Effectiveness and sustainment of a tailored over-the-counter medication safety intervention in community pharmacies: A randomized controlled trial |
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| Affiliation: | 1. University of Wisconsin-Madison School of Pharmacy, 777 Highland Ave., Madison, WI, USA;2. Sonderegger Research Center, University of Wisconsin-Madison School of Pharmacy, 777 Highland Ave., Madison, WI, USA;1. Department of Infectious Disease, Medical College of Wisconsin and Milwaukee Veterans Affairs Medical Center, Milwaukee, WI, USA;2. Department of Research Health Specialist, Milwaukee Veterans Affairs Medical Center, Milwaukee, WI, USA;3. Department of Pharmacy, Milwaukee Veterans Affairs Medical Center, Milwaukee, WI, USA;1. University of Wisconsin School of Pharmacy, Social & Administrative Sciences Division, Madison, WI, USA;2. University of Wisconsin School of Nursing, Madison, WI, USA;1. Collaboration for Outcomes Research & Evaluation (CORE), University of British Columbia, Vancouver, BC, Canada;2. Faculty of Pharmaceutical Sciences, University of British Columbia, Canada;3. Data Analytics, Statistics and Informatics, Faculty of Pharmaceutical Sciences, University of British Columbia, Canada;4. Atrial Fibrillation Clinic, Royal Columbian Hospital, New Westminster, Canada;5. Atrial Fibrillation Clinic, Vancouver General Hospital, Vancouver, Canada;6. Division of Cardiology, Faculty of Medicine, The University of British Columbia, Canada;7. UBC Centre for Cardiovascular Innovation, Vancouver, Canada;8. Atrial Fibrillation Clinic, St. Paul''s Hospital, Vancouver, Canada;1. School of Health Sciences and Social Work, Griffith University, Australia;2. Menzies Health Institute Queensland, Griffith University, Australia;3. School of Pharmacy and Medical Sciences, Griffith University, Australia;4. Faculty of Health and Behavioural Sciences, University of Auckland, New Zealand;1. Health Research Institute, University of Canberra, Bruce, ACT, 2617, Australia;2. Discipline of Pharmacy, Faculty of Health, University of Canberra, Bruce, ACT, 2617, Australia |
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| Abstract: | IntroductionThe Senior Section is a continuation of a previous intervention that aims to address a gap in medication safety, specifically related to older adult selection and use of over-the-counter medications. The purpose of this paper is to describe the protocol of this study.MethodsThis study will occur in three phases: an adaptation phase, an effectiveness phase using a randomized controlled trial, and a sustainment phase. This study will take place in conjunction with administrative leadership and pharmacy sites of a regional Midwest integrated health system. Eye tracking technology will inform the adaptation of the intervention and demonstrate effectiveness in the randomized controlled trial. Following the randomized controlled trial, the health system will implement the intervention without research team support. Fidelity and long-term effectiveness outcomes will be collected to demonstrate sustainment.DiscussionThe potential implications of this study are a complete and sustained redesign of the pharmacy setting to include educational and directional materials on medication safety, leading to a decrease in over-the-counter medication misuse in older adults. This project could provide a road map for pharmacy organizations to tailor and adopt the Senior Section, to ultimately reduce inappropriate over-the-counter medication use in older adults. |
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| Keywords: | Over-the-counter medication Pharmacy Pharmacy intervention Older adults System redesign Stakeholder groups |
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