Systematic review to inform the development of a community pharmacy based intervention for people affected by dementia

Dann-Reed, Eleanor, Poland, Fiona and Wright, David (2019) Systematic review to inform the development of a community pharmacy based intervention for people affected by dementia. International Journal of Pharmacy Practice. ISSN 0961-7671

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Background : People living with dementia (PWD) frequently receive medicines regularly from their community pharmacy, thus providing an opportunity to address either directly or through a carer any unmet medicines-related needs. The aim of this systematic review was to identify and describe dementia-specific pharmacy-based interventions with potential for delivery through community pharmacy. This would inform the design of future services and associated trials. Methods : Ovid MEDLINE, EMBASE and CINAHL databases were searched along with, Opengrey, NHS evidence and references from included studies. Search terms included ‘dementia’ and ‘pharmacist’ plus their synonyms. Two independent researchers screened titles, abstracts and papers sequentially. A data extraction tool was developed based on PRISMA and EPOC, which included reporting all process, humanistic, clinical and economic outcome measures. The GRADE approach assessed the quality of the reviewed research. Results : The systematic review process identified twenty-nine studies. Interventions were categorised as medication review, targeted medicine intervention, education, memory screening and miscellaneous. Five studies were set in community pharmacy. Interventions frequently targeted antipsychotics, benzodiazepines and anticholinergic medication. Twenty interventions were medicine-related. Eighteen studies were categorised as ‘very low’ quality, often due to small sample size. Conclusions : The review identified a range of interventions, which could be delivered through community pharmacy, and potentially benefit PWD. Developing appropriate and efficient training and working in multi-disciplinary teams was identified as necessary for effectiveness. Further research is needed to identify which service elements are likely to be acceptable to both patients and practitioners as well as the barriers and enablers to their implementation.

Item Type: Article
Faculty \ School: Faculty of Science > School of Pharmacy
Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User: LivePure Connector
Date Deposited: 21 Oct 2019 14:30
Last Modified: 18 Mar 2020 04:09
DOI: 10.1111/ijpp.12586

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