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Can Clinical Pharmacists Affect SF-36 Scores in Veterans at High Risk for Medication-Related Problems

Bibliographic Data

ID9099174
AuthorsDaniel C Malone (0000-0002-5006-9394, Malone University, corresponding author), Barry L Carter (0000-0002-0466-343X), Sarah J Billups (0000-0003-3735-5262), Robert J Valuck, Debra J Barnette (0000-0001-8842-9685), Charles D Sintek, GARY J OKANO, Samuel Ellis (0000-0001-9019-6040), Samuel L Ellis, Douglas Covey, Douglas F Covey (0000-0002-9316-8683), Barbara Mason, Barbara J Mason, Sandra Jue, Sandra G Jue, Jannet Carmichael, Jannet M Carmichael, Kelly Guthrie, Lubica Sloboda, Robert Dombrowski, Douglas R Geraets, Mary G Amato (0000-0002-0247-9049)
Year2001
Volume39
Issue2
Pages113-122
Publication date2001-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-200102000-00002
PMID11176549
OpenAlexW2060873803
LanguageEN
Citations received2
References cited5

BACKGROUND: An objective of pharmaceutical care is for pharmacists to improve patients' health-related quality of life (HRQOL) by optimizing medication therapy. OBJECTIVES: The objective of this study was to determine whether ambulatory care clinical pharmacists could affect HRQOL in veterans who were likely to experience a drug-related problem. RESEARCH DESIGN: This was a 9-site, randomized, controlled trial involving Veterans Affairs Medical Centers (VAMCs). Patients were eligible if they met > or = 3 criteria for being at high risk for drug-related problems. Enrolled patients were randomized to either usual medical care or usual medical care plus clinical pharmacist interventions. HRQOL was measured with the SF-36 questionnaire administered at baseline and at 6 and 12 months. RESULTS: In total, 1,054 patients were enrolled; 523 were randomized to intervention, and 531 to control. After patient age, site, and chronic disease score were controlled for, the only domain that was significantly different between groups over time was the bodily pain scale, which converged to similar values at the end of the study. Patients' rating of the change in health status in the past 12 months was statistically different between groups, intervention patients declining less (-2.4 units) than control subjects (-6.3 units) (P < 0.004). This difference was not considered clinically meaningful. However, a dose-response relationship was observed for general health perceptions (P = 0.004), vitality (P = 0.006), and change in health over the past year (P = 0.007). CONCLUSIONS: These results suggest that clinical pharmacists had no significant impact on HRQOL as measured by the SF-36 for veterans at high risk for medication-related problems

Affect (linguistics) · Ambulatory · Ambulatory care · Clinical pharmacy · Clinical trial · Family medicine · Health care · Intervention (counseling) · Pharmacist · Physical therapy · Psychiatry · Psychological intervention · Quality of life (healthcare) · Randomized controlled trial · Veterans Affairs · Internal Medicine · Medication Adherence and Compliance · Medicine · Nursing · Pain Management and Opioid Use · Pharmaceutical Practices and Patient Outcomes · Pharmacy

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Unique citing works2
Citations per year0,08
Citation span2001 - 2006 (6)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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