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印度尼西亚东爪哇省一项促进负责任自我药疗的社区培训评估。

Evaluation of a community-based training to promote responsible self-medication in East Java, Indonesia.

作者信息

Setiadi Adji P, Wibowo Yosi, Setiawan Eko, Presley Bobby, Mulyono Ika, Wardhani Ari S, Sunderland Bruce

机构信息

Centre for Medicines Information and Pharmaceutical Care (CMIPC), Faculty of Pharmacy, Universitas Surabaya, Surabaya, Jawa Timur, Indonesia.

East Java Provincial Health Office, Ministry of Health Republic of Indonesia, Surabaya, Jawa Timur, Indonesia.

出版信息

Int J Pharm Pract. 2019 Feb;27(1):63-70. doi: 10.1111/ijpp.12461. Epub 2018 May 24.

DOI:10.1111/ijpp.12461
PMID:29797536
Abstract

OBJECTIVE

To explore pharmacist/pharmacy staff trainers' perspectives on conducting community-based training to promote responsible self-medication, and to evaluate knowledge gained among community representatives participating in the training.

METHODS

Training was conducted in four districts/cities in East Java, Indonesia in 2016. A pre-test/post-test study was used to evaluate the knowledge of 129 community representatives (participants) before/after the training; pre-test and post-test scores as well as absolute gain were determined. Four focus group discussions with 20 pharmacist/pharmacy staff (trainers) were conducted after the training, and the data were thematically analysed.

KEY FINDINGS

Overall mean test scores for community representatives significantly improved from 14.11 to 15.70 after the training (P < 0.001). The average total absolute gain was 1.85 (95% CI 1.29 to 2.39). To reach local communities, trainers suggested improvements to the content and structure of the module, training aids, trainer competency, approach and time allocation.

CONCLUSIONS

Community-based training provides a potential strategy to improve community knowledge of medications. Findings from this study should inform strategies for a broader uptake amongst local communities in Indonesia.

摘要

目的

探讨药剂师/药房工作人员培训师对开展以社区为基础的培训以促进合理自我药疗的看法,并评估参与培训的社区代表所获得的知识。

方法

2016年在印度尼西亚东爪哇的四个地区/城市开展了培训。采用培训前/培训后研究来评估129名社区代表(参与者)在培训前后的知识水平;确定培训前和培训后的分数以及绝对增益。培训结束后,与20名药剂师/药房工作人员(培训师)进行了四次焦点小组讨论,并对数据进行了主题分析。

主要发现

培训后,社区代表的总体平均测试分数从14.11显著提高到15.70(P < 0.001)。平均总绝对增益为1.85(95%可信区间1.29至2.39)。为了覆盖当地社区,培训师建议改进模块的内容和结构、培训辅助工具、培训师能力、方法和时间分配。

结论

以社区为基础的培训为提高社区用药知识提供了一种潜在策略。本研究结果应为在印度尼西亚当地社区更广泛采用相关策略提供参考。

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