Sellors 2003.
Methods | Randomised trial | |
Participants | 889 elderly patients (intervention 431; control:458) 48 physicians (intervention 24; control 24) Ontario, Canada. Year of study: August 1999 to ˜ July 2000 |
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Interventions | Structured medication assessment by pharmacist with patient, which assessed needs, drug‐related problems and course of action. This was discussed with the physician, who then indicate their recommendation intentions and plan. 5 months later physician‐pharmacist discussion of what recommendations have been implemented. 4 months later pharmacist phoned patient to discuss drug therapy. | |
Outcomes | SF‐36 (physical functioning) at 12 months | |
Notes | Funding source: Funding was provided by the Health Transition Fund, Health Canada, and in kind support from the Department of Family Medicine, McMaster University, and the Centre for Evaluation of Medicines, St. Joseph’s Healthcare, Hamilton, Ont. Conflict of interest: Not stated |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | The pair of physicians in each postal code area were randomly allocated, in a concealed fashion, to the intervention or control group, using a central telephone randomisation procedure based on computer‐generated random numbers. |
Allocation concealment (selection bias) | Low risk | Randomisation was conducted by a research team member who was blinded to the practices’ identities. |
Blinding of participants and personnel (performance bias) All Outcomes/Outcome 1 | High risk | Neither family physicians nor their patients were blinded to their allocation group. |
Blinding of outcome assessment (detection bias) All Outcomes/Outcome 1 | High risk | Unblinded and self‐reported SF36 |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Between group attrition < 10%. Overall completion rate > 80%. |
Selective reporting (reporting bias) | Low risk | All outcomes reported |
Other bias | Low risk | None identified |