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一种在社区药房环境中改善人乳头瘤病毒疫苗接种的多模式方法。

A multimodal approach to improving human papillomavirus vaccination in a community pharmacy setting.

作者信息

Hohmeier Kenneth C, Randolph Donna D, Smith Cindy Taliaferro, Hagemann Tracy M

机构信息

Department of Clinical Pharmacy, College of Pharmacy, The University of Tennessee Health Science Center, Nashville, TN, USA.

EntrustRx, Spring Hill, TN, USA.

出版信息

SAGE Open Med. 2016 Dec 14;4:2050312116682128. doi: 10.1177/2050312116682128. eCollection 2016.

Abstract

BACKGROUND

Community pharmacy has become a major access point for several types of vaccinations. Despite the success of vaccination programs like influenza, pneumococcal, and herpes zoster, the rates of human papillomavirus vaccination continue to lag.

OBJECTIVES

The primary objective is to describe and report on the impact of a multimodal series of pharmacist-led educational interventions on human papillomavirus vaccination rates in a community pharmacy setting. The primary outcome of this study was change in pharmacist-delivered human papillomavirus vaccination throughout a corresponding 8-week period in 2014 and 2015.

METHODS

A single-center, quasi-experimental interrupted time series mixed-methods pilot study was used to investigate a pharmacist-led, multimodal educational intervention approach to improve human papillomavirus vaccination rates in the community.

RESULTS

During the 2014 control period, there were no human papillomavirus vaccines dispensed or administered according to the internal prescription dispensing software. In 2015, a total of 10 patients indicated that they were vaccinated, with 9 patients receiving their first dose and 1 patient receiving his or her second dose at the pharmacy. Pharmacist recommendation was the most reported education method for increasing patient awareness of the human papillomavirus vaccine (n = 10).

CONCLUSION

This study demonstrates pharmacist designed, educational interventions may impact human papillomavirus vaccination rates in the community. Further community-based research with larger sample sizes is warranted to verify these results. Due to the unique barriers to human papillomavirus vaccination, a multimodal and inter-professional approach such as the one presented here is warranted.

摘要

背景

社区药房已成为多种疫苗接种的主要接入点。尽管流感、肺炎球菌和带状疱疹等疫苗接种项目取得了成功,但人乳头瘤病毒疫苗接种率仍持续滞后。

目的

主要目的是描述并报告一系列由药剂师主导的多模式教育干预措施对社区药房环境中人乳头瘤病毒疫苗接种率的影响。本研究的主要结果是2014年和2015年相应的8周期间药剂师提供的人乳头瘤病毒疫苗接种情况的变化。

方法

采用单中心、准实验性中断时间序列混合方法试点研究,以调查由药剂师主导的多模式教育干预方法,以提高社区中人乳头瘤病毒疫苗接种率。

结果

在2014年的对照期内,根据内部处方调配软件,没有发放或接种人乳头瘤病毒疫苗。2015年,共有10名患者表示接种了疫苗,其中9名患者在药房接种了第一剂,1名患者接种了第二剂。药剂师推荐是提高患者对人乳头瘤病毒疫苗认识的最常报告的教育方法(n = 10)。

结论

本研究表明,药剂师设计的教育干预措施可能会影响社区中人乳头瘤病毒疫苗接种率。有必要进行更大样本量的进一步社区研究以验证这些结果。由于人乳头瘤病毒疫苗接种存在独特障碍,因此需要采用本文提出的多模式和跨专业方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2702/5354180/021b4bd58832/10.1177_2050312116682128-fig1.jpg

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