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Clinical trial information and results are updated daily from ClinicalTrials.gov. The latest data update was conducted on 01/18/2021.
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Clinical trial information and results are updated daily from ClinicalTrials.gov. The latest data update was conducted on 01/18/2021.

The Patient Experience of a Paramedic-Pharmacist Referral Pathway for Clinical Medication Reviews

Clinicaltrials.gov identifier NCT03938428

Recruitment Status Recruiting

First Posted May 6, 2019

Last update posted August 12, 2019

Study Description

Brief summary:

This study seeks to understand how patients feel about their medicines before and after receiving a clinical medication review.

  • Condition or Disease:Pharmaceutical Preparations
    Accidental Fall
    Allied Health Personnel
  • Intervention/Treatment: Other: Survey
  • Phase: N/A
Detailed Description

Falls in people aged 65 years and over are a common reason for calling the emergency ambulance service. Falls can be serious, with about 1 in 20 people having to be taken to hospital because they have been injured. Thankfully, in more than 4 out of 10 cases, people are not seriously injured and can be left at home. However, it is important that the reason for the fall is found and future falls are prevented where possible. Yorkshire Ambulance Service can already make a referral to another local service to get specialist practical help for falls prevention when people are left at home after a fall. Research has shown that the safe use of medicines can prevent future falls, but that did not form. Now a new service has been set up for Yorkshire Ambulance Service to refer patients to the Leeds GP Confederation. A pharmacist working in the patients GP surgery will undertake a review of the patient's use of their medicines. We would like to find out about how patients feel about using their medicines before and after the medicines review by a pharmacist. We would also like to know how they feel about the medicines review itself, to help decide whether this scheme should continue or be expanded to other areas. To do this, we are going to send a questionnaire to patients who receive a medicines review. The questionnaire will be sent by post, take about 10 minutes to fill out and include a stamped addressed envelope so people who take part will not have to pay for postage.

Study Design
  • Study Type: Observational
  • Estimated Enrollment: 132 participants
  • Observational Model: Cohort
  • Time Perspective: Prospective
  • Official Title: The Patient Experience of a Paramedic-Pharmacist Referral Pathway for Clinical Medication Reviews
  • Actual Study Start Date: July 2019
  • Estimated Primary Completion Date: June 2020
  • Estimated Study Completion Date: June 2020
Outcome Measures
  • Primary Outcome Measures: 1. Proportion of patients who express a change in emotion relating to how they feel about their medicines, following a pharmacist-led clinical medication review. [ Time Frame: 1 month ]
  • Secondary Outcome Measures: 1. Patient expressed emotion [ Time Frame: 1 month ]
Eligibility Criteria
  • Ages Eligible for Study: 18 to 110 Years (Adult, Older Adult)
  • Sexes Eligible for Study: All
  • Accepts Healthy Volunteers: No
  • Sampling Method: Non-Probability Sample
  • Study Population: This study will be conducted from a single site (Yorkshire Ambulance Service NHS Trust). YAS staff make around 70-100 falls referral pathways a month in the Leeds area, and after exclusions relating to the PREFACS projects, it is anticipated that around 55 patients per month will be eligible to receive a pharmacist-led clinical medication review and will therefore be eligible for this study, up to a maximum of 550 patients.
Criteria

Inclusion Criteria:

- Received a pharmacist-led clinical medication review following a falls referral made
by a paramedic from Yorkshire Ambulance

- Registered with a GP in the Leeds area

- Has capacity to consent to take part in the study

Exclusion Criteria:

- Did not receive a pharmacist-led clinical medication review after a Yorkshire
Ambulance Service paramedic made a falls referral

- Not registered with a GP in the Leeds area

- Does not have capacity to consent to take part in the study

Contacts and Locations
Contacts
Locations

United Kingdom, West Yorkshire
Yorkshire Ambulance Service NHS Trust
Wakefield

Sponsors and Collaborators

Yorkshire Ambulance Service NHS Trust

NIHR Yorkshire and Humber Patient Safety Translational Research Centre

More Information
  • Responsible Party: Yorkshire Ambulance Service NHS Trust
  • ClinicalTrials.gov Identifier: NCT03938428 History of Changes
  • Other Study ID Numbers: YASRD114, 263976
  • First Posted: May 6, 2019 Key Record Dates
  • Last Update Posted: August 12, 2019
  • Last Verified: August 2019
  • Individual Participant
    Data (IPD) Sharing
    Statement:
  • Plan to Share IPD: No
  • Studies a U.S. FDA-regulated Drug Product: No
  • Studies a U.S. FDA-regulated Device Product: No