Department of Pharmacy Practice, Purdue University College of Pharmacy, Indianapolis, IN, USA.
Department of Pediatrics-Health Services Research, Indiana University School of Medicine, Indianapolis, IN, USA.
J Pharm Pract. 2021 Oct;34(5):678-684. doi: 10.1177/0897190019894146. Epub 2019 Dec 23.
Many states have pharmacist contraceptive prescribing laws with several others in the process of enacting similar legislation. Little continuity or standardization exists across these programs, including development of counseling materials. Although the risk of unplanned pregnancy is greatest among adolescents and young adults, developed materials are not always sensitive to youth.
To use a modified Delphi method to develop standardized youth-friendly counseling tools that are sensitive to pharmacy workflow during pharmacist contraceptive prescribing.
A multidisciplinary expert panel of women's health pharmacists, community pharmacists, adolescent medicine pediatricians, obstetrician-gynecologists, and public health advocates was assembled and reviewed materials over 3 iterations. Comments were anonymized, summarized, and addressed with each iteration. A graphic designer assisted with visual representation of panel suggestions. Reviewer feedback was qualitatively analyzed for emergent themes.
The Delphi method produced 5 main themes of feedback integrated into the final materials including attention to work flow, visual appeal, digestible medical information, universal use of materials, and incorporating new evidence-based best practices. Final materials were scored at a Flesch-Kincaid grade of 5.1 for readability.
The use of the Delphi method allowed for the efficient production of materials that are medically accurate, patient-centered, and reflect multiple disciplinary perspectives. Final materials were more robust and sensitive to the unique needs of youth.
许多州都有药剂师避孕药具处方法规，还有其他几个州正在制定类似的法规。这些项目之间几乎没有连续性或标准化，包括咨询材料的开发。尽管意外怀孕的风险在青少年和年轻人中最大，但开发的材料并不总是对年轻人敏感。
使用改良的德尔菲法制定标准化的、对青年友好的咨询工具，以适应药剂师避孕药具处方时的药房工作流程。
召集了一个由妇女健康药剂师、社区药剂师、青少年医学儿科医生、妇产科医生和公共卫生倡导者组成的多学科专家小组，对 3 次迭代的材料进行了审查。意见被匿名、总结，并在每次迭代中进行了处理。图形设计师协助对小组建议进行视觉呈现。对评论者的反馈进行定性分析，以得出新兴主题。
德尔菲法产生了 5 个主要的反馈主题，这些主题整合到最终的材料中，包括关注工作流程、视觉吸引力、可消化的医学信息、材料的普遍使用以及纳入新的循证最佳实践。最终材料的 Flesch-Kincaid 等级为 5.1，可读性较高。
使用德尔菲法可以高效地制作出医学准确、以患者为中心、并反映多个学科观点的材料。最终的材料更加强大和敏感，能够满足青年的独特需求。
