The evaluation of an intervention based on the application of patient self-completion concordance forms in Dutch community pharmacies and the effect on adherence to chronic medication

Patient Educ Couns. 2010 Jan;78(1):85-90. doi: 10.1016/j.pec.2009.04.005. Epub 2009 May 14.

Abstract

Objective: To evaluate the use of patient self-completion concordance forms and to determine the effect of patient counselling by using concordance forms on adherence to chronic medication.

Methods: Patients with a prescription for new chronic treatment were randomised in an intervention or control group. The intervention group received a concordance form to fill in at home and to discuss during a consultation 2 weeks later in the pharmacy. The control group received the usual information and instruction on how to use the medicine. Afterwards, all patients were asked to fill in a questionnaire about their use of medicines and contact with the pharmacy employees. Adherence to the medicine was determined using rates of prescription refills after 6 months of use.

Results: The questionnaires showed that patients were satisfied about the concordance model. After 6 months of use, 79% of the patients from both intervention and control group were defined as adherent.

Conclusions: There was no significant difference found in adherence between intervention and control group.

Practice implications: Use five selected questions from the concordance form which provided most answers. Focus on one drug group and have more consultation moments.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chronic Disease
  • Directive Counseling*
  • Female
  • Humans
  • Male
  • Medication Adherence*
  • Middle Aged
  • Models, Theoretical
  • Netherlands
  • Pharmacies*
  • Surveys and Questionnaires
  • Time Factors