Interventions for improving pharmacist-led patient counselling in the community setting: a systematic review
Abstract Background Pharmacist counselling is an important service that has been associated with improved outcomes. The primary aim of this review was to identify, describe, and determine the effectiveness of interventions for improving the counselling practice of community pharmacists. Methods We s...
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| Format: | Article |
| Language: | English |
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BMC
2018-05-01
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| Series: | Systematic Reviews |
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| Online Access: | http://link.springer.com/article/10.1186/s13643-018-0727-4 |
| _version_ | 1818980115119341568 |
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| author | Sinaa Al Aqeel Norah Abanmy Hiba AlShaya Albatoul Almeshari |
| author_facet | Sinaa Al Aqeel Norah Abanmy Hiba AlShaya Albatoul Almeshari |
| author_sort | Sinaa Al Aqeel |
| collection | DOAJ |
| description | Abstract Background Pharmacist counselling is an important service that has been associated with improved outcomes. The primary aim of this review was to identify, describe, and determine the effectiveness of interventions for improving the counselling practice of community pharmacists. Methods We searched PubMed (from January 1990 to June 2017) and the Cochrane Library (June 2017). To supplement our database searches, we searched Google Scholar for papers that cited the identified studies. We included only studies that reported the impact of the intervention on pharmacists’ behaviour during counselling. We searched for data from studies with randomised trials, non-randomised trials, controlled before-after studies, or interrupted time series study designs. Parameters including selection bias, performance bias, detection bias, and attrition bias were assessed. The data were narratively synthesised. Results We screened 2335 abstracts and 59 full-text articles and included 17 RCTs. Overall, three studies were determined to have a high risk of bias, and 14 studies were determined to have an unclear risk of bias. Fifteen studies investigated multifaceted interventions that included two or more components. The most commonly used interventions were educational meetings (n = 14), educational materials (n = 9), educational outreach visits (n = 5), feedback (n = 5), guidelines (n = 5), and local opinion leaders (n = 2). Outcomes were measured using simulated patient visits (n = 10), and the self-reported outcomes of patient or pharmacists (n = 6). Most of the included studies (n = 11) reported some degree of improvement in counselling practices. Conclusions The included studies showed that educational meetings combined with educational materials, outreach visits, and feedback can improve pharmacist counselling in community settings. However, the unclear risk of bias and poor quality of reporting intervention components necessitate caution in interpreting the findings. Recommendations for future studies based on the evidence gap identified in this review are presented. |
| first_indexed | 2024-12-20T17:10:17Z |
| format | Article |
| id | doaj.art-2ec73136219049449c1b7a392d9d497b |
| institution | Directory Open Access Journal |
| issn | 2046-4053 |
| language | English |
| last_indexed | 2024-12-20T17:10:17Z |
| publishDate | 2018-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Systematic Reviews |
| spelling | doaj.art-2ec73136219049449c1b7a392d9d497b2022-12-21T19:32:09ZengBMCSystematic Reviews2046-40532018-05-017111310.1186/s13643-018-0727-4Interventions for improving pharmacist-led patient counselling in the community setting: a systematic reviewSinaa Al Aqeel0Norah Abanmy1Hiba AlShaya2Albatoul Almeshari3Clinical Pharmacy Department, College of Pharmacy, King Saud UniversityClinical Pharmacy Department, College of Pharmacy, King Saud UniversityClinical Pharmacy Department, College of Pharmacy, King Saud UniversityPharmaceutical Care Services, King Abdulaziz Medical City, National Guard Health AffairsAbstract Background Pharmacist counselling is an important service that has been associated with improved outcomes. The primary aim of this review was to identify, describe, and determine the effectiveness of interventions for improving the counselling practice of community pharmacists. Methods We searched PubMed (from January 1990 to June 2017) and the Cochrane Library (June 2017). To supplement our database searches, we searched Google Scholar for papers that cited the identified studies. We included only studies that reported the impact of the intervention on pharmacists’ behaviour during counselling. We searched for data from studies with randomised trials, non-randomised trials, controlled before-after studies, or interrupted time series study designs. Parameters including selection bias, performance bias, detection bias, and attrition bias were assessed. The data were narratively synthesised. Results We screened 2335 abstracts and 59 full-text articles and included 17 RCTs. Overall, three studies were determined to have a high risk of bias, and 14 studies were determined to have an unclear risk of bias. Fifteen studies investigated multifaceted interventions that included two or more components. The most commonly used interventions were educational meetings (n = 14), educational materials (n = 9), educational outreach visits (n = 5), feedback (n = 5), guidelines (n = 5), and local opinion leaders (n = 2). Outcomes were measured using simulated patient visits (n = 10), and the self-reported outcomes of patient or pharmacists (n = 6). Most of the included studies (n = 11) reported some degree of improvement in counselling practices. Conclusions The included studies showed that educational meetings combined with educational materials, outreach visits, and feedback can improve pharmacist counselling in community settings. However, the unclear risk of bias and poor quality of reporting intervention components necessitate caution in interpreting the findings. Recommendations for future studies based on the evidence gap identified in this review are presented.http://link.springer.com/article/10.1186/s13643-018-0727-4Community pharmacyCommunity pharmacy servicesPharmaciesProfessional practicePatient educationCounselling |
| spellingShingle | Sinaa Al Aqeel Norah Abanmy Hiba AlShaya Albatoul Almeshari Interventions for improving pharmacist-led patient counselling in the community setting: a systematic review Systematic Reviews Community pharmacy Community pharmacy services Pharmacies Professional practice Patient education Counselling |
| title | Interventions for improving pharmacist-led patient counselling in the community setting: a systematic review |
| title_full | Interventions for improving pharmacist-led patient counselling in the community setting: a systematic review |
| title_fullStr | Interventions for improving pharmacist-led patient counselling in the community setting: a systematic review |
| title_full_unstemmed | Interventions for improving pharmacist-led patient counselling in the community setting: a systematic review |
| title_short | Interventions for improving pharmacist-led patient counselling in the community setting: a systematic review |
| title_sort | interventions for improving pharmacist led patient counselling in the community setting a systematic review |
| topic | Community pharmacy Community pharmacy services Pharmacies Professional practice Patient education Counselling |
| url | http://link.springer.com/article/10.1186/s13643-018-0727-4 |
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