J Am Pharm Assoc (2003). 2020 May-Jun;60(3S):S37-S40.e1. doi: 10.1016/j.japh.2020.02.006. Epub 2020 Mar 18.
The primary objective of this study was to measure the impact of a communication technique training (CTT) using a scenario-based active learning approach for community pharmacists on the dispensing rates of naloxone, in patients receiving opioid prescriptions. The secondary objective of the study was to characterize pharmacists and pharmacy-related factors that may affect the dispensing rates of naloxone.
Multisite prospective pre- and postintervention study in the Western and Southern regions of Chicago from February 2019 to May 2019. Data were collected 3 months preintervention and 3 months postintervention. The dispensing rates of naloxone were compared with pre- and post-training, and potential variables affecting naloxone dispensing rates, such as demographic and workflow factors, were analyzed.
Pharmacists employed at urban and suburban community pharmacy grocery chain (Jewel-Osco, Albertsons Companies) in the Chicago region.
The primary outcome was the dispensing rate of naloxone by pharmacists participating in the study. Additionally, workflow variables associated with naloxone dispensing such as pharmacists' demographic data, time of the day that naloxone was dispensed, and hours of operation for the study locations were evaluated.
A total of 21 pharmacists at 6 unique pharmacies participated in the CTT. Of those participating, 61.9% were women, 38.1% were men, 28.6% of pharmacists had 2 to 5 years of work experience, 23.8% had 6 to 10 years of work experience, 4.8% had 11 to 15 years of work experience, and 42.9% had more than 15 years of work experience. A statistically significant increase in naloxone dispensing rates was identified 3 months postintervention (6 units vs. 24 units; P = 0.004). There were no statistically significant differences seen in the workflow variables associated with naloxone dispensing.
The CTT, an active learning approach for community pharmacists, was an effective reminder tool to aid pharmacists in initiating conversations about naloxone.
本研究的主要目的是测量一种基于情景的主动学习方法的沟通技巧培训（CTT）对社区药剂师为接受阿片类药物处方的患者配药纳洛酮的影响。该研究的次要目的是描述可能影响纳洛酮配药率的药剂师和与药房相关的因素。
2019 年 2 月至 2019 年 5 月，在芝加哥西部和南部地区进行了多地点前瞻性预干预和后干预研究。在干预前 3 个月和干预后 3 个月收集数据。比较了纳洛酮的配药率与培训前后，并分析了影响纳洛酮配药率的潜在变量，如人口统计学和工作流程因素。
芝加哥地区城市和郊区社区药店连锁（Jewel-Osco，Albertsons Companies）的药剂师。
共有 21 名药剂师在 6 家不同的药店参与了 CTT。其中，61.9%是女性，38.1%是男性，28.6%的药剂师有 2 至 5 年的工作经验，23.8%有 6 至 10 年的工作经验，4.8%有 11 至 15 年的工作经验，42.9%有 15 年以上的工作经验。干预后 3 个月，纳洛酮配药率有显著统计学增加（6 剂对 24 剂；P=0.004）。与纳洛酮配药相关的工作流程变量未见统计学差异。
CTT，一种针对社区药剂师的主动学习方法，是一种有效的提醒工具，可以帮助药剂师就纳洛酮展开对话。
