Publications by authors named "Melanie Lelubre"

Asthma and chronic obstructive pulmonary disease (COPD) are major chronic conditions. It is possible to limit their impact by controlling symptoms, which limits exacerbations and worsening of the disease, by choosing the appropriate treatment and ensuring that the patient adheres to it. The main purpose of this study was to assess medication adherence and persistence with inhaled medications for chronic treatment of asthma and COPD, as well as to evaluate the factors influencing this adherence.

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Background: A medication use review (MUR) aims to optimize medication use, patient knowledge and can improve health outcomes. This pharmaceutical care service is not yet available in Belgium.

Objectives: To describe drug-related problems (DRPs) detected during a MUR, subsequent interventions proposed by pharmacists and evolution of DRPs until follow-up and to identify patient-related variables associated with the number of reported DRPs.

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Background: An interprofessional medication adherence program (IMAP) for chronic patients was developed and successfully implemented in the community pharmacy of the Department of ambulatory care and community medicine (Lausanne, Switzerland). This study assesses the capacity of a physician and a nurse at the infectious diseases service of a public hospital and of community pharmacists in the Neuchâtel area (Switzerland) to implement the IMAP in their practice.

Methods: Mixed method, prospective, observational study.

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Background: The Association of Pharmacists in Belgium (APB) and local pharmacy associations launched a pilot project in collaboration with research teams from three Belgian universities to study the impact and implementation-related issues of a medication review (MR) service type 2a in Belgian community pharmacies.

Objective: The aim of this paper is to describe the implementation process of the MR service and to present the implementation evaluation of the pilot study (testing stage).

Methods: The pilot project was a prospective observational study using mixed methods.

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Background: The community pharmacy center of the Department of Ambulatory Care and Community Medicine of the Policlinique Médicale Universitaire (PMU), Lausanne, Switzerland developed and implemented an interprofessional medication adherence program for chronic patients (IMAP). In 2014, a project was launched to implement the IMAP for HIV patients in a public non-academic hospital with the collaboration of community pharmacists in the Neuchâtel area (Switzerland). This article aims to describe the different implementation stages and strategies of the project.

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Article Synopsis
  • The study aimed to assess the awareness and adherence to isotretinoin safety guidelines related to teratogenic risks among French-speaking health care professionals and patients in Belgium.
  • Surveys conducted from December 2014 to October 2015 revealed that knowledge of the pregnancy prevention program was low among both health care professionals (23.6%) and patients (15.2%).
  • The study concluded that more effective strategies are needed to enhance the implementation of these recommendations, suggesting that expert committee review and clear justifications for guidelines may improve compliance among health care providers and patients.
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Article Synopsis
  • The study aimed to evaluate medication adherence for isotretinoin and various forms of contraception, along with factors influencing this adherence in patients in Belgium.
  • Adherence levels were measured, showing that 46.1% of isotretinoin users and 74% of contraceptive users had good adherence, with men generally more compliant than women.
  • The analysis revealed that adherence to isotretinoin and contraception was independent, with a notable percentage of young women not adhering to contraception during their isotretinoin treatment despite prescription availability.
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The Community Pharmacy of the Department of Ambulatory Care and Community Medicine (Policlinique Médicale Universitaire, PMU), University of Lausanne, developed and implemented an interdisciplinary medication adherence program. The program aims to support and reinforce medication adherence through a multifactorial and interdisciplinary intervention. Motivational interviewing is combined with medication adherence electronic monitors (MEMS, Aardex MWV) and a report to patient, physician, nurse, and other pharmacists.

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