Patient-Centered Pharmacist Care in the Hemodialysis Unit: A Quasi-Experimental Interrupted Time Series Study

Patients were assessed at baseline for baseline characteristics, dialysis-related factors, and medications records

• Pharmacists conducted brief monthly interview for patients to assess the medications they are receiving
• A comprehensive interview for patients occurred at month 3 and 5 including concepts of MTM and MI
• MTM included a review of each participant's medications and personal medication record to identify the use of any over-the-counter medications, design of their medication-related action plan, formulation of specific therapeutic interventions, and referrals for discussion with their physician and subsequent documentation and follow-up. The therapeutic interventions accepted by the physician were further discussed with each patient/caregiver using the MI technique to encourage adherence and this discussion was documented in each patient's medication record.
• MI incorporated the main components reported in the literature: rolling with resistance; expressing empathy; avoiding argumentative behavior; highlighting the discrepancy between patients' current attitudes compared with the desired therapeutic goals; and empowering patients' self-efficacy

Inclusion criteria

• Patients (≥18 years of age)
• Outpatient HD for at least 3 months before the study period

Exclusion criteria

• Patients who refused to participate in the study
• Patients without the capacity to understand or take responsibility for their medications