Bailey Lydia, Curington Russell, Brown Bethanne, Hegener Michael, Espel Mike
St. Vincent de Paul Charitable Pharmacy, 1125 Bank St., Cincinnati, OH 45214, United States.
St. Vincent de Paul Charitable Pharmacy, 1125 Bank St., Cincinnati, OH 45214, United States.
Curr Pharm Teach Learn. 2017 Sep;9(5):786-793. doi: 10.1016/j.cptl.2017.06.007. Epub 2017 Aug 19.
The purpose of this prospective nonrandomized study (quasi-experimental), pre-/post-intervention design was to implement and assess a formal orientation training program for Advanced Pharmacy Practice Experience (APPE) students focusing on skills related to motivational interviewing (MI).
Students were assessed on their knowledge, perceived ability, and perceived need to incorporate MI in practice using a pre-/posttest. Ability was assessed via student-conducted patient interviews, and performance was compared to published standards. Satisfaction with the training program was reviewed using a Likert scale questionnaire. Fourteen APPE students from three colleges of pharmacy were enrolled based on pre-assigned community experience placement. Students participated in a didactic training phase consisting of on-line knowledge acquisition and assessments. A modeling phase was implemented with role-play experiences and simulated video assessments. A shadowing phase was incorporated consisting of students observing a preceptor prior to independently conducting patient interviews. Interactions were audio recorded and reviewed by a preceptor with verbal and written feedback provided twice monthly using a standardized rubric.
Data revealed statistically significant improvements in all categories of the pre-/posttest. MI ability results showed statistically significant improvements as well. Performance scores were higher than goal values in video simulated assessments. Overall student satisfaction with the training program was 4.3 out of 5.
Data suggests the training program increased students understanding and ability to perform MI in patient interviews. High quality of student performance is also suggested due to trained students' post scores being higher than goal values published by scoring manual.
这项前瞻性非随机研究(准实验)采用干预前/后设计,旨在实施并评估一项针对高级药学实践经验(APPE)学生的正式入职培训计划,该计划聚焦于与动机性访谈(MI)相关的技能。
通过干预前/后测试评估学生在将MI纳入实践方面的知识、感知能力和感知需求。能力通过学生进行的患者访谈进行评估,并将表现与已公布的标准进行比较。使用李克特量表问卷评估对培训计划的满意度。根据预先分配的社区实践安排,招募了来自三所药学院的14名APPE学生。学生参与了一个教学培训阶段,包括在线知识获取和评估。实施了一个模拟阶段,包括角色扮演经验和模拟视频评估。纳入了一个跟班阶段由学生在独立进行患者访谈之前观察带教老师。互动过程进行音频记录,带教老师进行审查,并使用标准化评分标准每月提供两次口头和书面反馈。
数据显示干预前/后测试的所有类别均有统计学上的显著改善。MI能力结果也显示出统计学上的显著改善。视频模拟评估中的表现得分高于目标值。学生对培训计划的总体满意度为4.3(满分5分)。
数据表明该培训计划提高了学生在患者访谈中运用MI的理解和能力。由于经过培训的学生的后期得分高于评分手册公布的目标值,也表明学生表现质量较高。