Pharmacist Enhanced Service for Cardiovascular Risk Reduction

Summary

Pharmacist services such as medication review, counselling and treatment adherence clinics can improve clinical, health related quality of life and economic outcomes. To prove this hypothesis a step-wedge, cluster randomized controlled trial will be held in primary care centers of the public health system of Malaysia. Participants who have a high risk of cardiovascular risk factors currently seeking care in primary care will be recruited. Control group will receive usual care and the intervention arm will be seen by a pharmacist prior to their follow-up, with a comprehensive medication review, counselling and dietary advice consultations every month for three months. Participating pharmacist will be trained in cardiovascular prevention pharmacotherapy, interview skills, educational techniques, and develop personalized plan for every participant. The investigators plan to randomize up to 2100 participants who are currently receiving care in the primary care clinics in the district of Petaling by modifying the current workflow in primary care, whereby the investigators aim to get participants who are at high risk to undergo counselling as well as a medication review with proper pharmaceutical care delivered to them prior to seeking their medical doctor to receive care.

Conditions

• Cardiovascular Risk Factor

Interventions

OTHER

Enhanced pharmacist service

Calculation of cardiovascular risk by an online tool for discussion on the CVD risk. Pharmacist will also provide ducation on cardiovascular risk factors and healthy lifestyle. Any prescription adaptation(s), and/or recommendations where necessary to meet lipid, blood pressure and glycemic control targets and smoking cessation will be initiated

OTHER

Usual care

Participants in the arm will receive their care from their respective nurse, doctor or pharmacists as per usual clinic practice

Sponsors & Collaborators

• Klinik Kesihatan Puchong

  collaborator UNKNOWN

• Klinik Kesihatan Kelana Jaya

  collaborator UNKNOWN

• Klinik Kesihatan Shah Alam Seksyen 7

  collaborator UNKNOWN

• Klinik Kesihatan Shah Alam Seksyen 9

  collaborator UNKNOWN

• Klinik Kesihatan Taman Medan

  collaborator UNKNOWN

• Klinik Kesihatan Seri Kembangan

  collaborator UNKNOWN

• Monash University

  lead OTHER

Principal Investigators

• Shaun Lee · Monash University Malaysia

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

DOUBLE

Model

SEQUENTIAL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2020-03-01

Primary Completion

2022-12-31

Completion

2022-12-31

Countries

• Malaysia

Study Locations