Impact of video technology on efficiency of pharmacist-provided anticoagulation counseling and patient comprehension

The Annals of Pharmacotherapy
Sarah J MooreJo Ellen Rodgers

Abstract

Discharge anticoagulation counseling is important for ensuring patient comprehension and optimizing clinical outcomes. As pharmacy resources become increasingly limited, the impact of informational videos on the counseling process becomes more relevant. To evaluate differences in pharmacist time spent counseling and patient comprehension (measured by the Oral Anticoagulation Knowledge [OAK] test) between informational videos and traditional face-to-face (oral) counseling. This prospective, open, parallel-group study at an academic medical center randomized 40 individuals-17 warfarin-naïve ("New Start") and 23 with prior warfarin use ("Restart")-to receive warfarin discharge education by video or face-to-face counseling. "Teach-back" questions were used in both groups. Although overall pharmacist time was reduced in the video counseling group (P < 0.001), an interaction between prior warfarin use and counseling method (P = 0.012) suggests the difference between counseling methods was smaller in New Start participants. Following adjustment, mean total time was reduced 8.71 (95% CI = 5.15-12.26) minutes (adjusted P < 0.001) in Restart participants and 2.31 (-2.19 to 6.81) minutes (adjusted P = 0.472) in New Start participants rece...Continue Reading

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Citations

Apr 6, 2017·The Cochrane Database of Systematic Reviews·Danielle E ClarkesmithDeirdre A Lane
Nov 23, 2018·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Demetra S TsapepasPeter M Fleischut
Dec 6, 2018·International Journal of Clinical Pharmacy·Jordan SedlacekMelissa Lipari
Aug 28, 2020·Journal of Community Hospital Internal Medicine Perspectives·P FitzgeraldJ Valery
Sep 28, 2018·Quality Management in Health Care·Julie L WischerKimberly C Kinney
Jun 18, 2019·Therapeutic Advances in Drug Safety·Angela Yiu, Beata Bajorek
Jan 6, 2021·International Journal of Medical Informatics·Jingfang Liu, Lu Gao
Jan 23, 2021·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Tyler A VestStephen F Eckel
Mar 9, 2021·Journal of Pharmacy & Bioallied Sciences·Sireen Abdul Rahim Shilbayeh
Oct 2, 2020·Patient Education and Counseling·Segun J Showande, Edidiong N Orok

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