A randomised pilot study of REVISiT
Research type
Research Study
Full title
A randomised pilot study of a pharmacist-led retrospective review of prescribing by general practitioners in training (REVISiT) intervention
IRAS ID
255660
Contact name
Richard Knox
Contact email
Sponsor organisation
University of Nottingham
Duration of Study in the UK
2 years, 0 months, 1 days
Research summary
Following the PRACtICe study, we conducted focus groups with health care professionals and members of the public to identify possible ways to improve the prescribing education provided for GP trainees. These discussions identified a pharmacist-led review of the prescribing of trainees, together with feedback, as a promising potential intervention.
This intervention, named the REVISiT, was piloted with ten trainees and their trainers in the East Midlands. The error rate for the trainees was recorded as 9%. Interviews with the trainees and trainers undertaken following the intervention highlighted that REVISiT was positively received. Some GPs gave examples of how their prescribing practice had changed following the intervention.
After this pilot study, we conducted interviews, focus groups and a stakeholder event with key stakeholders (practice, policy, legal and members of the public) to explore the next steps for REVISiT. Whilst some participants proposed that REVISiT be immediately implemented with minor modifications, others pointed to the need to establish the effectiveness more rigorously in order to support making a substantial case for future allocation of resources.
Conducting a randomised controlled trial (RCT) would help establish the effectiveness of the REVISIT intervention. However, before we can do this, there are components of the REVISiT intervention and RCT process that we need to further explore, test and refine in order for it to be employed on a wider basis.
REC name
East Midlands - Nottingham 2 Research Ethics Committee
REC reference
19/EM/0190
Date of REC Opinion
13 Sep 2019
REC opinion
Further Information Favourable Opinion