Pharmaceutical Consultation at Hospital Discharge and Adherence to Anti-infective Treatment
CPS-INFECTIO
Impact of a Pharmaceutical Consultation at Hospital Discharge on Adherence to Anti-infective Treatment After Returning Home
4 other identifiers
interventional
174
1 country
1
Brief Summary
The main objective of this study is to evaluate the impact of a pharmaceutical consultation at the time of hospital discharge on the adherence of patients ; non-adherence is determined by the following criteria: As concerns prescribed anti-infectious treatments, at least one of the following 4 criteria is true:
- 1.. the patient did not go and get his/her treatment at the pharmacy;
- 2.. the number of treatment units dispensed by the pharmacy is \< the number of treatment units prescribed;
- 3.. the patient stopped taking a treatment before the recommended time, or continued taking a treatment after the recommended time;
- 4.. the number of treatment units taken by the patient (self-declaration) is \< or \> to the number of units prescribed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2014
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 28, 2014
CompletedFirst Posted
Study publicly available on registry
April 30, 2014
CompletedStudy Start
First participant enrolled
November 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2016
CompletedApril 7, 2016
April 1, 2016
1.3 years
April 28, 2014
April 6, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The presence/absence of treatment non-adherence
As concerns prescribed anti-infectious treatments, at least one of the following 4 criteria is true: 1. . the patient did not go and get his/her treatment at the pharmacy; 2. . the number of treatment units dispensed by the pharmacy is \< the number of treatment units prescribed; 3. . the patient stopped taking a treatment before the recommended time, or continued taking a treatment after the recommended time; 4. . the number of treatment units taken by the patient (self-declaration) is \< or \> to the number of units prescribed.
1 week after end of treatment (expected max of 4 weeks)
Secondary Outcomes (8)
Delivery of anti-infectious therapy by the pharmacy (yes/no)
1 week after end of treatment (expected max of 4 weeks)
Number of anti-infectious drug units dispensed by the pharmacy / number of anti-infections drug units prescribed
1 week after end of treatment (expected max of 4 weeks)
Number of premature discontinuations of anti-infective therapies / the prescribed number of anti-infective treatments
1 week after end of treatment (expected max of 4 weeks)
Number of anti-infectious drug units taken by the patient (self-declaration) / number of anti-infections drug units prescribed
1 week after end of treatment (expected max of 4 weeks)
Quiz on anti-infective therapy comprehension
Day 0 (hospital discharge)
- +3 more secondary outcomes
Study Arms (2)
Routine care
ACTIVE COMPARATORThe patients in this receive routine care. Intervention: Routine care
Pharma consult
EXPERIMENTALThe patients in this arm will have a pharmaceutical consult upon hospital discharge. Intervention: Pharma consult
Interventions
Upon hospital discharge, patients randomized to the experimental arm will have a pharmaceutical consultation concerning their anti-infectious treatment.
Patients randomized to this arm will receive care in the habitual manner.
Eligibility Criteria
You may qualify if:
- The patient must have given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient is hospitalized in the Infectious and Tropical Diseases department of the Nîmes University Hospital, and is scheduled for hospital discharge with one or more pharmaceutical prescriptions for anti-infectious treatments
You may not qualify if:
- The patient is participating in another study
- The patient is under judicial protection
- The patient refuses to sign the consent
- It is impossible to correctly inform the patient
- The patient resides in a care establishment, or has home medical/nursing service
- The patient is suffering from chronic infection (\>4 weeks of treatment required)
- The patient is suffering from handicapping deafness, dementia, or does not have a telephone
- Intravenous, intramuscular or subcutaneous anti-infectious treatments are prescribed
- Prescription of antiretroviral treatments
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
CHRU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, 30029, France
MeSH Terms
Conditions
Study Officials
- STUDY DIRECTOR
Harmonie Faure
Centre Hospitalier Universitaire de Nîmes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 28, 2014
First Posted
April 30, 2014
Study Start
November 1, 2014
Primary Completion
March 1, 2016
Study Completion
March 1, 2016
Last Updated
April 7, 2016
Record last verified: 2016-04