Show simple item record

dc.contributor.authorPowell, Catherine
dc.contributor.authorBreen, Liz
dc.contributor.authorFylan, Beth
dc.contributor.authorIsmail, Hanif
dc.contributor.authorAlderson, S.L.
dc.contributor.authorGale, C.P.
dc.contributor.authorGardner, Peter H.
dc.contributor.authorFarrin, A.J.
dc.contributor.authorAlldred, David P.
dc.contributor.authorISCOMAT Programme Management Team
dc.date.accessioned2020-11-25T14:43:47Z
dc.date.accessioned2020-12-07T06:13:06Z
dc.date.available2020-11-25T14:43:47Z
dc.date.available2020-12-07T06:13:06Z
dc.date.issued2020-11
dc.identifier.citationPowell C, Breen L, Fylan B et al (2020) Improving the Safety and Continuity Of Medicines management at Transitions of care (ISCOMAT): protocol for a process evaluation of a cluster randomised control trial. BMJ Open. 10(11): e040493.en_US
dc.identifier.urihttp://hdl.handle.net/10454/18196
dc.descriptionYesen_US
dc.description.abstractIntroduction A key priority for the UK National Health Service and patients is to ensure that medicines are used safely and effectively. However, medication changes are not always optimally communicated and implemented when patients transfer from hospital into community settings. Heart failure is a common reason for admission to hospital. Patients with heart failure have a high burden of morbidity, mortality and complex pharmacotherapeutic regimens. The Improving the Safety and Continuity Of Medicines management at Transitions of care programme comprises a cluster randomised controlled trial which will test the effectiveness of a complex behavioural intervention aimed at improving medications management at the interface between hospitals discharge and community care. We will conduct a rigorous process evaluation to inform interpretation of the trial findings, inform implementation of the intervention on a wider scale and aid dissemination of the intervention. Methods and analysis The process evaluation will be conducted in six purposively selected intervention sites (ie, hospital trusts and associated community pharmacies) using a mixed-methods design. Fidelity and barriers/enablers of implementation of the Medicines at Transitions Intervention (MaTI) will be explored using observation, interviews (20 patients, 40 healthcare professionals), surveys and routine trial data collection on adherence to MaTI. A parallel mixed analysis will be applied. Qualitative data will be thematically analysed using Framework analysis and survey data will be analysed descriptively. Data will be synthesised, triangulated and mapped to the Consolidated Framework for Implementation Research where appropriate. The process evaluation commenced on June 2018 and is due to end on February 2021. Ethics and dissemination Approved by Research Ethics Committee and the UK Health Research Authority REC: 18/YH/0017/IRAS: 231 431. Findings will be disseminated via academic and policy conferences, peer-reviewed publications and social media. Trial registration number ISRCTN66212970.en_US
dc.language.isoenen_US
dc.rights(c) 2020 The Authors. This is an Open Access article distributed under the Creative Commons CC-BY license (https://creativecommons.org/licenses/by/4.0/)en_US
dc.subjectMedicines managementen_US
dc.subjectSafetyen_US
dc.subjectContinuityen_US
dc.subjectISCOMATen_US
dc.subjectProcess evaluationen_US
dc.subjectRandomised control trialen_US
dc.titleImproving the Safety and Continuity Of Medicines management at Transitions of care (ISCOMAT): protocol for a process evaluation of a cluster randomised control trialen_US
dc.status.refereedYesen_US
dc.date.Accepted2020-11-02
dc.date.application2020-11-24
dc.typeArticleen_US
dc.type.versionPublished versionen_US
dc.identifier.doihttps://doi.org/10.1136/bmjopen-2020-040493
dc.date.updated2020-11-25T14:43:57Z
refterms.dateFOA2020-12-07T06:13:47Z


Item file(s)

Thumbnail
Name:
FinalPublishedPEProtocolPaper. ...
Size:
523.4Kb
Format:
PDF
Description:
powell_et_al_2020

This item appears in the following Collection(s)

Show simple item record