Micallef Ricarda, Grewal Jaspal Singh, Khan Sharifah, Wells Joshua, Kayyali Reem
Department of Pharmacy, Kingston University, Kingston Upon Thames, Surrey, UK.
Int J Pharm Pract. 2019 Feb;27(1):71-79. doi: 10.1111/ijpp.12464. Epub 2018 Jun 27.
The Healthy Living Pharmacy framework, introduced in England in 2008, provides a tailored approach to the implementation of pharmacy services locally, facilitated by qualified 'Health Champions' (HCs). The study aimed to evaluate the perceived value of the 1-day level 2 HC training by assessing knowledge and confidence of HC pre- and post-training, and changes in practice. The views of additional stakeholders on factors that either obstructed or facilitated pharmacy engagement are also explored.
This study used a mixed method approach. Pre- and post-training surveys evaluating HC pre-existing knowledge and understanding of their role were used. Additionally, qualitative semi-structured interviews were undertaken with four key groups: participating pharmacists, non-participating pharmacists, Local Pharmaceutical Committee leads and Public Health Leads from Public Health England.
A total of 354 pre-training evaluation surveys were completed on the training day (100%), compared to 54 post-evaluation postal surveys with a 19% (n = 54/282) response rate. The post-evaluation of the training indicated that 83% (n = 45) of qualified HC were actively implementing their new role, with observed increased confidence and service provision. From the 22 interviews conducted two major themes emerged including: Training and Impact. Training had a positive impact on staff knowledge and confidence plus service delivery.
An immediate impact was observed in increasing HC knowledge and confidence, service delivery and awareness of facilities for patient sign-posting. There was no statistical evidence to support a positive effect stemming from training on services. However, it was identified that time and further training were needed to both provide and assess value within local public health.
2008年在英格兰推出的“健康生活药房”框架提供了一种因地制宜的方法，由合格的“健康倡导者”（HCs）推动在当地实施药房服务。该研究旨在通过评估HC培训前后的知识和信心以及实践变化，来评估为期一天的二级HC培训的感知价值。还探讨了其他利益相关者对阻碍或促进药房参与的因素的看法。
本研究采用混合方法。使用培训前和培训后的调查问卷来评估HC对其角色的既有知识和理解。此外，还对四个关键群体进行了定性半结构化访谈：参与的药剂师、未参与的药剂师、地方制药委员会负责人以及英国公共卫生部的公共卫生负责人。
在培训当天共完成了354份培训前评估调查问卷（100%），相比之下，培训后邮寄的评估调查问卷有54份，回复率为19%（n = 54/282）。培训后的评估表明，83%（n = 45）合格的HC正在积极履行其新角色，观察到信心和服务提供有所增加。在进行的22次访谈中出现了两个主要主题，包括：培训和影响。培训对员工的知识、信心以及服务提供产生了积极影响。
观察到HC的知识、信心、服务提供以及患者转诊设施的知晓度有立竿见影的提升。没有统计证据支持培训对服务有积极影响。然而，研究发现，在当地公共卫生领域提供和评估价值既需要时间，也需要进一步培训。
