Patients' general satisfaction with telephone counseling by pharmacists and effects on satisfaction with information and beliefs about medicines: Results from a cluster randomized trial

Abstract

Objective: Assess effects of pharmacists' counseling by telephone on patients' satisfaction with counseling, satisfaction with information and beliefs about medicines for newly prescribed medicines.

Methods: A cluster randomized trial in Dutch community pharmacies. Patients ≥18 years were included when starting with antidepressants, bisphosphonates, RAS-inhibitors or statins. The intervention comprised counseling by telephone to address barriers to adherent behavior. It was supported by an interview protocol. Controls received usual care. Outcomes were effects on beliefs about medication, satisfaction with information and counseling. Data was collected with a questionnaire.

Results: Responses of 211 patients in nine pharmacies were analyzed. More intervention arm patients were satisfied with counseling (adj. OR 2.2 (95% CI 1.3, 3.6)). Patients with counseling were significantly more satisfied with information on 4 items, had less concerns and less frequently had a 'skeptical' attitude towards medication (adj. OR 0.5 (0.3-0.9)). Effects on most outcomes were more pronounced in men than in women.

Conclusions: Telephone counseling by pharmacists improved satisfaction with counseling and satisfaction with information on some items. It had a small effect on beliefs about medicines.

Practice implications: Pharmacists can use counseling by telephone, but more research is needed to find out which patients benefit most.

Keywords: Adherence; Antidepressant; Antilipaemic; Beliefs about medicines; Bisphosphonate; Cluster randomized controlled trial; Compliance; Counseling; Medication Therapy Management; Medication adherence; Medication intake behavior; Pharmacist; RAS-inhibitor; Satisfaction with Information about Medicines Scale; Telephone.