Cardiovascular Diseases Clinical Trial
Official title:
Implementation of a Pharmacy-Intervention to Enhance Prescription and Use of Lipid-Lowering Drugs. A Randomized Trial.
The purpose of this study is to determine the effectiveness of maximal support of community pharmacies to implement a pharmaceutical care model for improving underprescription and treatment persistence regarding lipid-lowering medication in patients with cardiovascular disease.
Cardiovascular disease is the main cause of death in large parts of the world. Next to life
style changes, pharmaceutical treatment is a keystone in the treatment of cardiovascular
disease. Despite the strong evidence for the effectiveness of lipid-lowering therapy, less
than half of the people eligible are treated. With specific medication searches in the
community pharmacy database, an easy tool for detecting patients who are undertreated is
available. Based on this tool, a pharmaceutical care model for improving underprescription
and treatment persistence regarding lipid-lowering medication in patients with
cardiovascular disease was constructed.
Moreover, it is not known yet how to implement this pharmaceutical care model in community
pharmacies effectively. With multifaceted interventions the behaviour of health
professionals can be changed. In this study the effectiveness of a maximal support strategy,
including interactive educational meetings, reminders, audit and feedback, is compared to a
minimal implementation strategy.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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