Effect of a Pharmacist-Led Educational Intervention on Inappropriate Medication Prescriptions in Older Adults

A cluster randomized trial

 

Setting: Community

 

 

- To compare the effectiveness of a consumer targeted, pharmacist-led educational intervention (to send patients an educational deprescribing brochure in parallel to sending their physicians an evidence-based pharmaceutical opinion) vs usual care on discontinuation of inappropriate medication among community-dwelling older adults.

- 69 community pharmacies were recruited

- Patients included were adults aged >/= 65yo who were prescribed 1 of 4 Beers criteria medications

- Pharmacist led intervention led to greater discontinuation of inappropriate prescriptions after 6 months.

- 106 of 248 patients (43%) in the intervention group no longer filled prescriptions for inappropriate medication compared with 29 of 241 (12%) in the control group.

A pharmacist-led educational intervention compared with usual care resulted in greater discontinuation of prescriptions

for inappropriate medication after 6 months

Martin P et al. (2018)

 

 

Martin P, Tamblyn R, Benedetti A, Ahmed S, Tannenbaum C. Effect of a Pharmacist-Led Educational Intervention on Inappropriate Medication Prescriptions in Older
Adults. Jama. 2018;320(18):1889. doi:10.1001/jama.2018.16131