Laboratory of Teaching and Research in Social Pharmacy (LEPFS), Department of Pharmacy, Federal University of Sergipe, São Cristóvão, Brazil.
Department of Pharmacy, Federal University of Juiz de Fora, Governador Valadares, Brazil.
J Eval Clin Pract. 2020 Feb;26(1):134-141. doi: 10.1111/jep.13102. Epub 2019 Jan 31.
RATIONALE, AIMS, AND OBJECTIVES: Counselling is essential in drug dispensing, since it enables patients to receive and understand the information to correctly use their medicines. Although counselling is a quality indicator on drug dispensing, models that guide pharmacists in this practice are scarce. Thus, this study aimed to develop and validate the content of an instrument to support pharmaceutical counselling for dispensing of prescribed medicines.
A two-stage validation study was conducted out from February to October 2017. The first stage involved the development of the instrument, and the second involved content validation. Instrument development included the following three steps: (1) drafting of the prototype; (2) an academic brainstorming meeting, and (3) a pre-Delphi process. Content validation was then conducted using the Delphi technique. At this stage, 40 pharmacists who were experts in drug dispensing, were invited to assess the instrument. Consensus among experts was calculated according to the content validity index (CVI).
The development stage generated three versions of the instrument: the prototype, Version 1 (modified after brainstorming meeting), and Version 2 (modified after the pre-Delphi process). Version 2 underwent the content validation process, in which 29 pharmacists participated during the first round (rate of return: 72.5%) and 23 of these during the second round (rate of return: 79.31%). All items obtained CVI > 0.82 and were thus considered to be validated. The final instrument comprised three components: suggestions for questions, dispensing process reasoning, and suggestions for counselling, and other conduct in 11 stages, each representing a step in the clinical reasoning process.
An instrument was developed to support pharmaceutical counselling for dispensing of prescribed medicines, suggesting main questions, counselling, and conduct to be taken by pharmacists, and its content validity was verified.
背景、目的和目标：在药品配发中，咨询是必不可少的，因为它使患者能够接收和理解信息，从而正确使用他们的药物。尽管咨询是药品配发的质量指标，但指导药剂师进行这种实践的模式却很少。因此，本研究旨在制定和验证一种支持配药时进行药物咨询的工具的内容。
本研究采用了分两个阶段的验证研究，从 2017 年 2 月至 10 月进行。第一阶段涉及工具的开发，第二阶段涉及内容验证。工具的开发包括以下三个步骤：（1）起草原型；（2）学术头脑风暴会议，和（3）预 Delphi 过程。然后使用 Delphi 技术进行内容验证。在这个阶段，邀请了 40 名在药品配发方面具有专业知识的药剂师来评估该工具。根据内容有效性指数（CVI）计算专家之间的共识。
在开发阶段生成了该工具的三个版本：原型、第 1 版（头脑风暴会议后修改）和第 2 版（预 Delphi 过程后修改）。第 2 版进行了内容验证过程，第一轮有 29 名药剂师参加（回收率：72.5%），第二轮有 23 名参加（回收率：79.31%）。所有项目的 CVI 均大于 0.82，因此被认为是有效的。最终的工具包括三个部分：问题建议、配药过程推理和咨询建议，以及其他在 11 个阶段的行为，每个阶段都代表临床推理过程的一个步骤。
开发了一种支持配药时进行药物咨询的工具，为药剂师提供了主要问题、咨询和行为建议，验证了其内容的有效性。
