Impact of clinical pharmacist led theory-based discharge counselling service on clinical outcomes of patients with acute coronary syndrome: preliminary results of a randomized controlled study

Abstract

Abstract Funding Acknowledgements: Type of funding sources: None. It is aimed to evaluate impact of clinical pharmacist-led theory-based discharge counselling service on hospital readmission and medication adherence of patients with acute coronary syndrome. In this prospective parallel randomized controlled study, adult patients who were hospitalized due to acute coronary syndrome in the cardiology clinic of tertiary university hospital was recruited between January 15 and June 15, 2021. The patients were assigned by permutated block randomization into the control group or study group that received clinical pharmacist-led theory-based discharge counselling service. The clinical pharmacist, within the scope of discharge counselling services, provided medication reconciliation, medication review, individually prepared patient medicine (pill) card, patient education (based on Health Belief Model by using written material and video, and counseling (based on Health Belief Model by using written material and video, and verbally [by using Teach back method especially for patients with low health literacy]) and counseling (using behavior change techniques based on The Capability, Opportunity, and Motivation Behavior [COM-B] model) and telephone follow-up within 12 months. The control group received usual care. According to preliminary results of this study, in the control group 30-day readmission rate was higher than study group (%5.7 vs %0.0, respectively; p = 0.06). In control group nonadherence rate (%10.3) was higher than study group (%1.2) within 30 days of discharge (p<0.05). The early findings of our study demonstrated theory-based patient counselling service had positive impact on medication adherence and clinical outcomes in patients with acute coronary syndrome.