University of Wisconsin-Madison School of Pharmacy, USA.
Am J Pharm Educ. 2011 Jun 10;75(5):95. doi: 10.5688/ajpe75595.
To measure the impact of medication therapy management (MTM) learning activities on students' confidence and intention to provide MTM using the Theory of Planned Behavior.
An MTM curriculum combining lecture instruction and active-learning strategies was incorporated into a required pharmacotherapy laboratory course.
A validated survey instrument was developed to evaluate student confidence and intent to engage in MTM services using the domains comprising the Theory of Planned Behavior. Confidence scores improved significantly from baseline for all items (p < 0.00), including identification of billable services, documentation, and electronic billing. Mean scores improved significantly for all Theory of Planned Behavior items within the constructs of perceived behavioral control and subjective norms (p < 0.05). At baseline, 42% of students agreed or strongly agreed that they had knowledge and skills to provide MTM. This percentage increased to 82% following completion of the laboratory activities.
Implementation of simulated MTM activities in a pharmacotherapy laboratory significantly increased knowledge scores, confidence measures, and scores on Theory of Planned Behavior constructs related to perceived behavioral control and subjective norms. Despite these improvements, intention to engage in future MTM services remained unchanged.
利用计划行为理论,衡量药物治疗管理(MTM)学习活动对学生提供 MTM 的信心和意愿的影响。
将结合讲座教学和主动学习策略的 MTM 课程纳入到一门必修的药物治疗学实验室课程中。
开发了一种经过验证的调查工具,用于使用构成计划行为理论的各个领域评估学生提供 MTM 服务的信心和意愿。所有项目的信心评分都从基线显著提高(p<0.00),包括计费服务的识别、文档和电子计费。在感知行为控制和主观规范的结构内,所有计划行为理论项目的平均得分都显著提高(p<0.05)。在基线时,42%的学生同意或强烈同意他们具备提供 MTM 的知识和技能。在完成实验室活动后,这一比例增加到 82%。
在药物治疗学实验室中实施模拟 MTM 活动显著提高了知识得分、信心水平,以及与感知行为控制和主观规范相关的计划行为理论结构的得分。尽管有这些改善,但参与未来 MTM 服务的意愿仍未改变。