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Table 4 Counseling Documentation

From: Impact of pharmacist-conducted anticoagulation patient education and telephone follow-up on transitions of care: a randomized controlled trial

Variable

Pharmacist counseled

n = 100

Standard of care

n = 100

P-value

Learner specifieda

97

34

< 0.001

 Patient

82

34

< 0.001

 Family member

77

20

< 0.001

 Other

1

0

0.014

Counseling method specifiedb

97

33

< 0.001

 Verbal education

97

33

< 0.001

 Written educational material

95

0

< 0.001

Language of written education material

 Arabic

18

2

< 0.001

 English

40

10

< 0.001

 Not documented

42

88

< 0.001

Response of patient documented

100

33

< 0.001

 Patient verbalized understanding

100

33

< 0.001

 Patient needs reinforcement; re-evaluate education at another time

2

1

0.014

 Instructions declined

1

0

0.014

Documented barriers to learning

65

33

< 0.001

 Age-related

6

0

< 0.001

 Cognitive

2

0

0.007

 Emotional

1

0

0.014

 Hearing

1

0

0.014

 No Barrier

84

33

< 0.001

Elements of patient education

   

 Rationale for therapy

92

5

< 0.001

 Dosing

91

5

< 0.001

 Monitoring

91

5

< 0.001

 INR (for patients receiving Vitamin K antagonist)

33

2

< 0.001

 Duration of therapy

82

5

< 0.001

 Administration

92

5

< 0.001

 Importance of compliance

94

5

< 0.001

 Missed dose

91

5

< 0.001

 Storage

88

5

< 0.001

 Drug-drug interaction

88

5

< 0.001

 Drug-food interaction

88

5

< 0.001

 Signs and symptoms of bleeding

90

5

< 0.001

 Reversal agent

32

2

< 0.001

 Precautions

93

5

< 0.001

 Patient communication with healthcare provider

41

1

< 0.001

Discharge medications documented in chart

94

84

0.024

Informed patient about next appointment date with physician

31

52

< 0.001

Time of next appointment (mean in days, +/− SD)

15.00 +/− 12.49

17.67 +/− 14.53

0.341

  1. a The values add up to more than 100% since more than one learner can exist for each counseling session (i.e. patient and family)
  2. b The values add up to more than 100% since more than one counseling method can be used in each counseling session (i.e. verbal education and written education material)