Linda Aagaard Larsen, Pharmakon, Denmark. Stockholm April 2001 Patients Needs of Information - a Research Project in Pharmacy Practice Aim of the project: For practitioners to provide a basis for improving pharmacy advice to patients For researchers to implement and evaluate paticipatory action research as a way of carrying out development studies For pharmacy students to become involved in the development of pharmacy advice to patients, gain insight into the patient’s perspectives on illness and drug use and gain experience in carrying out research

Linda Aagaard Larsen, Pharmakon, Denmark. Stockholm April 2001 Patients Needs of Information Can we give the information needed without knowing the patients: perceptions of illness and medication perceptions of the provided information way of coping with illness and medication knowledge about their disease and medication drug related problems

Linda Aagaard Larsen, Pharmakon, Denmark. Stockholm April 2001 Plan of the Project 1999: Angina Pectoris 123 patient interviews/569 pharmacy staff questionnaires 2000:Type 2 Diabetes 176 patient interviews/595 pharmacy staff questionnaires 2001:Asthma

Linda Aagaard Larsen, Pharmakon, Denmark. Stockholm April 2001 A - Inappropriate choice of drug B - Inappropriate use of drug by the patient C - Inappropriate dosage D - Drug interactions E - Side effects F - Other problems Type of Problem according to Marion Schaefer

Linda Aagaard Larsen, Pharmakon, Denmark. Stockholm April 2001 Drug Related Problems and Angina Pectoris 1. Limited knowledge of the nature of the disease (Type F): 12 % 2. Symptoms of side-effects (Type E): 11 % 3. Inappropriate dosage intervals (Type C): 9 % 4. Lack of/incomplete info. about drug from the GP (Type F): 9 % 5. Insufficient knowledge about the use of the drug (Type B): 9 % 6. Patient has inappropriate lifestyle (Type F): 6 %

Linda Aagaard Larsen, Pharmakon, Denmark. Stockholm April % of the drug related problems were due to side effects (Type E problems) Only 2 % of community pharmacy staff inform about side effects.

Linda Aagaard Larsen, Pharmakon, Denmark. Stockholm April % of all the drug related problems were due to lack of Nitrate free periods (Type C problems) Only 16 % of community pharmacy staff inform about the nessecity of Nitrate free periods.

Linda Aagaard Larsen, Pharmakon, Denmark. Stockholm April % of the drug related problems were due to inappropriate lifestyle (Type F problems) Community pharmacy staff do not inform about the risks of inappropriate lifestyle in relation to Angina Pectoris

Linda Aagaard Larsen, Pharmakon, Denmark. Stockholm April 2001 Drug Related Problems and Type 2 Diabetes Inappropriate lifestyle Side effects Symptoms of high blood glucose level No self meassurement of blood glucose level Lack of knowledge about symptoms of high/low blood glucose level Lack of knowledge about the diseases following diabetes

Linda Aagaard Larsen, Pharmakon, Denmark. Stockholm April 2001 Information given to Type 2 Diabetics by Pharmacy Staff 40% never give information to type 2 diabetics 4% often give relevant information about appropriate lifestyle 50% estimate that the phamarcy could do more for type 2 diabetics 20% feel that type 2 diabetics have sufficient knowledge about their disease