preventing falls among older adults the role of the community pharmacist n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Preventing Falls Among Older Adults: The Role of the Community Pharmacist PowerPoint Presentation
Download Presentation
Preventing Falls Among Older Adults: The Role of the Community Pharmacist

Loading in 2 Seconds...

play fullscreen
1 / 12

Preventing Falls Among Older Adults: The Role of the Community Pharmacist - PowerPoint PPT Presentation


  • 110 Views
  • Uploaded on

Preventing Falls Among Older Adults: The Role of the Community Pharmacist. David A. Mott, PhD Barb Michaels, RN Jeff Kirchner, RPh. Funding & Team. ICTR Pilot Grant 1UL1RR025011 (Mott) 07/01/11–06/30/12 CTSA program of NCRR/NIH Team Brown County ADRC Streu’s Pharmacy, Green Bay

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Preventing Falls Among Older Adults: The Role of the Community Pharmacist' - kenneth-roach


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
preventing falls among older adults the role of the community pharmacist

Preventing Falls Among Older Adults: The Role of the Community Pharmacist

David A. Mott, PhD

Barb Michaels, RN

Jeff Kirchner, RPh

funding team
Funding & Team
  • ICTR Pilot Grant
    • 1UL1RR025011 (Mott) 07/01/11–06/30/12 CTSA program of NCRR/NIH
  • Team
    • Brown County ADRC
    • Streu’sPharmacy, Green Bay
    • University of Wisconsin- Madison School of Pharmacy
      • Sonderegger Research Center
    • University of Wisconsin-Madison School of Medicine
    • Community Academic Aging Research Network (CAARN)
motivation for the study
Motivation for the Study
  • Falls and Drugs
    • Fall risk-increasing drugs (FRIDs)
    • Common use of FRIDs
  • Stepping On
    • Medication management workshop
study goals
Study Goals
  • Focus on improving management of medications by Stepping On participants.
  • The purpose of the study is to test the feasibility of two different methods to modify medication use by Stepping On participants.
  • The main hypothesis to be tested is whether an individualized, pharmacist-provided MTM session is feasible and will result in more medication modification compared to not providing the pharmacist-led MTM.
  • Identify barriers and facilitators.
study specifics
Study Specifics
  • Study Groups

- Random assignment (SO class level) to one of two groups.

- Group A (n =40) receives a pamphlet describing strategies to change medication use.

- Group B (n = 40) receives the pamphlet as well as meets with a pharmacist to review their medication.

  • Subjects are followed for six months
  • Subjects are paid $50.
study specifics1
Study Specifics
  • All study subjects participate in:
    • A 60 minute pre- and post-intervention telephone interview to collect health, medication use, and falls history information.
    • A 30 minute follow-up telephone call every 30 days (a total of five follow-up telephone calls) after the intervention to collect information about medication use and any falls events. Tools provided to subjects to aid recall.
    • All phone call interviews occur between a student pharmacist and a study subject. Attention is focused on building a relationship, appointment setting, and quality of conversation and data collection.
    • All conversations with students are audio-recorded.
study specifics2
Study Specifics
  • Treatment Group
    • Meet with a pharmacist for 1 hour at a pharmacy located in downtown Green Bay to review their medications. Pharmacist uses patient data collected in interviews and clinical algorithm for FRIDs developed by study personnel and pharmacist.
    • Pharmacist discusses medication modifications with patient and communicates with prescriber. Pharmacist tracks all modifications.
    • A telephone follow-up session with the pharmacist occurs about 3 months after the first session.
    • All conversations with pharmacist are audio-recorded.
recruitment
Recruitment
  • Last class session of 7-week Stepping On workshop.
  • Study is discussed as first topic of session.
  • Discussion led by IRB-trained study personnel.
  • Subjects can consent at the session or afterwards following phone call.
  • Role of ADRC
recruitment1
Recruitment
  • Results
    • Recruitment rate to date
    • Recruitment patterns
    • Reasons for “yes” and “no”
mtm session with pharmacist
MTM Session with Pharmacist
  • Initial patient response
  • Pharmacist recommendations
  • Physician follow-up
  • Patient follow-up
preliminary results
Preliminary Results
  • Study Enrollment
  • FRID Use
  • MTM Impact
    • Physician response