Department of Pharmacy, University of Washington School of Pharmacy, 1959 NE Pacific Street, Box 357630, Seattle, WA 98195, USA.
Department of Pharmacy, University of Washington School of Pharmacy, 1959 NE Pacific Street, Box 357630, Seattle, WA 98195, USA.
Epilepsy Behav. 2021 Dec;125:108389. doi: 10.1016/j.yebeh.2021.108389. Epub 2021 Nov 11.
To identify the predisposing, enabling, and reinforcing factors influencing the integration of community pharmacists in population health approaches to epilepsy care.
Key informant interviews were conducted with 32 stakeholders, including five people living with epilepsy (PWE), ten caregivers of PWE, seven epileptologists, one neurologist, one epilepsy nurse, and eight community pharmacists in Washington State and Oregon from September 2019 to February 2020. Interviews were audio recorded, transcribed, and analyzed using a rapid content analysis approach guided by the PRECEDE-PROCEED Model to identify predisposing, enabling, and reinforcing factors influencing integration of community pharmacists in population health approaches to epilepsy care.
Four predisposing, four enabling, three positive reinforcing factors, and two negative reinforcing factors emerged as influencing integration of community pharmacists in a population health approach to epilepsy care across all stakeholder groups. Predisposing factors included patient advocacy, medication adherence, medication monitoring, and medication education. Enabling factors were a shared vision, collaboration structure, efficient communication, and pharmacist attributes (knowledge, experience, and attitude). Positive reinforcing factors included a team approach, easy to access support, and medication adherence. Negative reinforcing factors were duplicate or conflicting care and limited time and resources.
This study identified several predisposing, enabling, and reinforcing factors influencing integration of community pharmacists in population health approaches to epilepsy care based on stakeholder perceptions. Community pharmacists may consider these factors when implementing services for patients with epilepsy.
确定影响社区药剂师参与癫痫照护人群健康方法的倾向因素、促成因素和强化因素。
2019 年 9 月至 2020 年 2 月，在华盛顿州和俄勒冈州，对 32 名利益相关者（包括 5 名癫痫患者、10 名癫痫患者照护者、7 名癫痫专家、1 名神经科医生、1 名癫痫护士和 8 名社区药剂师）进行了关键知情人访谈。访谈采用快速内容分析法，以 PRECEDE-PROCEED 模型为指导，对访谈进行录音、转录和分析，以确定影响社区药剂师参与癫痫照护人群健康方法的倾向因素、促成因素和强化因素。
所有利益相关者群体均认为，有四个倾向因素、四个促成因素、三个正强化因素和两个负强化因素影响社区药剂师参与人群健康方法的癫痫照护。倾向因素包括患者倡导、药物依从性、药物监测和药物教育。促成因素包括共同愿景、协作结构、高效沟通和药剂师属性（知识、经验和态度）。正强化因素包括团队方法、易于获得的支持和药物依从性。负强化因素是重复或冲突的护理以及有限的时间和资源。
本研究基于利益相关者的看法，确定了影响社区药剂师参与癫痫照护人群健康方法的几个倾向因素、促成因素和强化因素。社区药剂师在为癫痫患者实施服务时可以考虑这些因素。
