Supporting Underserved Patients with their Medicines

  • Research type

    Research Study

  • Full title

    Supporting underserved patients with their medicines: a patient / professional co-produced education intervention for community pharmacists and their support-staff to improve the provision and delivery of Medicine Use Reviews (MURs) to underserved communities

  • IRAS ID

    203847

  • Contact name

    Asam Latif

  • Contact email

    Asam.Latif@nottingham.ac.uk

  • Sponsor organisation

    University of Nottingham

  • Duration of Study in the UK

    2 years, 10 months, 30 days

  • Research summary

    'Medicine Use Reviews' (MURs) are an NHS funded community pharmacy service designed to improve patients’ medicine adherence and reduce waste. MURs involve a patient- pharmacist, face-to-face discussion to support patient’s use of medicines and to resolve any identified medicine problems. In England, three million MURs were conducted in 2014-15 costing £89m. Research has found that ‘underserved’ communities are less likely to receive MURs despite them being most in need. This is due to poor awareness and pharmacy work pressures, resulting in a ‘quantity driven’ rather than a needs-based approach.

    This study aims to evaluate a co-produced e-learning resource designed to change attitudes and behaviour of pharmacy staff to improve MUR provision to underserved communities. The co-production approach enables patients and professionals to work in partnership to co-design solutions for healthcare problems.

    This study involves 2 Stages. Stage 1 covers the development of the e-learning material and Stage 2 its evaluation.

    Stage 1: Workshops and interviews will be undertaken to capture experiences and ideas to develop the e-learning resource. Participants will include patients (or organisational representatives) from underserved communities (e.g. people from black or minority ethnic communities, people with disability, mental illness etc) and pharmacy teams.

    Stage 2 involves three Work streams:

    Work stream 1: Pre-post questionnaires. Community pharmacy teams throughout Nottinghamshire will be recruited and invited to complete an initial baseline questionnaire on-line, to assess attitudes and behaviour scores in delivering MURs to underserved communities. The e-learning resource will then be made available followed by a post-intervention questionnaire sent after 3 months.

    Work stream 2: Pharmacy staff will be invited to take part in an interview or focus group discussion about their experience of using the e-learning materials and its impact on practice.

    Work stream 3: One-to-one interviews will be undertaken to explore patient experiences of the MUR.

  • REC name

    East Midlands - Derby Research Ethics Committee

  • REC reference

    16/EM/0237

  • Date of REC Opinion

    15 Jul 2016

  • REC opinion

    Further Information Favourable Opinion