Department of Epidemiology and Biostatistics, Institute for Global Health Sciences, University of California, San Francisco, CA, USA.
Bixby Center for Population, Health & Sustainability, University of California, Berkeley, CA, USA.
Int J Gynaecol Obstet. 2019 Dec;147(3):356-362. doi: 10.1002/ijgo.12960. Epub 2019 Sep 19.
To test an infographic two-pager on medication abortions (MA) aimed to improve pharmacists counseling in India.
A quantitative baseline survey was conducted among 283 pharmacists in three districts around Lucknow, Uttar Pradesh in January 2018. The intervention (infographic) was given to 117 of these pharmacists a few weeks later and a follow-up survey was conducted 3 months later with 281 pharmacists. In addition, mystery clients were sent to 115 of the pharmacists.
A statistically significant improvement in knowledge post-intervention was found, compared to pre-, for almost all quality items measured. Difference-in-difference estimators showed a difference in knowledge among indicators related to misoprostol in particular. However, mystery client reports showed few differences in pharmacist behaviors between intervention and control pharmacists.
This simple, paper-based intervention, which required no training, showed a significant improvement in pharmacists' knowledge and was welcomed by the providers. Translating knowledge into behavior change, however, seems more difficult to impact. Adapting this simple intervention to motivate providers to change behaviors could improve the quality of care provided by pharmacists in India.
测试两页的信息图，旨在提高印度药剂师在药物流产（MA）方面的咨询能力。
2018 年 1 月，在北方邦勒克瑙周边的三个地区对 283 名药剂师进行了一项定量基线调查。几周后，将干预措施（信息图）提供给其中 117 名药剂师，并在 3 个月后对 281 名药剂师进行了后续调查。此外，还向 115 名药剂师发送了神秘客户。
与干预前相比，几乎所有质量指标的知识在干预后都有统计学意义上的提高。差异中的差异估计值显示，与米索前列醇相关的指标之间的知识存在差异。然而，神秘客户的报告显示，干预组和对照组药剂师的行为之间几乎没有差异。
这种简单的、基于纸张的干预措施不需要培训，就显示出了药剂师知识的显著提高，并且受到了提供者的欢迎。然而，将知识转化为行为改变似乎更难实现。改编这种简单的干预措施来激励提供者改变行为，可以提高印度药剂师提供的护理质量。
