P-092: Testing the feasibility of a community pharmacy-based intervention to improve medicines management for people with dementia in primary care

摘要

Introduction: A theory-based intervention, aimed at improving medicines management for people with dementia (PwD), was developed [1]. The intervention comprised an online video demonstrating a medication review and adherence check conducted by a community pharmacist with a PwD and their carer, and a 'quick reference guide' (QRG). PwD/carer dyads would be invited to a review appointment with their community pharmacist. The pharmacist would then communicate recommendations to the PwD's general practitioner (GP). This study aimed to test intervention feasibility and study procedures. Methods: Pharmacists from three community pharmacies were given access to the video and QRG. Five PwD/carer dyads were to be recruited by each pharmacy following a two-stage screening and recruitment process. Inclusion criteria for PwD were: GP-confirmed diagnosis of mild-moderate dementia, prescribed ≥ 4 medicines, living at home, contact with carer at least three times/week, with carer providing medication assistance. Primary outcomes were to be usability and acceptability of the intervention to participants. Feedback was to be collected from pharmacists, PwD and carers using semi-structured interviews. Feasibility of measuring a number of additional outcomes (e.g. appropriateness of prescribing, quality of life) was also to be assessed. Results: Pharmacists experienced significant difficulties during patient sampling, resulting in no PwD or carers being recruited. Pharmacist feedback was positive about the video and QRG, however they considered screening and recruitment lengthy and burdensome. Suggestions were made for improvements to this process. Conclusions: Whilst study objectives were not fully met, it is important to share these findings to inform primary care-based dementia research.