Department of Clinical Pharmacy and Pharmacy Administration, University of Ibadan, Ibadan, Nigeria.
Department of Clinical Pharmacy and Pharmacy Administration, University of Ibadan, Ibadan, Nigeria.
Patient Educ Couns. 2021 May;104(5):1253-1259. doi: 10.1016/j.pec.2020.09.018. Epub 2020 Sep 17.
The study evaluated the impact of oral anticoagulant counseling training on the quality of counseling provided by pharmacists.
A prospective RCT was conducted among 33 pharmacists from 23 pharmacies in Ibadan, Nigeria. Six mystery patients (MPs) who were either warfarin-naïve, experienced adverse drug reaction (ADR), or drug interaction (DI) to warfarin were used to assess pharmacists' oral anticoagulant counseling quality at pre- and post-intervention. A 2-week online oral anticoagulant counseling training was given to the intervention group pharmacists. Quality of counseling was categorized as poor (0-20 %), fair (21-50 %), moderate (51-80 %), and optimal (81-100 %).
At pre-intervention, the quality of oral anticoagulant counseling provided to the MPs was poor. Post-intervention, the quality improved among pharmacists in the intervention group, from poor to fair for both warfarin-naïve MP and MP who experienced DI, and from fair to moderate for MP with ADR.
Short-term online oral anticoagulant counseling training improved the quality of counseling provided by community pharmacists to mystery patients on warfarin.
Online oral anticoagulant counseling training may be employed by pharmacists' professional bodies intermittently to improve oral anticoagulant counseling.
本研究评估了口服抗凝剂咨询培训对药师提供咨询质量的影响。
在尼日利亚伊巴丹的 23 家药店中，对 33 名药师进行了前瞻性随机对照试验。使用 6 名神秘患者（MPs）来评估药师在干预前后的口服抗凝剂咨询质量，这些 MPs 要么是华法林初治患者，要么经历了药物不良反应（ADR），要么与华法林存在药物相互作用（DI）。干预组药师接受了为期 2 周的在线口服抗凝剂咨询培训。咨询质量分为差（0-20%）、中（21-50%）、良（51-80%）和优（81-100%）。
在干预前，药师对华法林 MPs 的口服抗凝剂咨询质量较差。干预后，干预组药师的咨询质量有所提高，对华法林初治和发生 DI 的 MPs 从差提高到良，对发生 ADR 的 MPs 从良提高到中。
短期在线口服抗凝剂咨询培训提高了社区药师对华法林神秘患者咨询的质量。
药师专业机构可能会间歇性地采用在线口服抗凝剂咨询培训来提高口服抗凝剂咨询。
