Pharmaceutical Interventions to Support Carers in Promoting Medicines Optimization for Older People
Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
Introduction: Carers, unpaid relatives or friends, are recognized as providing important assistance to older people with their medicines. These activities have been associated with medication-related problems and carer stress. Aim: This project is aimed to characterize and evaluate pharmaceutical interventions to support carers of older people and inform of ways for future developments. Materials and Methods: A systematic review was conducted together with a descriptive cross-sectional study, where interviews were done with eleven purposely selected pharmacists and eight carers in London. The electronic databases: Cochrane Library, Embase, International Pharmaceutical Abstract, PubMed and Web of Knowledge were searched systematically for studies from 1990 to 2012 regarding pharmaceutical interventions to support carers of older people. Results: Based on the systematic review, twenty-two interventions were identified, of which twenty were evaluated. The most common interventions were services provided to assist in medication administration and education or skills training programs. Some evidence supported education and drug formulations. Field-work revealed that diverse needs could arise and all participants had comments about the subject. Views added from concerned stakeholders included improvements of currently available services and changes on systemic levels. Conclusions: The evidence supporting pharmaceutical interventions for carers of older people is low and it was not considered credible to recommend any details regarding duration, format or provider of the interventions. Field-work reflected that services are needed but that standards are lacking. Future work including other study populations, settings, locations and evaluations is thus required to establish the evidence, regarding interventions that are likely to be effective, and standardize the support.
Place, publisher, year, edition, pages
2012. , 136 p.
carers, older people, pharmaceutical interventions, medicines optimization
Social and Clinical Pharmacy
IdentifiersURN: urn:nbn:se:uu:diva-193076OAI: oai:DiVA.org:uu-193076DiVA: diva2:601313
UCL School of Pharmacy, London
Subject / course
Master of Science Programme in Pharmacy
Smith, Felicity, Professor
Hammarlund-Udenaes, Margareta, Professor