SYSTEMATIC REVIEW article
Front. Neurol.
Sec. Stroke
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1666409
This article is part of the Research TopicQuality of Stroke Care: What Could Be Improved, and How? - Volume IIView all 17 articles
Integrating Clinical Pharmacists in Care Management for Secondary Stroke Prevention Clinical Trials: A Scoping Review
Provisionally accepted
- 1NewYork-Presbyterian Hospital, New York, United States
- 2Medicine, Columbia University, New York City, United States
- 3Neurology, Columbia University, New York City, United States
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Clinical pharmacist (CP) integration within interprofessional healthcare team models may effectively provide secondary stroke prevention care and address healthcare disparities. This scoping review includes randomized controlled trials (RCTs) that evaluated the effect of interventions inclusive of team-based care by CPs on patient-oriented and health outcomes after stroke or transient ischemic attack (TIA). We describe the level of interaction between interprofessional team members, use of telehealth services, population diversity, and intervention effects on study outcomes. Published RCTs examining CP impact within secondary stroke prevention teams with limited data suggests that interventions inclusive of CPs delivering medication education, reconciliation, and titration may improve vascular risk factor control, medication adherence, and patient-oriented outcomes to ultimately prevent stroke recurrence. We highlight the need for future secondary stroke prevention clinical trials to provide more insight into CP integration, promote diversity in study populations and clinician roles, and incorporate telehealth to enhance healthcare access.
Keywords: Clinical pharmacist, Stroke, multidisciplinary, Interdisciplinary, telehealth
Received: 15 Jul 2025; Accepted: 25 Aug 2025.
Copyright: © 2025 Thurston, Li, Kronish and Naqvi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Imama A Naqvi, Neurology, Columbia University, New York City, United States
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