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NCT Number: NCT06692231

Impact of Hospital Pharmacist Intervention on Medication Management in Dialysis Patients

The goal of this clinical trial is to learn if an intervention of a hospital pharmacist could help, dialysis patients managed his treatment. In a first time, the health literacy level will be assed.

The main questions it aims to answer are:

What is the impact of the clinical pharmacist intervention on the understanding level and management level of his treatment by the patient? Does the intervention of the pharmacist has an effect on the biologicals parameters of the patient? Researchers will compare a group with a pharmacist intervention VS a group without pharmacist intervention for dialysis patients.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Centre hospitalier de Vichy

Vichy, France, 0320

Location contact

Aurélien PIRAUD

CONTACT

[email protected]

(+33) 04 70 97 13 14

Jessica PIGNARD, Doctor

CONTACT

[email protected]

(+33) 04.70.97.29.57

Jessica PIGNARD, Doctor

CONTACT

Mathilde TAMAIN, Doctor

CONTACT

Romane HUET, Doctor

CONTACT

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient over 18 years of age
  • On dialysis (peritoneal dialysis, hemodialysis) for at least 3 months
  • Prescription for at least 5 daily medications
  • Patient who has not received any pharmaceutical consultation from a hospital pharmacist as part of his or her treatment for chronic renal failure.

Exclusion criteria

  • Patient does not speak and/or understand French
  • Patient's cognitive state does not permit an interview
  • Patient not autonomous in managing his or her daily medication (e.g.: patient in nursing home)
  • Patient refusal

Treatment and study plan

Pharmacist intervention

Behavioral

Patient will have an interview with a clinical pharmacist to explain the role of each medication. The pharmacist will also explain the best moment to take each medication.

Primary outcomes

  1. Level of understanding and treatment management

    Time frame: 12 months

    Assessment of level of understanding and management of treatment using a survey based on the questionnaire validated by the French Health Authority (HAS).

    In order to take better account of the diversity of treatments for dialysis patients, we will use an adaptation of this questionnaire describing more precisely the patient's knowledge of treatments related to phosphocalcic metabolism and potassium.

    A score of 7 on this questionnaire means an excellent understanding of the treatment A score of 0 on this questionnaire means the poorest understanding of the treatment

Secondary outcomes

  1. level of health literacy

    Time frame: 12 months

    Literacy will be assessed measured using the French version of the Short Test of Functional Health Literacy in Adults (STOFHLA).

    STOFHLA scale interpretation:

    Score 0-16: Inability to read and interpret healthcare texts Score 17-22: Problem reading and interpreting healthcare texts Score 23-36: Can read and interpret most healthcare texts

  2. Assessment of patient-reported compliance with medication

    Time frame: 12 months

    The patient-reported compliance will be assed using the GIRERD questionnaire. This tool is made of 6 questions. A score of 0 mean a good compliance and a score ≥3 mean a bad compliance

  3. Kalemia evolution

    Time frame: 12 months

    concentration of potassium in blood plasma

  4. Phosphatemia evolution

    Time frame: 12 months

    concentration of phosphate in blood plasma

  5. Calcemia evolution

    Time frame: 12 months

    concentration of calcium in blood plasma

  6. PTH evolution

    Time frame: 12 months

    concentration of PTH in blood plasma

  7. Vitamine D evolution

    Time frame: 12 months

    concentration of vitamine D in blood plasma

  8. Quality of life

    Time frame: 12 months

    Patients' quality of life will be assessed using the EQ-5D-5L tool. The EQ-5D descriptive system comprises five dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. Each dimension is describe by a five levels scale. (From 0 the worst outcome to 5 the best outcome). A visual analogue scale, where the patient rate is health form 0 to 100, complete this descriptive system.

  9. Assessment of compliance with medication

    Time frame: 12 months

    Call to the patient's usual pharmacy to check that medication retrieval is regular and get the pharmacist's opinion of the patient, by asking the following question: "Based on the last 6 months in your pharmacy's patient file, how would you rate the regularity of this patient's medication retrieval? "Good - Intermediate - Poor".

Study contacts

Contact information is provided by the study sponsor or research team.

Aurélien PIRAUD

CONTACT

[email protected]

(+33 ) 04 70 97 13 14

Sponsors and collaborators

Lead sponsor

Centre Hospitalier de Vichy

Other

Registry information

Official study title

Impact of Hospital Pharmacist Intervention on Medication Management in Dialysis Patients After Assessment of Health Literacy Level

Acronym: IPhaDia

Important dates

Study start
2024
Primary completion
2026
Study completion
2027
First posted
Nov 18, 2024
Registry last updated
Nov 18, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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