A Pilot Study to Evaluate a Telepharmacy Intervention to Improve Inhaler Adherence in Veterans With COPD
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.
|Chronic Obstructive Pulmonary Disease||Behavioral: COPD Inhaler Counseling Behavioral: Usual Pharmacy Care||Phase 2|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Treatment
|Official Title:||A Pilot Study to Evaluate a Telepharmacy Intervention to Improve Inhaler Adherence in Veterans With COPD|
- Adherence to daily inhaled COPD medications [ Time Frame: Previous six months ]Adherence will be measured by pharmacy refill records and by participant self-report
- COPD exacerbations [ Time Frame: Previous six months ]Participants will be asked how many episodes of worsening their COPD has required additional medical care and/or the use of an oral steroid or antibiotic.
|Study Start Date:||January 2011|
|Study Completion Date:||April 2012|
|Primary Completion Date:||November 2011 (Final data collection date for primary outcome measure)|
Experimental: COPD Counseling Intervention
Pharmacist counseling intervention delivered via telephone.
Behavioral: COPD Inhaler Counseling
The counseling will be performed via telephone by a pharmacist at the William S Middleton Memorial Veterans Hospital. The counseling will include education about inhaled COPD medication, inhaler technique review, reminder tools, and motivational interviewing.
Behavioral: Usual Pharmacy Care
The usual care arm will receive standard care from the William S Middleton Memorial Veterans Hospital pharmacists.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01270594
|United States, Wisconsin|
|UW-Madison School of Pharmacy|
|Madison, Wisconsin, United States, 53705|
|Principal Investigator:||Arthur Schuna, RPh MS||William S. Middleton Memorial Veterans Hospital|