社区药剂师对其角色的认知,以及将社交媒体和移动健康应用程序用作公共卫生工具的看法。
Community pharmacist perceptions of their role and the use of social media and mobile health applications as tools in public health.
机构信息
School of Life Sciences, Pharmacy and Chemistry, Kingston University, KT1 2EE, United Kingdom.
出版信息
Res Social Adm Pharm. 2019 Jan;15(1):23-30. doi: 10.1016/j.sapharm.2018.02.005. Epub 2018 Feb 19.
BACKGROUND
A number of barriers prevent community pharmacists (CPs) from impacting public health (PH) outcomes. Social media (SM) and mobile health apps (MH apps) may offer ways to help the public make positive health decisions.
OBJECTIVES
To evaluate CP perceptions of their role in PH and the use of SM and MH apps in this regard.
METHODS
This was a mixed method study using a cross-sectional survey and follow-up interviews. The survey covered: CPs role in PH; CP use of SM; CP use of MH apps; non-identifiable demographic information. Following ethical approval and piloting, responses were collected on paper and online. The study population was CPs in Greater London, UK (n = 2931). A minimum sample size of 340 was calculated (95% confidence interval/5% margin of error). To achieve this, 596 surveys were distributed. Responses (n = 257) were analysed using descriptive statistics. Twenty-five respondents were willing to take part in follow-up one-to-one interviews. Twenty interviews were completed as data saturation was achieved after the 14th. Interviews were transcribed and analysed using framework methodology as described by Ritchie and Spencer in 1994.
RESULTS
Survey response rate was 43%. Respondents represented English CPs in terms of age but males and non-whites were over-represented. The majority of CPs accessed SM and MH apps for personal use but did not recommend these in a professional capacity due to lack of awareness and confidentiality/liability concerns. Most would promote an SM health page (78.6%) or MH app (83.7%) if maintained by healthcare professionals (HCPs). Under 35s were more positive about these tools in PH. Two interview themes emerged: The role of CPs in PH; Concerns and opportunities for the use of technology in PH.
CONCLUSIONS
Most CPs, particularly those under 30, were positive about the use of SM and MH apps in PH. Training on the use of such tools among the pharmacy team, and an awareness of the availability of evidence-based apps will ensure their wider adoption.
背景
一些障碍阻止社区药剂师(CPs)对公众健康(PH)结果产生影响。社交媒体(SM)和移动健康应用程序(MH 应用程序)可能提供帮助公众做出积极健康决策的方法。
目的
评估 CP 对其在 PH 中的角色的看法,以及在这方面使用 SM 和 MH 应用程序的情况。
方法
这是一项混合方法研究,使用横断面调查和后续访谈。调查涵盖:CP 在 PH 中的作用;CP 使用 SM;CP 使用 MH 应用程序;无法识别的人口统计学信息。在获得伦理批准和试点后,通过纸质和在线方式收集回复。研究人群是英国大伦敦的 CP(n=2931)。计算出最小样本量为 340(95%置信区间/5%误差幅度)。为了达到这个目标,分发了 596 份调查。使用描述性统计对 257 份回复进行了分析。有 25 名受访者愿意参加一对一的后续访谈。完成了 20 次访谈,因为在第 14 次访谈后达到了数据饱和。访谈记录并使用 Ritchie 和 Spencer 在 1994 年描述的框架方法进行了分析。
结果
调查的回复率为 43%。受访者在年龄方面代表了英国的 CP,但男性和非白人的比例过高。大多数 CP 为个人使用访问 SM 和 MH 应用程序,但由于缺乏意识和保密性/责任问题,他们不会以专业身份推荐这些应用程序。如果由医疗保健专业人员(HCPs)维护,大多数人会促进 SM 健康页面(78.6%)或 MH 应用程序(83.7%)。35 岁以下的人对 PH 中的这些工具更为积极。出现了两个访谈主题:CP 在 PH 中的作用;在 PH 中使用技术的顾虑和机会。
结论
大多数 CP,特别是 30 岁以下的 CP,对在 PH 中使用 SM 和 MH 应用程序持积极态度。对药剂师团队使用此类工具进行培训,并了解基于证据的应用程序的可用性,将确保它们更广泛地采用。