |
| spellingShingle | Pernilla J. Bjerkeli Ingmarie Skoglund Kristina Holmgren Does early identification of high work related stress affect pharmacological treatment of primary care patients? - analysis of Swedish pharmacy dispensing data in a randomised control study BMC Family Practice Work related stress Stress Medication use Pharmacy dispensing data Intervention |
| title | Does early identification of high work related stress affect pharmacological treatment of primary care patients? - analysis of Swedish pharmacy dispensing data in a randomised control study |
| title_full | Does early identification of high work related stress affect pharmacological treatment of primary care patients? - analysis of Swedish pharmacy dispensing data in a randomised control study |
| title_fullStr | Does early identification of high work related stress affect pharmacological treatment of primary care patients? - analysis of Swedish pharmacy dispensing data in a randomised control study |
| title_full_unstemmed | Does early identification of high work related stress affect pharmacological treatment of primary care patients? - analysis of Swedish pharmacy dispensing data in a randomised control study |
| title_short | Does early identification of high work related stress affect pharmacological treatment of primary care patients? - analysis of Swedish pharmacy dispensing data in a randomised control study |
| title_sort | does early identification of high work related stress affect pharmacological treatment of primary care patients analysis of swedish pharmacy dispensing data in a randomised control study |
| topic | Work related stress Stress Medication use Pharmacy dispensing data Intervention |
| url | http://link.springer.com/article/10.1186/s12875-020-01140-x |
| work_keys_str_mv | AT pernillajbjerkeli doesearlyidentificationofhighworkrelatedstressaffectpharmacologicaltreatmentofprimarycarepatientsanalysisofswedishpharmacydispensingdatainarandomisedcontrolstudy AT ingmarieskoglund doesearlyidentificationofhighworkrelatedstressaffectpharmacologicaltreatmentofprimarycarepatientsanalysisofswedishpharmacydispensingdatainarandomisedcontrolstudy AT kristinaholmgren doesearlyidentificationofhighworkrelatedstressaffectpharmacologicaltreatmentofprimarycarepatientsanalysisofswedishpharmacydispensingdatainarandomisedcontrolstudy |