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基于理论的干预措施的开发,以加强社区药房非处方咨询期间的信息交流。

Development of a Theory-Based Intervention to Enhance Information Exchange during Over-The-Counter Consultations in Community Pharmacy.

作者信息

Seubert Liza J, Whitelaw Kerry, Hattingh Laetitia, Watson Margaret C, Clifford Rhonda M

机构信息

Division of Pharmacy, The University of Western Australia, M315, 35 Stirling Highway, Crawley, WA 6009, Australia.

School of Pharmacy and Pharmacology, Griffith University, Gold Coast Campus, Queensland 4222, Australia.

出版信息

Pharmacy (Basel). 2018 Oct 24;6(4):117. doi: 10.3390/pharmacy6040117.

Abstract

(1) Background: Community pharmacy personnel help mitigate risks of self-care by consumers who seek over-the-counter (OTC) medicines or treatment of symptoms and/or conditions. Exchange of information facilitates the OTC consultation, but pharmacy personnel often report difficulties in engaging consumers in a dialogue. The aim of this study was to describe the development of a behaviour change intervention to enhance information exchange between pharmacy personnel and consumers during OTC consultations in community pharmacies. (2) Methods: The Behaviour Change Wheel methodological framework was used to link factors that influence consumer engagement with information exchange during OTC consultations with intervention functions to change behaviour. Options generated were rationalized and the final intervention strategy was derived. (3) Results: Education, persuasion, environmental restructuring, and modelling were determined to be potential intervention functions. The intervention incorporated placing situational cues in the form of posters in the community pharmacy modelling information exchange behaviour, persuading through highlighting the benefits of exchanging information and educating about its importance. (4) Conclusions: A systematic, theoretically underpinned approach was applied to develop candidate interventions to promote information exchange in OTC consultations. The feasibility and efficacy of the intervention strategy has since been tested and will be reported elsewhere.

摘要

(1)背景:社区药房工作人员有助于降低寻求非处方药(OTC)或症状及/或病症治疗的消费者进行自我护理的风险。信息交流有助于非处方药咨询,但药房工作人员经常报告在与消费者进行对话时存在困难。本研究的目的是描述一种行为改变干预措施的开发,以加强社区药房非处方药咨询期间药房工作人员与消费者之间的信息交流。(2)方法:采用行为改变轮方法框架,将影响消费者参与非处方药咨询期间信息交流的因素与改变行为的干预功能联系起来。对产生的选项进行合理化处理,并得出最终的干预策略。(3)结果:教育、说服、环境重构和示范被确定为潜在的干预功能。该干预措施包括在社区药房张贴海报,以情景提示的形式示范信息交流行为,通过强调信息交流的好处进行说服,并对其重要性进行教育。(4)结论:采用了一种系统的、有理论依据的方法来开发促进非处方药咨询中信息交流的候选干预措施。该干预策略的可行性和有效性此后已进行测试,并将在其他地方报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/172c/6306819/ac0647f13625/pharmacy-06-00117-g001.jpg

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