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Intervention description of pharmacist-facilitated medication reviews in Nordic primary care settings: a scoping review
UiT Arctic Univ Norway, Fac Hlth Sci, Dept Pharm, Tromso, Norway..ORCID iD: 0000-0002-7239-3822
UiT Arctic Univ Norway, Fac Hlth Sci, Dept Pharm, Tromso, Norway..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy. UiT Arctic Univ Norway, Fac Hlth Sci, Dept Pharm, Tromso, Norway.
2025 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 43, no 1, p. 241-253Article in journal (Refereed) Published
Abstract [en]

BackgroundMulticomponent interventions are increasingly utilized to tackle the complexity of aging and co-morbid patients. However, descriptions of interventions are generally poor, making it difficult for healthcare providers to implement successful programs.ObjectivesThis study aimed to explore the completeness of intervention description of pharmacist-facilitated medication reviews (MRs) in Nordic primary care settings.MethodsWe performed a scoping review of studies reporting on pharmacist-facilitated MRs in Nordic primary care settings. Medline, Embase, CINAHL and Web of Science were searched on 24 January 2024. We used Arksey and O'Mally's framework for scoping studies and applied an adapted version of the Template for Intervention Description and Replication (TIDieR) checklist to evaluate intervention reporting. The Pharmaceutical Care Network Europe (PCNE) classification of MR levels was used to identify the components of different MRs.ResultsSixteen studies were included in this scoping review. The studies were conducted in Sweden (n = 7), Norway (n = 6), Finland (n = 2) and Denmark (n = 1). Information on the participating pharmacists' expertise, qualifications and training was fully reported in only two studies. Twelve studies did not provide any information related to intervention cost, dose or duration, making it challenging to estimate the economic impact of the intervention. Only one study made an evaluation of intervention fidelity. Conversely, 15 studies lacked information on this topic which can lead to inaccurate conclusions about the program's effectiveness.ConclusionThe studies included in this scoping review do not provide sufficient MR information for intervention replication. We recommend that pharmacy trials use reporting checklists to increase the replicability and transferability of effective interventions.

Place, publisher, year, edition, pages
Taylor & Francis, 2025. Vol. 43, no 1, p. 241-253
Keywords [en]
Medication review, pharmacists, primary care, Nordic, implementation, TIDieR
National Category
Social and Clinical Pharmacy Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:uu:diva-555052DOI: 10.1080/02813432.2024.2439909ISI: 001387606000001PubMedID: 39731253Scopus ID: 2-s2.0-85213488820OAI: oai:DiVA.org:uu-555052DiVA, id: diva2:1953843
Available from: 2025-04-23 Created: 2025-04-23 Last updated: 2025-04-23Bibliographically approved

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CiteExportLink to record
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