Evidence map›Paper›PMID 41945242›Full record

Trial reportInternational journal of clinical pharmacy2026

Impact of clinical pharmacist-led behavioural theory-based discharge service to promote medication adherence in patients with acute coronary syndrome: a randomised controlled trial.

Muhammed Yasir Demirci, Bulent Mutlu, Mesut Sancar, Betul Okuyan

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of clinical pharmacy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05153707 (Evaluation of a Clinical Pharmacist-led Discharge Education Service in Patients With Acute Coronary Syndrome), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05153707 nacompletednot on this map

Evaluation of a Clinical Pharmacist-led Discharge Education Service in Patients With Acute Coronary Syndrome: A Randomized Controlled Study

TypeinterventionalSponsorMarmara UniversityRan2021 to 2022Enrolled177ConditionsAcute Coronary SyndromeArmsDischarge Education Program
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Muhammed Yasir DemirciDepartment of Clinical Pharmacy, Faculty of Pharmacy, Marmara University, Maltepe, Istanbul, Türkiye.ORCID http://orcid.org/0000-0003-3050-5782
Bulent MutluDepartment of Cardiology, School of Medicine, Marmara University, Istanbul, Türkiye.ORCID http://orcid.org/0000-0003-0973-3422
Mesut SancarDepartment of Clinical Pharmacy, Faculty of Pharmacy, Marmara University, Maltepe, Istanbul, Türkiye.ORCID http://orcid.org/0000-0002-7445-3235
Betul OkuyanDepartment of Clinical Pharmacy, Faculty of Pharmacy, Marmara University, Maltepe, Istanbul, Türkiye. betulokuyan@yahoo.com.ORCID http://orcid.org/0000-0002-4023-2565

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMedication non-adherence is common in patients with acute coronary syndrome (ACS) and may increase the risk of cardiac readmissions and mortality.

aimTo evaluate the effect of a clinical pharmacist-led, behavioural theory-based discharge service designed to promote medication adherence on 30-day cardiac readmissions (primary outcome) and on clinical, humanistic, and healthcare utilisation outcomes over 360 days in patients with ACS.

methodIn this single-centre, parallel-group randomised controlled trial, adult patients hospitalised with ACS were assigned by permuted block randomisation (block size 8) to the intervention or control group. The intervention comprised a clinical pharmacist-led, behavioural theory-based discharge service to promote medication adherence. The intervention consisted of medication reconciliation, medication review and patient counselling based on components of the behaviour change technique taxonomy and Health Belief Model. The primary outcome was 30-day hospital readmission for cardiac reasons. Secondary outcomes included all-cause and cardiac readmissions, emergency department visits, all-cause and cardiac mortality, medication adherence, LDL (low-density lipoprotein) target attainment, and quality of life over 360 days.

resultsA total of 167 patients were analysed (intervention: n = 80; control: n = 87). The primary outcome occurred in 0/80 (0.0%) in the intervention group versus 5/87 (5.7%) in the control group (risk difference - 5.7%, 95% CI - 12.8 to 2.1%; p >0.050). Over 360 days, the control group had higher adjusted odds of cardiac readmission (aOR 4.4; 95% CI 1.2-16.0; p = 0.027), all-cause readmission (aOR 3.7; 95% CI 1.1-11.7; p = 0.029), and non-adherence at 30 days (aOR 2.4; 95% CI 1.1-5.2; p = 0.028). At 180 days, the control group had lower adjusted odds of LDL target attainment (aOR 0.4; 95% CI 0.2-0.9; p = 0.038).

conclusionThis intervention reduced 30-day cardiac readmission, but the effect was not statistically significant. According to findings of secondary outcomes, this behavioural theory-based discharge service at discharge might be effective in reducing healthcare utilisation in the long term and improving the short-term target for medication adherence in patients with acute coronary syndrome.

trial registrationClinicalTrials.gov NCT05153707.

Indexed as

Acute Coronary SyndromeAdherence InterventionsMedication AdherencePatient DischargePharmacistsPharmacy Service, HospitalProfessional RoleAgedFemaleHumansMaleMedication ReconciliationMiddle AgedPatient ReadmissionQuality of LifeAcute coronary syndromeBehaviour change techniquesDischargeHealth belief modelMedication adherenceMedication reconciliationMedication reviewPatient counselling

Identifiers

PMID41945242
PMCPMC13369226

What Socratic holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.