Development and testing of a framework for defining a strategy to address medication adherence during patient encounters in community pharmacies
Background: Counseling patients on medication adherence could be ameliorated in pharmacy practice. There is a lack of simple and practical strategies to address medication adherence with patients in daily practice. The goal was to develop and test a framework that allows pharmacy teams to define and...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-03-01
|
| Series: | Exploratory Research in Clinical and Social Pharmacy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667276622000221 |
| _version_ | 1818524004581900288 |
|---|---|
| author | Pascal C. Baumgartner Nicolas Comment Kurt E. Hersberger Isabelle Arnet |
| author_facet | Pascal C. Baumgartner Nicolas Comment Kurt E. Hersberger Isabelle Arnet |
| author_sort | Pascal C. Baumgartner |
| collection | DOAJ |
| description | Background: Counseling patients on medication adherence could be ameliorated in pharmacy practice. There is a lack of simple and practical strategies to address medication adherence with patients in daily practice. The goal was to develop and test a framework that allows pharmacy teams to define and apply a strategy to address medication adherence in community pharmacies. Methods: A framework based on the principles of social marketing was developed. It consisted of 3 items: the target patient (“Who”), the target plan (“How”), and the target goal (“How many”). To test the framework, each participating pharmacy team developed their strategy by defining the 3 items and applied them during one pilot day. A master student observed the encounters between patients and pharmacy team members and used a structured checklist to document the patient's characteristics, counseling content, and strategy use. Pharmacy teams answered a feedback questionnaire at the end of the pilot day. Results: Ten pharmacy teams were included. During a brainstorming session that lasted on average 31 ± 8 min, unique strategies comprised 18 different target patients and 20 different target plans. The planned target goal was a mean of 31 patients (range: 1 to “all”). A total of 325 encounters were observed, of which 208 patients (64%) corresponded to the predefined target patients. Medication adherence was addressed with 73 patients (22.5%), and adherence counseling was performed with 50 patients (15%). The pharmacy teams accepted the framework and judged it feasible and adaptable to their needs. Conclusion: The proposed framework represents a simple tool that enables pharmacy teams to develop a strategy for addressing medication adherence in community pharmacies. Its adoption by pharmacy teams occurred without additional training and its integration into daily practice without difficulties. A further study is now needed to investigate if pharmacy teams can successfully engage patients in discussion on medication adherence and ultimately propose targeted adherence interventions. |
| first_indexed | 2024-12-11T05:51:41Z |
| format | Article |
| id | doaj.art-acac0f98338545fd877dad27c42a479b |
| institution | Directory Open Access Journal |
| issn | 2667-2766 |
| language | English |
| last_indexed | 2024-12-11T05:51:41Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Exploratory Research in Clinical and Social Pharmacy |
| spelling | doaj.art-acac0f98338545fd877dad27c42a479b2022-12-22T01:18:48ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662022-03-015100123Development and testing of a framework for defining a strategy to address medication adherence during patient encounters in community pharmaciesPascal C. Baumgartner0Nicolas Comment1Kurt E. Hersberger2Isabelle Arnet3Corresponding author.; Pharmaceutical Care Research Group, University of Basel, Klingelbergstrasse 50, 4056 Basel, SwitzerlandPharmaceutical Care Research Group, University of Basel, Klingelbergstrasse 50, 4056 Basel, SwitzerlandPharmaceutical Care Research Group, University of Basel, Klingelbergstrasse 50, 4056 Basel, SwitzerlandPharmaceutical Care Research Group, University of Basel, Klingelbergstrasse 50, 4056 Basel, SwitzerlandBackground: Counseling patients on medication adherence could be ameliorated in pharmacy practice. There is a lack of simple and practical strategies to address medication adherence with patients in daily practice. The goal was to develop and test a framework that allows pharmacy teams to define and apply a strategy to address medication adherence in community pharmacies. Methods: A framework based on the principles of social marketing was developed. It consisted of 3 items: the target patient (“Who”), the target plan (“How”), and the target goal (“How many”). To test the framework, each participating pharmacy team developed their strategy by defining the 3 items and applied them during one pilot day. A master student observed the encounters between patients and pharmacy team members and used a structured checklist to document the patient's characteristics, counseling content, and strategy use. Pharmacy teams answered a feedback questionnaire at the end of the pilot day. Results: Ten pharmacy teams were included. During a brainstorming session that lasted on average 31 ± 8 min, unique strategies comprised 18 different target patients and 20 different target plans. The planned target goal was a mean of 31 patients (range: 1 to “all”). A total of 325 encounters were observed, of which 208 patients (64%) corresponded to the predefined target patients. Medication adherence was addressed with 73 patients (22.5%), and adherence counseling was performed with 50 patients (15%). The pharmacy teams accepted the framework and judged it feasible and adaptable to their needs. Conclusion: The proposed framework represents a simple tool that enables pharmacy teams to develop a strategy for addressing medication adherence in community pharmacies. Its adoption by pharmacy teams occurred without additional training and its integration into daily practice without difficulties. A further study is now needed to investigate if pharmacy teams can successfully engage patients in discussion on medication adherence and ultimately propose targeted adherence interventions.http://www.sciencedirect.com/science/article/pii/S2667276622000221Medication adherenceStrategyCommunity pharmacy servicesCounselingPharmaceutical careSocial marketing |
| spellingShingle | Pascal C. Baumgartner Nicolas Comment Kurt E. Hersberger Isabelle Arnet Development and testing of a framework for defining a strategy to address medication adherence during patient encounters in community pharmacies Exploratory Research in Clinical and Social Pharmacy Medication adherence Strategy Community pharmacy services Counseling Pharmaceutical care Social marketing |
| title | Development and testing of a framework for defining a strategy to address medication adherence during patient encounters in community pharmacies |
| title_full | Development and testing of a framework for defining a strategy to address medication adherence during patient encounters in community pharmacies |
| title_fullStr | Development and testing of a framework for defining a strategy to address medication adherence during patient encounters in community pharmacies |
| title_full_unstemmed | Development and testing of a framework for defining a strategy to address medication adherence during patient encounters in community pharmacies |
| title_short | Development and testing of a framework for defining a strategy to address medication adherence during patient encounters in community pharmacies |
| title_sort | development and testing of a framework for defining a strategy to address medication adherence during patient encounters in community pharmacies |
| topic | Medication adherence Strategy Community pharmacy services Counseling Pharmaceutical care Social marketing |
| url | http://www.sciencedirect.com/science/article/pii/S2667276622000221 |
| work_keys_str_mv | AT pascalcbaumgartner developmentandtestingofaframeworkfordefiningastrategytoaddressmedicationadherenceduringpatientencountersincommunitypharmacies AT nicolascomment developmentandtestingofaframeworkfordefiningastrategytoaddressmedicationadherenceduringpatientencountersincommunitypharmacies AT kurtehersberger developmentandtestingofaframeworkfordefiningastrategytoaddressmedicationadherenceduringpatientencountersincommunitypharmacies AT isabellearnet developmentandtestingofaframeworkfordefiningastrategytoaddressmedicationadherenceduringpatientencountersincommunitypharmacies |