Pharmacists' views on the development of asthma pharmaceutical care model in Indonesia: A needs analysis study

Widayati, Aris; Virginia, Dita Maria; Setiawan, Christianus Heru; Fenty, Fenty; Donowati, Maria Wisnu; Christasani, Putu Dyana; Hartayu, Titien Siwi; Suhadi, Rita; Saini, Bandana; Armour, Carol

doi:10.1016/j.sapharm.2018.01.008

Cited by 8 publications

(15 citation statements)

References 31 publications

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“…Consistent with the literature, this study found that participants perceived a lack of knowledge and skills amongst the pharmacists in practice. 18,[34][35][36][37][38] This might be due to the pharmacists' unpreparedness in practice, 39 which might also relate to pharmacy education's relevance to the current needs of pharmacy practice. 18,34,36,37 Barriers from other healthcare workforces -especially from the medical doctorsexpressed by participants in this study are consistent with other studies.…”

Section: Discussionmentioning

confidence: 99%

“…18,34,36,37 Barriers from other healthcare workforces -especially from the medical doctorsexpressed by participants in this study are consistent with other studies. 18,[34][35][36]38,40,41 For example, doctors' perceptions that pharmacists were purely medicine providers, with no involvement in patient therapy, became obstacles to the communication of drug therapy optimisation. 35,42 In some studies conducted in Jordan, Kuwait and Sudan, it was found that doctors were comfortable for pharmacists to provide patients' education, while, they were not comfortable for pharmacists to recommend drug therapy to patients, such as for minor ailment.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A country-level national needs assessment of the Indonesian pharmacy workforce

Meilianti¹,

Smith²,

Ernawati

et al. 2021

Research in Social and Administrative Pharmacy

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A country-level national needs assessment of the Indonesian pharmacy workforce

Meilianti¹,

Smith²,

Ernawati

et al. 2021

Research in Social and Administrative Pharmacy

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“… 23 Other obstacles from the individual pharmacists relate to the poor motivation from the pharmacist to be more involved in patient care, to adopt new roles and to participate in Continuing Professional Development (CPD) program. 30 , 62 , 73…”

Section: Challenges Of Pharmacy Services Deliverymentioning

confidence: 99%

Primary health care policy and vision for community pharmacy and pharmacists in Indonesia

Hermansyah¹,

Wulandari²,

Kristina³

et al. 2020

Pharm Pract (Granada)

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The practice of community pharmacy in low and middle-income countries, including in Indonesia, is often described as in the state of infancy with several intractable barriers that have been substantially and continuously hampering the practice. Such description might be valid in highlighting how pharmacy is practiced and the conditions within and beyond community pharmacy organizations. Therefore, it is not surprising that the concept of integrating community pharmacy into the primary care system may not be considered in the contemporary discourse despite the fact that community pharmacy has been operating within communities for years. However, in the case of Indonesia, we argue that changes in the health care system within the past decade particularly with the introduction of the universal health coverage (UHC) in 2014, may have significantly amplified the role of pharmacists. There is good evidence which highlights the contribution of pharmacist as a substantial health care element in primary care practice. The initiative for employing pharmacist, identified in this article as primary care pharmacist, in the setting of community health center [puskesmas] and the introduction of affiliated or contracted community pharmacy under the UHC have enabled pharmacist to work together with other primary care providers. Moreover, government agenda under the “Smart Use of Medicines” program [Gema Cermat] recognizes pharmacists as the agent of change for improving the rational use of medicines in the community. Community pharmacy is developing, albeit slowly, and is able to grasp a novel position to deliver pharmacy-related primary care services to the general public through new services, for example drug monitoring and home care. Nevertheless, integrating community pharmacy into primary care is relatively a new notion in the Indonesian setting, and is a challenging process given the presence of barriers in the macro, meso- and micro-level of practice.

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“…Insufficient knowledge of asthma and nonadherence to medications in children are associated with high rates of morbidity and mortality [ 1 ]. Improved education and support to help pediatric patients manage their disease are urgently recommended to control the burden of asthma [ 2 ]. However, frequent occurrences of acute asthma attacks and negative outcomes imply that effective self-management of asthma is difficult to achieve in pediatric patients [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

A Computer-Based Interactive Narrative and a Serious Game for Children With Asthma: Development and Content Validity Analysis

Sarasmita¹,

Larasanty²,

Kuo³

et al. 2021

J Med Internet Res

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Background Nonadherence to medications, failure to prevent exposure to asthma triggers, lack of knowledge about using medications, and fixed mindsets contribute to poor asthma control in children. Digital learning could provide a new strategy for improving health-related outcomes in children with asthma. Objective The aim of this study is to develop and design a digital educational program, titled Module of Inhaler and Asthma Triggers for Children (MIRACLE), for Indonesian children with asthma. The program comprises an interactive narrative and a serious game. It was proposed to increase the understanding of asthma self-management, instruct on proper inhaler techniques, improve asthma control, and promote a growth mindset for children with asthma. Methods Two phases of research were conducted to develop the program. In the first phase, a literature search and two rounds of the Delphi technique were conducted to obtain agreement from an expert panel regarding elements of asthma self-management and the design of interactive narratives and a serious game. The expert panel item statements were evaluated using the content validity index (CVI). In the second phase, the SERES framework, Norma Engaging Multimedia Design, and Psychological Theory of Growth Mindset were applied to create a storyline, learn objectives, and game challenges. Results In the first phase, 40 experts were invited to participate in Delphi round 1. Forty responses were collected to generate 38 item statements that consisted of part 1, elements of asthma self-management (25 items), and part 2, design of an interactive narrative and a serious game (13 items); 38 experts were involved in Delphi round 2. In total, 24 statements in part 1 and 13 items in part 2 had item-CVI values >0.80. The average CVI was 0.9, which was considered acceptable. Four narrative plots and five game sessions were developed during the second phase. Challenges with the scenario, scoring, and feedback on asthma difficulties were designed to promote a growth mindset for learners. Conclusions We developed a culture-specific, computer-based asthma program containing an interactive narrative and a serious game to deliver asthma self-management and promote a growth mindset among Indonesian children.

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Pharmacists' views on the development of asthma pharmaceutical care model in Indonesia: A needs analysis study

Cited by 8 publications

References 31 publications

A country-level national needs assessment of the Indonesian pharmacy workforce

A country-level national needs assessment of the Indonesian pharmacy workforce

Primary health care policy and vision for community pharmacy and pharmacists in Indonesia

A Computer-Based Interactive Narrative and a Serious Game for Children With Asthma: Development and Content Validity Analysis

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