Evaluation of a program of pharmaceutical counseling for French patients on oral anticoagulant therapy

• Published in: International journal of clinical pharmacy 2020-04, Vol.42 (2), p.685-694
• Main Authors: Roseau, C., Richard, C., Renet, S., Kowal, C., Eliahou, L., Rieutord, A., Chaumais, M.-C.
• Format: Article
• Language: English
• Subjects: Administration, Oral; Adult; Aged; Aged, 80 and over; Anticoagulants; Anticoagulants - administration & dosage; Cardiology; Cognitive ability; Counseling; Counseling - methods; Counseling - standards; Female; Fibrillation; France - epidemiology; Humans; Internal Medicine; Knowledge; Life Sciences; Male; Management; Medicine; Medicine & Public Health; Middle Aged; Multivariate analysis; Patient Education as Topic - methods; Patient Education as Topic - standards; Patient Satisfaction; Patients; Pharmaceuticals; Pharmacists - standards; Pharmacy; Pharmacy Service, Hospital - methods; Pharmacy Service, Hospital - standards; Program Evaluation - methods; Program Evaluation - standards; Registries - standards; Research Article; Risk Factors; Surveillance; Thromboembolism; Vitamin K; Young Adult
• ISSN: 2210-7703; 2210-7711
• DOI: 10.1007/s11096-020-00964-y

Background Oral anticoagulants are widely used for treatment and prevention of thromboembolic diseases. We set up a pharmaceutical counseling program for both direct oral anticoagulant and vitamin K antagonist drugs in our hospital in 2015. Objective Evaluate patient satisfaction and the evolution of their knowledge throughout the pharmaceutical counseling program on anticoagulants and identify knowledge variability factors. Setting Cardiology Inpatient Unit from the University Antoine Béclère Hospital, France. Methods Evaluation was based on data collection of patients surveyed between 2015 and 2018. Inpatients in the cardiology department on oral anticoagulants were eligible. The learning process was designed to enhance patient knowledge and understanding based on 10 cognitive or self-management skills, relating to the optimization of oral anticoagulant therapy management. It consisted in 2 face-to-face interviews during hospitalization and 2 additional phone interviews one and six months after discharge. The median patient score was evaluated at each step of the process as well as the mean score for each item from the global population. A sub-analysis was run on the less well-acquired skills in order to identify risk factors for limited knowledge. The association between those factors and the level of knowledge (score ≥ 7 or