Show simple item record

dc.contributor.advisorSowter, Julie
dc.contributor.advisorAssi, Khaled H.
dc.contributor.authorTatari, Wisam
dc.date.accessioned2019-10-23T08:49:16Z
dc.date.available2019-10-23T08:49:16Z
dc.identifier.urihttp://hdl.handle.net/10454/17311
dc.description.abstractIntroduction: A feasibility study was conducted with patients randomised to intervention arm or treatment as usual, in a community pharmacy-based chronic obstructive pulmonary disease (COPD) clinic. The study aimed to establish further work required to proceed to a definitive trial to test the impact of pharmacist interventions via Tele-Consultations (TC) amongst patients with COPD. The objectives were to determine feasibility of the rate of patient recruitment, retention, acceptability of TC, practicalities and completeness of data collection for outcome measures used to assess COPD control and management. Methods: Conducted in a single pharmacy by one specialist respiratory pharmacist (SRP) (community pharmacist with qualification in respiratory therapy). Patients were recruited from the pharmacy customer base and local advertisements. Participants were >35 years, with clinician diagnosed COPD and able to communicate in English. Participants were randomised (1:1) to receive an in-person consultation (IPC) or TC after spirometry, oximetry, and BMI measurements in-person. Consultations comprised of COPD review, education and medication optimisation - communicated to prescriber via postal mail. After 6-months, all participants were reassessed in-person. Results: Forty-eight patients from 16 GP practices were recruited over 4-months; 41 (85%) completed the study. At follow-up, 29% of participants in the TC group declared a preference for IPC. Collection of data on all outcomes were completed with no adverse events. Conclusion: The recruitment target was met by employing additional strategies and achieved a satisfactory retention rate. Acceptability of the process of conducting TCs and the completeness of data collection was confirmed. Further studies should pilot a multi-centred approach with more pharmacists and employing an integrated approach with GPs, in preparation for a definitive study.en
dc.language.isoenen_US
dc.publisherUniversity of Bradforden_US
dc.rights<a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><img alt="Creative Commons License" style="border-width:0" src="http://i.creativecommons.org/l/by-nc-nd/3.0/88x31.png" /></a><br />The University of Bradford theses are licenced under a <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/">Creative Commons Licence</a>.en_US
dc.subjectChronic Obstructive Pulmonary Diseaseen_US
dc.subjectCOPDen_US
dc.subjectTele-consultationen_US
dc.subjectTelemedicineen_US
dc.subjectPharmacist interventionen_US
dc.subjectCommunity pharmacisten_US
dc.subjectCommunity pharmacyen_US
dc.subjectDistance-selling pharmacyen_US
dc.subjectCOPD controlen_US
dc.subjectFeasibility studyen_US
dc.titleUsing Pharmacist-Led Tele-Consultation to Review Patients with Chronic Obstructive Pulmonary Diseaseen_US
dc.type.qualificationlevelDoctoralen_US
dc.publisher.institutionUniversity of Bradfordeng
dc.publisher.departmentSchool of Pharmacyen_US
dc.typeThesiseng
dc.type.qualificationnameDPharmen_US
dc.date.awarded2018
refterms.dateFOA2019-10-23T08:49:16Z


Item file(s)

Thumbnail
Name:
tatari, w.pdf
Size:
11.42Mb
Format:
PDF
Description:
Keep suppressed - no cover sheet
Thumbnail
Name:
tatari, w (1).pdf
Size:
12.28Mb
Format:
PDF
Description:
PhD Thesis

This item appears in the following Collection(s)

Show simple item record