School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, Australia.
School of Science, Psychology and Sport, Federation University, Ballarat, Melbourne, Australia.
Health Promot J Austr. 2022 Apr;33(2):480-487. doi: 10.1002/hpja.503. Epub 2021 Jun 1.
Australian pharmacists are increasingly moving towards the provision of patient-centred professional pharmacy services for chronic disease management. Some of these services are targeted towards improving patients' health and wellbeing through the facilitation of patient-driven health behaviour change. This paper investigates whether the provision of behaviour change interventions by Australian pharmacists is adequately underpinned by the current competency framework.
The foundation and behaviour change competences within each of the domains in the generic health behaviour change competency framework (GHBC-CF), was mapped to the Australian pharmacist competency framework.
Although the Australian competency framework underpins most of the foundation and behaviour change competences of the GHB-CF required to undertake low-intensity interventions, for medium to high-intensity interventions four specific task-related competences need to be addressed. These are F12 'Ability to recognise barriers to and facilitators of implementing interventions', BC4 'ability to agree on goals for the intervention', BC5 'capacity to implement behaviour change models in a flexible but coherent manner' and BC6 'capacity to select and skilfully apply most appropriate intervention method'.
Additional training is necessary if pharmacists aspire to provide behaviour change interventions for chronic disease management, in particular those that are complex as they involve changes to multiple health behaviours. SO WHAT?: The identification of these gaps is critical and can potentially be addressed in postgraduate training programs and as pharmacy curricula are updated.
澳大利亚药剂师越来越倾向于提供以患者为中心的专业药学服务，以管理慢性病。其中一些服务旨在通过促进患者驱动的健康行为改变来改善患者的健康和福祉。本文调查了澳大利亚药剂师提供行为改变干预措施是否得到当前能力框架的充分支持。
将通用健康行为改变能力框架（GHBC-CF）中每个领域的基础和行为改变能力映射到澳大利亚药剂师能力框架。
尽管澳大利亚能力框架为开展低强度干预所需的 GHBC-CF 的大部分基础和行为改变能力提供了支持，但对于中高强度干预，需要解决四个特定的与任务相关的能力。这些是 F12“识别实施干预措施的障碍和促进因素的能力”，BC4“就干预目标达成一致的能力”，BC5“以灵活但连贯的方式实施行为改变模型的能力”和 BC6“选择和熟练应用最合适干预方法的能力”。
如果药剂师渴望为慢性病管理提供行为改变干预措施，特别是那些涉及多种健康行为改变的复杂干预措施，则需要额外的培训。那么，这些差距的识别至关重要，并且可以在研究生培训计划和更新药学课程时解决。
