Are you more concerned about or relieved by medicines? An explorative randomized study of the impact of telephone counseling by pharmacists on patients’ beliefs regarding medicines and blood pressure control

•Chronic diseases require a multidisciplinary approach to treatment and prevention.•Patient empowerment is a key factor in the management of chronic conditions.•Pharmacists play a crucial role in improving patient’s empowerment and adherence. The aim was to determine the impact of a telephone counse...

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Bibliographic Details
Published in:Patient education and counseling 2018-04, Vol.101 (4), p.679-686
Main Authors: Scala, Daniela, Menditto, Enrica, Caruso, Giuseppe, Monetti, Valeria Marina, Orlando, Valentina, Guerriero, Francesca, Buonomo, Giuseppe, Caruso, Domenico, D’Avino, Maria
Format: Article
Language:English
Subjects:
Aged
Antihypertensive Agents - therapeutic use
Attitude to Health
Belief about medicines
Blood Pressure
Community Pharmacy Services
Counseling
Female
Hospital pharmacist
Humans
Hypertension - drug therapy
Italy
Male
Medication adherence
Medication Adherence - psychology
Middle Aged
Nursing
Outcome and Process Assessment (Health Care)
Pharmacists
Telephone
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Summary:•Chronic diseases require a multidisciplinary approach to treatment and prevention.•Patient empowerment is a key factor in the management of chronic conditions.•Pharmacists play a crucial role in improving patient’s empowerment and adherence. The aim was to determine the impact of a telephone counseling service, provided bi-monthly by pharmacist, on patients’ beliefs about antihypertensive medicines and blood pressure (BP) control. Either hypertensive patients were randomly assigned to a control group (CG, usual care) or an intervention group (IG). All patients had BP values registered and filled in the Italian version of the Belief Medicine Questionnaire (BMQ). After 12 months, patients filled in the BMQ again and had their self-reported BP registered. The intervention consisted of an educational/counseling session based on patients’ needs assessment provided bi-monthly by a pharmacist for one year via telephone. 80 CG and 84 IG patients were recruited. After 12 months, there were significant differences between IG and CG for both BMQ’s Necessity and Concern score (p 
ISSN:0738-3991
1873-5134
DOI:10.1016/j.pec.2017.12.006