Abdel-Qader Derar H, Al Meslamani Ahmad Z, Al Mazrouei Nadia, El-Shara Asma A, El Sharu Husam, Merghani Ali Eman, Mohammed Ebaed Samah Bahy, Mohamed Ibrahim Osama
University of Petra, Amman, Jordan.
Al Ain University of Science and Technology, Abu Dhabi, United Arab Emirates.
Hosp Pharm. 2022 Apr;57(2):300-308. doi: 10.1177/00185787211032354. Epub 2021 Jul 10.
While the role of pharmacists in the current pandemic control has been recognized worldwide, their coaching efforts to improve public's behaviors that could prevent COVID-19 transmission has been rarely investigated. To assess whether pharmacist-based virtual health coaching sessions could increase the proportion of people who practised healthy social behaviors, to test whether this model can increase the public acceptance of COVID-19 vaccines, and to measure whether these behaviors could actually prevent contracting COVID-19. In this randomized controlled trial, adults who matched specific criteria were randomly allocated into 2 arms. The active arm received 12 pharmacist-based virtual coaching sessions delivered via Zoom over a month. Participants allocated to the control arm received no coaching. At the end of the last coaching session, both groups were asked to complete a structured questionnaire for outcome assessment. Participants in the active group were followed up to 2 weeks after the end of the last coaching session to check if they contracted COVID-19 or not. The SPSS software version 26.0 (IBM Corp., Chicago, IL) was used for statistical analysis. Of the 300 participants who gave consent for participation, 295 completed the study (147 from the active arm and 148 from the control arm). The proportion of those using face masks, avoiding crowds, and willing to be isolated if infected in the active arm was increased from 51.70%, 53.74%, and 59.86% at baseline to 91.83%, 80.27%, and 96.59% at the end of coaching, respectively (all with < .05). In addition, the proportion of behaviors, such as disinfecting surfaces, not touching the T-zone, and avoid sharing personal belongings with colleagues at work was increased from 36.05%, 27.89%, and 46.93% at baseline to 63.94%, 52.38%, and 87.75% at the end of coaching, respectively (all with < .05). Avoid touching the T-zone (OR = 0.43; 95% CI, 0.24-0.89) and using disposable tissues (OR = 0.30; 95% CI, 0.18-0.77), each versus using face masks appropriately were more likely to get COVID-19. Pharmacist-based virtual health coaching could be a potential strategy to increase the proportion of behaviors that could curtail the spread of COVID-19.
虽然药剂师在当前疫情防控中的作用已得到全球认可，但他们为改善公众可预防新冠病毒传播行为所做的指导工作却鲜有研究。旨在评估基于药剂师的虚拟健康指导课程是否能提高践行健康社交行为的人群比例，测试该模式是否能提高公众对新冠疫苗的接受度，以及衡量这些行为是否真的能预防感染新冠病毒。在这项随机对照试验中，符合特定标准的成年人被随机分为两组。试验组在一个月内通过Zoom接受12次基于药剂师的虚拟指导课程。分配到对照组的参与者未接受指导。在最后一次指导课程结束时，两组都被要求完成一份结构化问卷以进行结果评估。试验组的参与者在最后一次指导课程结束后随访2周，以检查他们是否感染了新冠病毒。使用SPSS 26.0软件版本（IBM公司，伊利诺伊州芝加哥）进行统计分析。在300名同意参与的参与者中，295人完成了研究（试验组147人，对照组148人）。试验组中使用口罩、避免人群聚集以及感染后愿意隔离的比例分别从基线时的51.70%、53.74%和59.86%增加到指导结束时的91.83%、80.27%和96.59%（均P<0.05）。此外，诸如对物体表面进行消毒、不触摸面部T区以及避免在工作中与同事共用个人物品等行为的比例分别从基线时的36.05%、27.89%和46.93%增加到指导结束时的63.94%、52.38%和87.75%（均P<0.05）。与正确佩戴口罩相比，不触摸面部T区（比值比[OR]=0.43；95%置信区间[CI]，0.24 - 0.89）和使用一次性纸巾（OR=0.30；95%CI，0.18 - 0.77）的人更易感染新冠病毒。基于药剂师的虚拟健康指导可能是一种提高可减少新冠病毒传播行为比例的潜在策略。
