• Blanca Basagoiti Carreño, Ana Díez Alcántara, Belén María Escudero Vilaplana, Genma María Silva Riádigos, Beatriz Benítez García, Virginia Greciano, and investigadores colaboradores.
• Servicio de Farmacia de Atención Primaria, Dirección Asistencial Noroeste, Gerencia Asistencial de Atención Primaria de Madrid, Majadahonda, Madrid, España. Electronic address: blanca.basagoiti@salud.madri... more d.org. less
• Aten Primaria. 2023 Aug 1; 55 (8): 102656102656.

ObjectiveEvaluate the improvement in therapeutic adherence of an intervention based on telephone monitoring by the primary care pharmacist.DesignRandomized open controlled trial.LocationThis study was carried out in 2021 by a multidisciplinary team working with health professionals of thirteen health centers belonging to four health districts in Community of Madrid, Spain.ParticipantsThese were patients (60-74 years) with polipharmacy classified as non-adherent according to the Morisky-Green test. Two hundred and twenty-four patients were originally enrolled, 87 of them were non-adherents. Of these, 15 were lost and 72 were finally randomized. Seventy-one patients completed the study (33 intervention group and 38 control group).InterventionsPatients randomized to the intervention arm were included in a follow-up telephone program consisting of an interview at months 1, 2, and 3 to improve adherence. The Morisky-Green test was repeated at month 4 to assess improvement. In the control group this test was only performed at month 4.Main MeasurementsAdherence measured by Morisky-Green at baseline and at 4th month.ResultsThe 72.7% of patients in the intervention group became adherent while only 34.2% did in the control arm, being the difference 38.5% (95% CI: 17.1-59.9), statistically significant (P=.001).ConclusionsAfter a follow-up educational-behavioral telephone intervention in non-adherent patients by the primary care pharmacist, therapeutic adherence was improved statistically significantly in the intervention group compared with the control group.Copyright © 2023. Publicado por Elsevier España, S.L.U.

16 keywords...

hide…