Addressing complex pharmacy consultations: methods used to develop a person-centred intervention to highlight alcohol within pharmacist reviews of medications
Background Alcohol is challenging to discuss, and patients may be reluctant to disclose drinking partly because of concern about being judged. This report presents an overview of the development of a medications review intervention co-produced with the pharmacy profession and with patients, which b...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Springer
2021
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| Subjects: | |
| Online Access: | https://repository.londonmet.ac.uk/7064/1/s13722-021-00271-5.pdf |
| _version_ | 1804072691762724864 |
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| author | McCambridge, Jim Atkin, Karl Dhital, Ranjita Foster, Brent Gough, Brendan Madden, Mary Morris, Stephanie O'Carroll, Ronan Ogden, Margaret Van Dongen, Anne White, Sue Whittlesea, Cate Stewart, Duncan |
| author_facet | McCambridge, Jim Atkin, Karl Dhital, Ranjita Foster, Brent Gough, Brendan Madden, Mary Morris, Stephanie O'Carroll, Ronan Ogden, Margaret Van Dongen, Anne White, Sue Whittlesea, Cate Stewart, Duncan |
| author_sort | McCambridge, Jim |
| collection | LMU |
| description | Background
Alcohol is challenging to discuss, and patients may be reluctant to disclose drinking partly because of concern about being judged. This report presents an overview of the development of a medications review intervention co-produced with the pharmacy profession and with patients, which breaks new ground by seeking to give appropriate attention to alcohol within these consultations.
Methods
This intervention was developed in a series of stages and refined through conceptual discussion, literature review, observational and interview studies, and consultations with advisory groups. In this study we reflect on this process, paying particular attention to the methods used, where lessons may inform innovations in other complex clinical consultations.
Results
Early work with patients and pharmacists infused the entire process with a heightened sense of the complexity of consultations in everyday practice, prompting careful deliberation on the implications for intervention development. This required the research team to be highly responsive to both co-production inputs and data gathered in formally conducted studies, and to be committed to working through the implications for intervention design. The intervention thus evolved significantly over time, with the greatest transformations resulting from patient and pharmacist co-design workshops in the second stage of the process, where pharmacists elaborated on the nature of the need for training in particular. The original research plans provided a helpful structure, and unanticipated issues for investigation emerged throughout the process. This underscored the need to engage dynamically with changing contexts and contents and to avoid rigid adherence to any early prescribed plan.
Conclusions
Alcohol interventions are complex and require careful developmental research. This can be a messy enterprise, which can nonetheless shed new insights into the challenges involved in optimising interventions, and how to meet them, if embraced with an attitude of openness to learning. We found that exposing our own research plans to scrutiny resulted in changes to the intervention design that gained the confidence of different stakeholders. Our understanding of the methods used, and their consequences, may be bounded by the person-centred nature of this particular intervention. |
| first_indexed | 2024-07-09T04:03:11Z |
| format | Article |
| id | oai:repository.londonmet.ac.uk:7064 |
| institution | London Metropolitan University |
| language | English |
| last_indexed | 2024-07-09T04:03:11Z |
| publishDate | 2021 |
| publisher | Springer |
| record_format | eprints |
| spelling | oai:repository.londonmet.ac.uk:70642021-10-19T09:31:26Z http://repository.londonmet.ac.uk/7064/ Addressing complex pharmacy consultations: methods used to develop a person-centred intervention to highlight alcohol within pharmacist reviews of medications McCambridge, Jim Atkin, Karl Dhital, Ranjita Foster, Brent Gough, Brendan Madden, Mary Morris, Stephanie O'Carroll, Ronan Ogden, Margaret Van Dongen, Anne White, Sue Whittlesea, Cate Stewart, Duncan 610 Medicine & health Background Alcohol is challenging to discuss, and patients may be reluctant to disclose drinking partly because of concern about being judged. This report presents an overview of the development of a medications review intervention co-produced with the pharmacy profession and with patients, which breaks new ground by seeking to give appropriate attention to alcohol within these consultations. Methods This intervention was developed in a series of stages and refined through conceptual discussion, literature review, observational and interview studies, and consultations with advisory groups. In this study we reflect on this process, paying particular attention to the methods used, where lessons may inform innovations in other complex clinical consultations. Results Early work with patients and pharmacists infused the entire process with a heightened sense of the complexity of consultations in everyday practice, prompting careful deliberation on the implications for intervention development. This required the research team to be highly responsive to both co-production inputs and data gathered in formally conducted studies, and to be committed to working through the implications for intervention design. The intervention thus evolved significantly over time, with the greatest transformations resulting from patient and pharmacist co-design workshops in the second stage of the process, where pharmacists elaborated on the nature of the need for training in particular. The original research plans provided a helpful structure, and unanticipated issues for investigation emerged throughout the process. This underscored the need to engage dynamically with changing contexts and contents and to avoid rigid adherence to any early prescribed plan. Conclusions Alcohol interventions are complex and require careful developmental research. This can be a messy enterprise, which can nonetheless shed new insights into the challenges involved in optimising interventions, and how to meet them, if embraced with an attitude of openness to learning. We found that exposing our own research plans to scrutiny resulted in changes to the intervention design that gained the confidence of different stakeholders. Our understanding of the methods used, and their consequences, may be bounded by the person-centred nature of this particular intervention. Springer 2021-10-16 Article PeerReviewed text en cc_by_4 https://repository.londonmet.ac.uk/7064/1/s13722-021-00271-5.pdf McCambridge, Jim, Atkin, Karl, Dhital, Ranjita, Foster, Brent, Gough, Brendan, Madden, Mary, Morris, Stephanie, O'Carroll, Ronan, Ogden, Margaret, Van Dongen, Anne, White, Sue, Whittlesea, Cate and Stewart, Duncan (2021) Addressing complex pharmacy consultations: methods used to develop a person-centred intervention to highlight alcohol within pharmacist reviews of medications. Addiction Science & Clinical Practice, 16 (63). pp. 1-9. ISSN 1940-0640 https://doi.org/10.1186/s13722-021-00271-5 10.1186/s13722-021-00271-5 |
| spellingShingle | 610 Medicine & health McCambridge, Jim Atkin, Karl Dhital, Ranjita Foster, Brent Gough, Brendan Madden, Mary Morris, Stephanie O'Carroll, Ronan Ogden, Margaret Van Dongen, Anne White, Sue Whittlesea, Cate Stewart, Duncan Addressing complex pharmacy consultations: methods used to develop a person-centred intervention to highlight alcohol within pharmacist reviews of medications |
| title | Addressing complex pharmacy consultations: methods used to develop a person-centred intervention to highlight alcohol within pharmacist reviews of medications |
| title_full | Addressing complex pharmacy consultations: methods used to develop a person-centred intervention to highlight alcohol within pharmacist reviews of medications |
| title_fullStr | Addressing complex pharmacy consultations: methods used to develop a person-centred intervention to highlight alcohol within pharmacist reviews of medications |
| title_full_unstemmed | Addressing complex pharmacy consultations: methods used to develop a person-centred intervention to highlight alcohol within pharmacist reviews of medications |
| title_short | Addressing complex pharmacy consultations: methods used to develop a person-centred intervention to highlight alcohol within pharmacist reviews of medications |
| title_sort | addressing complex pharmacy consultations methods used to develop a person centred intervention to highlight alcohol within pharmacist reviews of medications |
| topic | 610 Medicine & health |
| url | https://repository.londonmet.ac.uk/7064/1/s13722-021-00271-5.pdf |
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