Thomas Trudy, Passfield Louis, Coulton Simon, Crone Diane
Medway School of Pharmacy, Universities of Kent and Greenwich, Chatham Maritime ME4 4TB, UK.
Endurance Research Group, University of Kent, Chatham Maritime ME4 4AG, UK.
Patient Educ Couns. 2016 Jan;99(1):132-8. doi: 10.1016/j.pec.2015.08.004. Epub 2015 Aug 7.
To undertake a pilot study assessing effectiveness of a tailored training programme in behaviour change counselling (BCC) for community pharmacists on, their competence and confidence in delivering behaviour change consultations, skill retention over time and impact on practice.
Community pharmacists (N=87) attending Primary Care Trust training were given study information and invited to take part. Baseline BCC competence of consenting pharmacists (n=17) was assessed using the Behaviour Change Counselling Index (BECCI). Following BCC training, competence was reassessed at 1, 3 and 6 months. Friedman's test was used to compare median BECCI item scores at baseline and after 6 months. Structured interviews were conducted to assess pharmacists' confidence in BCC consultations after training.
Baseline BECCI scores of 0-2 demonstrated pharmacists had not reached competence threshold. Six months after training, BECCI scores improved significantly from baseline (p<0.05). Competence in delivering BCC (scores of 3-4) was achieved at 3 months, but lost at 6 months for some items. After training, pharmacists felt confident in delivering BCC.
Training pharmacists enabled them to deliver BCC competently and confidently.
BCC aligns with pharmacist-patient consultations. It took 3 months to achieve competence. Ongoing support may be needed to maintain competence long-term.
开展一项试点研究，评估针对社区药剂师的量身定制的行为改变咨询（BCC）培训计划在他们进行行为改变咨询的能力和信心、技能随时间的保持情况以及对实践的影响方面的有效性。
参加初级保健信托培训的社区药剂师（N = 87）收到了研究信息并被邀请参与。使用行为改变咨询指数（BECCI）评估同意参与的药剂师（n = 17）的基线BCC能力。在BCC培训之后，分别在1个月、3个月和6个月时重新评估能力。使用弗里德曼检验比较基线和6个月后的BECCI项目得分中位数。进行结构化访谈以评估药剂师在培训后对BCC咨询的信心。
基线BECCI得分为0 - 2表明药剂师未达到能力阈值。培训6个月后，BECCI得分较基线有显著提高（p < 0.05）。在3个月时实现了进行BCC的能力（得分3 - 4），但某些项目在6个月时有所下降。培训后，药剂师对进行BCC感到有信心。
培训药剂师使他们能够胜任且自信地进行BCC。
BCC与药剂师 - 患者咨询相契合。达到胜任能力需要3个月。可能需要持续支持以长期维持能力。
