A Pilot Study to Evaluate a Telepharmacy Intervention to Improve Inhaler Adherence in Veterans With COPD
| Status: | Recruiting |
|---|---|
| Conditions: | Chronic Obstructive Pulmonary Disease, Pulmonary |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 60 - Any |
| Updated: | 7/11/2015 |
| Start Date: | January 2011 |
| Contact: | Amanda Margolis, Pharm D |
| Email: | arpitterle@wisc.edu |
| Phone: | (608) 890-0434 |
Hypothesis: Can a counseling intervention, delivered by a pharmacist, increase inhaler
adherence in veterans with COPD who have demonstrated poor inhaler adherence through
pharmacy refill records?
Veterans who receive who receive daily maintenance inhalers from the William S Middleton
Memorial Veterans Hospital Pharmacy and who have a medication possession ratio less than 80%
over the previous six months will be invited to participate in the study. This study will
randomize 100 participants to a usual care arm or a pharmacist counseling intervention.
Final data collection will be six months after randomization to determine if both
self-reported and refill record adherence has changed.
adherence in veterans with COPD who have demonstrated poor inhaler adherence through
pharmacy refill records?
Veterans who receive who receive daily maintenance inhalers from the William S Middleton
Memorial Veterans Hospital Pharmacy and who have a medication possession ratio less than 80%
over the previous six months will be invited to participate in the study. This study will
randomize 100 participants to a usual care arm or a pharmacist counseling intervention.
Final data collection will be six months after randomization to determine if both
self-reported and refill record adherence has changed.
Inclusion Criteria:
- Male and female veterans established with the William S. Middleton Memorial Veterans
Hospital and associated Community Based Outpatient Clinics
- Fill their inhaled COPD medications with the VHA
- A diagnosis of COPD and an active prescription for a twice daily long-acting
beta-agonist and/or long-acting anticholinergic with or without a prescription for
inhaled corticosteroids for at least 4 months.
- Non-adherence to at least one COPD medication, a medication possession ratio of less
than 80% or over 120% via the pharmacy refill records.
Exclusion Criteria:
- Patients with a diagnosis or electronic medical record note regarding significant
hearing impairment.
- Patients with a diagnosis regarding cognitive deficit and activated power of
attorney.
- Patients who use daily nebulization instead of inhalers for maintenance medication.
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