Atrial Fibrillation Clinical Trial
Official title:
Impact of Pharmacists' Training on Oral Anticoagulant Counseling: a Randomized Control Trial Using Mystery Patient Model.
This study evaluates the impact of community pharmacists' educational training on the nature and adequacy of counseling provided to patients on warfarin, an oral anticoagulant. Half of the community pharmacists participating in the study will receive a two-week educational training on how to adequately counsel patients on warfarin while the other half of community pharmacists will receive the same training after the study. A mystery patient model will be used in this intervention study where six different trained and standardized individuals will act as patients. Each of these mystery patients will supposedly have pulmonary embolism, deep vein thrombosis, or atrial fibrillation. The mystery patient will visit each pharmacy to buy warfarin or complain about adverse drug reaction been experienced. It is expected that pharmacists will provide relevant information and counseling to these patients on the use of the medication warfarin and how to handle the adverse drug reactions.
Although direct oral anticoagulants also have their limitations (such as the risk of
gastrointestinal bleeding) they are not as prominent as that of warfarin but still important
to consider before prescribing to patients. These limitations associated with the use of oral
anticoagulants prove that there is need for special counseling of patients placed on oral
anticoagulants. Counseling, as an important aspect of drug therapy management, is somewhat
technical and requires a peculiar way of providing vital information on drug therapy within
the shortest possible time. Pharmacists, who are key members of the healthcare team, are
tasked with this role more than others and as such this area is of optimum importance.
Proper and adequate counseling on oral anticoagulants is essential for optimal use of the
drug and to reduce the number of incidence of adverse drug reactions. Adequate counseling
cannot be achieved without proper training. This aspect is seen to be lacking due to the
suboptimal performance discovered in research among healthcare professionals including
pharmacists with regards to counseling of patients on oral anticoagulant use Mystery patients
in pharmacy practice research are a very reliable means of obtaining unbiased data on
pharmacists with regards to counseling. This study, therefore, is aimed at providing
counseling training to community pharmacists and evaluating the impact of the training on
patients indirectly using the mystery patient model.
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