Um Irene S, Krass Ines, Armour Carol, Gill Timothy, Chaar Betty B
Faculty of Pharmacy, Pharmacy and Bank Building A15, The University of Sydney, Sydney, NSW, 2006, Australia.
Woolcock Institute of Medical Research, 431 Glebe Point Road, Glebe, NSW, 2037, Australia.
Int J Clin Pharm. 2015 Oct;37(5):822-33. doi: 10.1007/s11096-015-0126-z. Epub 2015 Apr 29.
Pharmacies represent a valuable opportunity to deliver weight management services, rather than just the routine supply of weight-loss products. In order to provide optimal services and translation of evidence-based weight management in community pharmacy, a best practice model program was designed and pilot tested to facilitate implementation of such services in pharmacies in Australia.
To develop and pilot a pharmacist-delivered, evidence-based, non-product-centred weight management service for community pharmacy in Australia. Setting Sydney, New South Wales, Australia.
A pharmacy-based weight management service called the A Healthier Life Program (AHLP), for overweight and obese individuals, was developed based on current Australian weight management guidelines and recommendations made by key stakeholders. The pharmacist undertook training to acquire specific competencies to deliver the program. The AHLP involved six individual face-to-face sessions with the pharmacist over 3 months. The intervention targeted three areas: diet, physical activity and behavioural change.
Weight, BMI, waist circumference, blood pressure, dietary intake, and physical activity levels at 3 months were compared with values at baseline. Qualitative feedback on participants' satisfaction and willingness to pay were also analysed.
Eight pharmacies provided the AHLP between February and December 2013. Thirty-four participants were enrolled in the AHLP; mean age 50.7 years (SD 15.7) and mean BMI 34.3 kg/m(2) (SD 5.3). Of the 22 (65%) participants who completed the program, six had achieved the target weight loss of ≥5%. The mean change in weight was -3.5 kg (95% CI -4.8, -2.2) and waist circumference -2.0 cm (95% CI -2.8, -1.3) for program completers at 3 months. Furthermore, participants reported overall positive experiences of the program, and identified accessibility of the pharmacy and high comfort level with the pharmacist, as the major advantages.
The AHLP was well received and participants achieved targeted weight loss. This study demonstrated that an evidence-based patient-centred weight management program can be implemented in Australian pharmacies.
药店是提供体重管理服务的宝贵契机，而非仅仅常规供应减肥产品。为在社区药店提供最佳服务并转化基于证据的体重管理方法，设计了一个最佳实践模型项目并进行试点测试，以促进此类服务在澳大利亚药店的实施。
为澳大利亚社区药店开发并试点一项由药剂师提供的、基于证据的、非以产品为中心的体重管理服务。地点：澳大利亚新南威尔士州悉尼。
根据澳大利亚当前的体重管理指南和关键利益相关者的建议，为超重和肥胖个体开发了一项名为“更健康生活计划”（AHLP）的基于药店的体重管理服务。药剂师接受培训以获得提供该计划的特定能力。AHLP包括在3个月内与药剂师进行六次面对面的个人咨询。干预针对三个方面：饮食、身体活动和行为改变。
将3个月时的体重、体重指数（BMI）、腰围、血压、饮食摄入量和身体活动水平与基线值进行比较。还分析了参与者对满意度和支付意愿的定性反馈。
2013年2月至12月期间，八家药店提供了AHLP。34名参与者参加了AHLP；平均年龄50.7岁（标准差15.7），平均BMI为34.3kg/m²（标准差5.3）。在完成该计划的22名（65%）参与者中，有6人实现了≥5%的目标体重减轻。3个月时，完成计划的参与者体重平均变化为-3.5kg（95%置信区间-4.8，-2.2），腰围平均变化为-2.0cm（95%置信区间-2.8，-1.3）。此外，参与者报告了对该计划的总体积极体验，并将药店的便利性和对药剂师的高度舒适度视为主要优势。
AHLP受到好评，参与者实现了目标体重减轻。本研究表明，基于证据的以患者为中心的体重管理计划可在澳大利亚药店实施。
