对一项健康素养干预措施的定性评估，该措施旨在提高服务不足的药房患者的用药依从性。
A qualitative evaluation of a health literacy intervention to improve medication adherence for underserved pharmacy patients.
作者信息
Blake Sarah C, McMorris Karen, Jacobson Kara L, Gazmararian Julie A, Kripalani Sunil
机构信息
Department of Health Policy and Management, Rollins School of Public Health (RSPH), Emory University, Atlanta, GA 30322, USA.
出版信息
J Health Care Poor Underserved. 2010 May;21(2):559-67. doi: 10.1353/hpu.0.0283.
OBJECTIVE
To evaluate the implementation of a health literacy intervention to improve medication adherence among patients in an inner-city health system.
METHODS
Interviews with pharmacists and focus groups with pharmacy patients were conducted one month and six months after beginning the intervention. Patients and pharmacists described their experiences with the intervention, consisting of an automated telephone call reminder system, an illustrated medication schedule, and pharmacist training in clear health communication.
RESULTS
Despite initial technical problems, patients and pharmacists reported positive experiences. Pharmacists thought the intervention made counseling easier. Patients appreciated the design and portability of the illustrated medication schedule and found the reminder calls helpful as well.
CONCLUSION
Successful health literacy interventions require tools that are easy to comprehend, accessible, and personalized to the special needs and interests of the target population. Moreover, providers must be well-trained, and adequate resources must be provided to assure the fidelity of the intervention's implementation.
目的
评估一项健康素养干预措施在城市中心卫生系统中提高患者用药依从性方面的实施情况。
方法
在干预开始后的一个月和六个月，分别对药剂师进行访谈，并与药房患者开展焦点小组讨论。患者和药剂师描述了他们在干预措施中的经历，该干预措施包括自动电话提醒系统、图文并茂的用药时间表以及药剂师在清晰健康沟通方面的培训。
结果
尽管最初存在技术问题，但患者和药剂师均报告了积极的体验。药剂师认为该干预措施使咨询工作变得更容易。患者对图文并茂的用药时间表的设计和便携性表示赞赏，并认为提醒电话也很有帮助。
结论
成功的健康素养干预措施需要易于理解、可获取且能根据目标人群的特殊需求和兴趣进行个性化定制的工具。此外，提供者必须接受良好的培训，并且必须提供充足的资源以确保干预措施实施的保真度。
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