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Table 2 Services provided to other health professionals

From: Community pharmacy services to optimise the use of medications for mental illness: a systematic review

Reference

Country

Design

Setting

Service

No. Ph

Sample size

Main outcome measures

Significant Outcomes

Williams et al, (2004)

USA

RCT

GP

MR

1

63 Int 77 Cont

Physical, cognitive and affective functioning, health status, number and cost of medications.

Decrease in number and cost of medications

Schmidt et al, (1998)

Sweden

CRCT

RAC

MR

15

626 Int 1228 Cont

Incidence and quality of psychotropic medication use.

Increase in psychotropic medication use and therapeutic duplication in control group. Decrease in antipsychotic and hypnotic use in intervention group, decrease in AD use in intervention and control groups

Schmidt et al, (2000)

Sweden

CRCT

RAC

MR

15

1549 Total †

Quality of medication use (three-year follow-up).

Previous Improvements in quality of medication use sustained for specific indicators

Coleman et al, (1999)

USA

CRCT

HMO

MR

1

96 Int 73 Cont

Depressive symptoms, physical function, service utilisation, number of high risk medications, satisfaction, urinary incontinence, falls, cost.

Decrease in urinary incontinence in intervention group at 12 months. No differences between intervention and control groups at 24 months

Roberts et al, (2001)

Australia

CRCT

RAC

MR

ND

905 Int 2325 Cont

Medication use, medication cost, mortality, morbidity and resource utilisation.

Decrease in psycholeptic and benzodiazepine drug administration, decrease medication cost

Furniss et al, (2000)

UK

CRCT

RAC

MR

1

158 Int 172 Cont

Prescribing patterns, mortality, mental state, depressive symptoms, and behavioural disturbance

Decrease in mortality, decrease in number of prescribed medications, increase in behavioural disturbance

Burns et al, (2000)

UK

CRCT

RAC

MR

1

158 Int 177 Cont

Medication costs.

Decrease in medication cost

van Eijk et al, (2001)

NL

CRCT

GP

ED

37‡

70 Int 1* 52 Int 2* 68 Cont*

Prescribing of highly anticholinergic and less anticholinergic AD medications

Decrease in high anticholinergic AD use in intervention group 2. Increase in less anticholinergic AD use in Intervention group 1

Hartlaub et al, (1993)

USA

CT

PPGP

ED

ND

28 Int 1* 26 Int 2* 37 Cont *

Benzodiazepine prescribing pattern

 

de Burgh et al, (1995)

Australia

RCT

GP

ED

1

142 Int * 144 Cont *

Benzodiazepine prescribing pattern

Overall decline in benzodiazepine use. Differences between intervention and control groups not significant

Crotty et al, (2004)

Australia

CRCT

RAC

ED

1

381 Int 334 Cont

Fall rate, psychotropic medication use, BP, quality of life

Increase in 'as required' antipsychotic medication use in the intervention group

Avorn et al, (1992)

USA

CRCT

RAC

ED

1

431 Int 392 Cont

Psychotropic mediation use, mental status, memory, anxiety, depressive symptoms, behaviour, sleep

Decrease in psychotropic medication use, decrease in inappropriateness of drug use, less cognitive decline, increase in depression scores.

  1. CT = controlled trial; RCT = randomised controlled trial; CRCT = cluster randomised controlled trial; GP = general practice; RAC = residential aged care; PPGP = prepaid group practice; HMO = health maintenance organisation; USA = United States of America; NL = The Netherlands; MR = medication review; ED = prescribing education initiative; ND = not described in paper; Int = intervention group; Cont = control group; AD = antidepressant medication.
  2. † Journal article reported overall number of patients (n = 1549) divided between 16 intervention and 18 control residential aged care facilities.
  3. ‡ Pharmacists participated in group discussions with physicians, discussions were led by a medical researcher.
  4. * Reported sample size based on number of physicians that received pharmacists' educational intervention.