Randomised trial of telephone counselling to improve participants' adherence to prescribed drugs in a vascular screening trial

Autor: Jesper Hallas, Rikke Søgaard, Ina Qvist, Lars Frost, Jes S. Lindholt, Vibeke Lorentzen
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Counseling
Male
Health Knowledge
Attitudes
Practice

Time Factors
Denmark
telephone counselling
Toxicology
030226 pharmacology & pharmacy
law.invention
0302 clinical medicine
Randomized controlled trial
law
Antithrombotic
media_common
General Medicine
Abdominal aortic aneurysm
Drug class
Treatment Outcome
Hypertension
Drug
Diagnostic Screening Programs
medicine.medical_specialty
Statin
medicine.drug_class
media_common.quotation_subject
Drug Prescriptions
Medication Adherence
03 medical and health sciences
Peripheral Arterial Disease
Fibrinolytic Agents
Internal medicine
medicine
Humans
Medical prescription
Antihypertensive Agents
Aged
Pharmacology
business.industry
screening
Cardiovascular Agents
medicine.disease
Telephone
cardiovascular diseases
Blood pressure
medication adherence
Hydroxymethylglutaryl-CoA Reductase Inhibitors
business
randomised controlled trial
030217 neurology & neurosurgery
Aortic Aneurysm
Abdominal
Zdroj: Qvist, I, Lindholt, J S, Søgaard, R, Lorentzen, V, Hallas, J & Frost, L 2020, ' Randomised trial of telephone counselling to improve participants' adherence to prescribed drugs in a vascular screening trial ', Basic and Clinical Pharmacology and Toxicology, vol. 127, no. 6, pp. 477-487 . https://doi.org/10.1111/bcpt.13459
DOI: 10.1111/bcpt.13459
Popis: A total of 1446 participants, 65- to 74-year-old men diagnosed with abdominal aortic aneurysm (AAA), peripheral arterial disease (PAD) or high blood pressure (HB) in the Viborg Vascular (VIVA) screening trial, were consecutively included and randomised to a telephone counselling (TC) or no TC 3 months after being screened positive. Data from VIVA were linked to data from Danish registers from 2007 to 2016. The primary outcome was a composite outcome of proportion of days covered by statin, antithrombotic drugs and antihypertensive agents and for each specific drug class at 6-month follow-up. The same outcomes were assessed at 12 and 60 months and considered secondary outcomes. Outcome measures are reported as risk differences (RD). There were no differences between the groups in relation to the composite of all three drug classes over 6 months of follow-up, RD = 4.1 (95% CI: −1.0; 9.1). A significant increase in redeemed statin prescriptions was observed in the intervention group at 6 months, RD = 9.8% (CI 95%: 0.5; 19.0). There was no intervention effect observed after 12 and 60 months. TC 3 months after screening improved adherence to statin at 6-month follow-up, but had no effect on the composite treatment, statins, antithrombotic or antihypertensive treatment over 60 months of follow-up.
Databáze: OpenAIRE