School of Arts, Federation University, Australia.
Res Social Adm Pharm. 2021 Jul;17(7):1250-1258. doi: 10.1016/j.sapharm.2020.09.008. Epub 2020 Sep 15.
A study that examined the lived experiences of Medically Assisted Treatment of Opioid Dependence (MATOD) consumers suggested that they had experienced discrimination and stigma in pharmacies in regional Victoria, Australia. To address this, the need for professional training opportunities for Pharmacy Assistants (PAs) and Pharmacy Dispensary Technicians (PTDs) had been emphasised. A research project was undertaken to develop training modules using Social Determinants of Health (SDH) for PAs and PDTs involved in providing MATOD pharmacy services in regional Victoria, and to evaluate their effectiveness.
The study aimed to examine and evaluate changes in attitudes and practices amongst PAs and PDTs involved in MATOD services in regional Victoria, Australia and who had undertaken the training modules.
The paper reports primarily on the in-depth qualitative interviews that were completed after the training with PAs and PTDs. Thematic analysis was employed to code the data.
Thematic analysis generated five themes: understanding of the professional role of PAs and PTDs, initial judgements concerning MATOD consumers, reflection on the SDH, training content analysis, and the post-training impact upon Professional Practice. These themes reflected participants' insights with regards both to MATOD consumers and the impact the training itself had had on their professional practice.
"Consciousness-raising" from participation in the training can positively influence the development of participants' professional attitudes and practices with regards to MATOD service delivery. This development supports that training informed by SDH and ideas of critical reflection can help facilitate the creation of knowledge around the social construction of health and increased understanding of the impacts of language-use, attitudes and behaviour.
一项研究考察了接受阿片类药物依赖医学辅助治疗（MATOD）的消费者的生活经历，该研究表明，他们在澳大利亚维多利亚州偏远地区的药店经历了歧视和污名化。为了解决这个问题，强调了为药剂师助理（PA）和药剂师配药技术员（PTD）提供专业培训机会的必要性。开展了一个研究项目，为参与提供 MATOD 药房服务的维多利亚州偏远地区的 PA 和 PTD 使用健康的社会决定因素（SDH）开发培训模块，并评估其效果。
本研究旨在考察和评估澳大利亚维多利亚州偏远地区参与 MATOD 服务的 PA 和 PTD 的态度和实践变化，这些人已经接受了培训模块。
本文主要报告了在培训后对 PA 和 PTD 进行的深入定性访谈。采用主题分析对数据进行编码。
主题分析产生了五个主题：对 PA 和 PTD 专业角色的理解、对 MATOD 消费者的初步判断、对 SDH 的反思、培训内容分析以及培训对专业实践的后续影响。这些主题反映了参与者对 MATOD 消费者的看法，以及培训对他们专业实践的影响。
参与培训引起的“意识觉醒”可以积极影响参与者在 MATOD 服务提供方面的专业态度和实践的发展。这种发展表明，受 SDH 和批判性反思思想启发的培训可以帮助围绕健康的社会建构和语言使用、态度和行为的影响增加理解，从而促进知识的创造。
