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Fogg, Angela, Staufenberg, Ekkehart F., Small, Ian and Bhattacharya, Debi 
ORCID: https://orcid.org/0000-0003-3024-7453
(2012)
An exploratory study of primary care pharmacist-led epilepsy consultations:Pharmacist-led epilepsy consultations.
International Journal of Pharmacy Practice, 20 (5).
pp. 294-302.
ISSN 0961-7671
Abstract
Objective Most epilepsies are managed with anti-epileptic drugs (AEDs), but medication non-adherence has been frequently reported. Satisfying patient information needs has demonstrated improved adherence. Multi-professional working has been encouraged to provide cost-effective health services by using the most appropriate healthcare professional. Research has demonstrated that pharmacist-led consultations are acceptable to patients with other medical conditions and therefore may be appropriate for patients with epilepsy. We aimed to determine the feasibility and acceptability of a pharmacist-led epilepsy consultation (PLEC) study. This encompassed estimating the eligibility and consent rate for a PLEC study, plus the acceptability of potential intervention outcome measures and likely effects. Methods Eligible patients with a diagnosis of epilepsy and prescribed AEDs were invited by telephone to attend a PLEC. Baseline adherence, general mental well-being, epilepsy-related quality of life and satisfaction with information received about epilepsy medication were recorded. The intervention was a 30 min consultation to provide participants with an opportunity to ask questions related to their epilepsy therapy. Baseline data collection was repeated after 2 months. Results Of 106 (97.2%) consenting patients, 82 (77.4%) attended the PLEC. The 2 month follow-up questionnaire was fully completed by 50 (67.6%) participants. The number (percentage ± 95% confidence interval) of participants reporting adherent behaviour pre-PLEC was 22 (44.0 ± 13.7%) which increased to 30 (60 ± 13.6%) post-PLEC (P < 0.03, McNemar test). Discussion Accepting the limitations of a before-and-after study and small sample size, the findings suggest that a PLEC may improve adherence. A definitive trial is necessary to confirm the effect of a PLEC and establish the longevity and cost-effectiveness of the outcomes. Attrition of potential participants not contactable by telephone suggests the need for additional postal contact in subsequent trials. A reduction in loss to follow-up is also desirable and potentially achievable using telephone reminders.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | adherence,epilepsy,pharmacy services |
| Faculty \ School: | Faculty of Science > School of Chemical Sciences and Pharmacy (former - to 2009) Faculty of Science > School of Pharmacy |
| UEA Research Groups: | Faculty of Science > Research Groups > Medicines Management (former - to 2017) Faculty of Science > Research Groups > Patient Care |
| Depositing User: | Pure Connector |
| Date Deposited: | 04 Dec 2013 10:48 |
| Last Modified: | 24 Oct 2022 05:19 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/45443 |
| DOI: | 10.1111/ijpp.2012.20.issue-5 |
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