Involvement of Community Pharmacists in Complex Care Plans for Diabetic Patients, a Pilot Study

NCT02399332 | Completed

• 1 other identifier: REB15-0673
• Study Type: interventional
• Target: 16
• Locations: 0 countries
• Sites: N/A

Brief Summary

This project is an initiative to bring physicians, nurses, community pharmacists and patients together in collaborative planning in the management of diabetes, which aligns with the collaborative, team based aspects of family medicine as a community based discipline. Alberta funds both physicians and community pharmacists to complete a comprehensive assessment and plan for patients with qualifying medical conditions. Our research hypothesis is that a collaborative approach between healthcare providers involved in delivering care will improve individual patient outcomes with the primary outcome being improved glycemic control. Health care utilization and medication adherence will also be assessed. This project will compare the results of comprehensive annual health care plans implemented over a period of twelve months with or without involvement from community pharmacists. It is hypothesized that involvement of community pharmacists and their collaboration with physicians will lead to improved outcomes.

Conditions

Diabetes

Outcome Measures

Primary Outcomes (1)

• Change in HbA1C from baseline at one year

  1 year

Secondary Outcomes (9)

• Change in systolic BP from baseline at one year

  1 year

• Change in diastolic BP from baseline at one year

  1 year

• Change in Low Density Lipoprotein (LDL) from baseline at one year

  1 year

• Change in weight from baseline at one year

  1 year

• Change in BMI from baseline at one year

  1 year

Study Arms (2)

Community Pharmacist Involvement

EXPERIMENTAL

Patients would have a complex care plan completed by their clinical team, which will involve chronic disease management nurse and the family physician. This complex care plan would also involve discussion with the patient's community pharmacist who would follow-up with the patient monthly and send a report to the patient's physician. Patients would also continue to receive routine care at the clinic. The monthly follow-ups with the community pharmacist would involve review of the goals of complex care plan and monitoring clinical targets, medication review and discussing adherence as well as patient education. This follow-up can be completed in person or by telephone. The pharmacist would then send a monthly report to patient's family physician.

Other: Community pharmacist involvement

Usual care

NO INTERVENTION

Patients have a complex care plan completed by their clinical team, which will involve the chronic disease management nurse and the family physician and then receive routine care and follow up. They will receive usual care from their community pharmacist.

Interventions

Community pharmacist involvement OTHER

Collaborative involvement of the community pharmacists in formulating and following complex care plans

Community Pharmacist Involvement

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age ≥ 18
• Patients who have diabetes with HbA1C over target (\>7) and who qualify for a complex care plan completion.

You may not qualify if:

• Pregnancy
• Unwilling to participate/provide written consent
• Unable or unwilling to participate in planned follow-ups

Sponsors & Collaborators

• University of Calgary: lead

MeSH Terms

Conditions

Diabetes Mellitus

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Assistant Professor

Study Record Dates

• First Submitted: March 2, 2015
• First Posted: March 26, 2015
• Study Start: March 1, 2016
• Primary Completion: December 1, 2017
• Study Completion: December 1, 2017
• Last Updated: May 24, 2019

Record last verified: 2019-05