Tsuyuki 2002.
Methods | Design: RT Groups: intervention group (cholesterol risk management); control group (usual care) |
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Participants | Pharmacies: 54 Pharmacy workers: pharmacists ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Pharmacy user: 675 patients with high risk of vascular events (344 intervention; 331 control)
Setting: both urban and rural Country: Alberta and Saskatchewan, Canada |
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Interventions |
Pharmacy worker‐directed intervention: training sessions to review the management of heart disease risk factors, especially hyperlipidaemia
Pharmacy worker control: not reported ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Pharmacy user‐directed intervention: patients received a brochure; pharmacists completed a physician contact form that listed the patient's risk factors, medications and any recommendations; patients were encouraged to contact physician; and also received education about cardiovascular risk factors to reinforce adherence
Pharmacy user control: patients given a copy of the same brochure and general advice only |
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Outcomes |
Pharmacy worker: not assessed ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Pharmacy user:
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Notes | Study/intervention name: the Study of Cardiovascular Risk Intervention by Pharmacists (SCRIP) Funding source: University of Alberta Hospital Foundation, Merck Frossst Canada Inc, SCRIP study Tsuyuki 1999, Simpson 2001, and Simpson 2004 (cited under Tsuyuki 2002) also refer to this study. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Block randomisation stratified by pharmacy, computer‐generated sequence |
Allocation concealment (selection bias) | Low risk | Block size for randomisation was not revealed to ensure allocation concealment |
Baseline outcome measures similar | Low risk | Baseline scores controlled for in analyses |
Baseline characteristics similar | Low risk | Baseline scores controlled for in analyses |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Low attrition, balanced across groups |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Assessed by pharmacist |
Protection against contamination | High risk | Patient‐level of randomisation |
Selective reporting (reporting bias) | Low risk | Not noted |
Other bias | Unclear risk | Pharmacies were highly selected |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Unblinded study |