Promoting Patient Care Through Communication Training in a Pre-clerkship Pharmacy Education Course in Japan

Epp, Denise A.; Kubota, Takeshi; Yoshida, Motofumi; Kishimoto, Junji; Kobayashi, Daisuke; Saruta, Takao

doi:10.5688/ajpe6745

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Different medication reminder applications on smartphones and electronic watches have been proposed and used by patients. However, using straightforward and clear medical instructions seems to be the simplest approach [ 28 ]. In our study, we found that the relationship between taking medications as instructed by a healthcare provider and having clear medical instructions was significant ( p < 0.001).…”

Section: Discussionmentioning

confidence: 99%

Medication Adherence among Patients with Chronic Diseases in Saudi Arabia

Alosaimi

Alwafi

Alhindi

et al. 2022

IJERPH

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Introduction: The management of chronic illnesses commonly includes a long-term pharmacological approach. Although these medications effectively control disease, their full benefits are often not realized because approximately 50% of patients do not take their medications as prescribed. Medication adherence has become a big concern to clinicians and healthcare systems in Saudi Arabia and worldwide because of growing evidence associating nonadherence with adverse outcomes and higher costs of care. Despite it being a well-recognized problem, few studies have investigated medication adherence in Saudi Arabia. Therefore, this study aims to gain a better perspective on medication adherence among patients with chronic diseases in Saudi Arabia. Method: A questionnaire-based cross-sectional study was conducted among patients with chronic diseases in the Makkah region, Saudi Arabia, from 1 May to 31 July 2021. Patients aged 18 years and above who were taking prescribed or over-the-counter medications were included. Descriptive statistics were used to describe the participants’ characteristics, and categorical variables were reported as frequencies and percentages. A Chi-square test was used to test the relations between variables. Results: In total, 239 participants were included in the study. Females represented 62% of the participants. In terms of the history of chronic diseases, 44% had hypertension, 40% had diabetes mellitus, 21% had heart diseases and 9% had asthma. Nearly half (49%) of participants did not follow up regularly with a primary healthcare center and 42% said that they had forgotten to take their medications in the past. However, most of the participants (78%) stated that they took their medicine as instructed by their doctor or pharmacist, and 61% took their medications on time. The majority of participants (85%) said that the pharmacist explained the method of using the medications and the instructions for use, while 30% thought that the medications they took were too much. In regard to the reasons for medication nonadherence, having no specific reasons for medication nonadherence was the most common cause for nonadherence in our study. The relationship between patients taking medications as instructed by a healthcare provider (the doctor or pharmacist) and the healthcare provider giving clear instructions to patients about medication use was significant (p < 0.001). Conclusions: Failure to adhere is a significant problem that not only affects the patient but also the healthcare system. Additional research is needed to monitor medication adherence and identify factors contributing to this problem to provide successful strategies to improve medication adherence in Saudi Arabia.

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Section: Discussionmentioning

confidence: 99%

Medication Adherence among Patients with Chronic Diseases in Saudi Arabia

Alosaimi

Alwafi

Alhindi

et al. 2022

IJERPH

View full text Add to dashboard Cite

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“…Oral examination in the form of independent performance on "dagusibu" is a form of exercise to strengthen students' communication skills and confidence. This exam is an initial initiation to support students' ability to conduct drug information services and counsel patients in the future (Epp et al, 2019). Follow-up on student performance is carried out more in-depth by conducting OSCE exams for all students.…”

Section: Learning Outcomementioning

confidence: 99%

Online Learning Evaluation of Drug Information Service Lectures : Study on Learning Process, Learning Outcomes, and Student Perceptions

Christasani,

Wijoyo

2023

Media Farmasi

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Enhancing the learning and transfer of preprocedural communication skills during clerkship using audio-visual material: a prospective case-controlled study over 2 years

et al. 2022

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Objective/design/settingThis study aims to develop preprocedural communication-specific framework that emphasises the use of audiovisual materials and compares its acceptability by trainees with a regular module.TraineesBetween October 2018 and July 2021, 96 medical clerks were enrolled and randomly divided into regular and intervention groups. Another 48 trainees whose did not join the framework-based training but complete self-assessments were enrolled as the control group.InterventionsIn the intervention training module, the key steps of preprocedural communication-specific skills were structuralised into a framework using the acronym of OSCAR.Primary and secondary outcome measuresThis study compared the acceptability of trainees for two modules by measuring the degree of increase in the end-of-rotation and follow up (4 weeks later) competency from baseline by trainees’ self-assessments and physician assessments after serial trainings.ResultsIn comparison with regular group trainees, greater degree of improvements (framework-1 statement: 111%±13% vs 27%±5%, p<0.001; framework-2 statement: 77%±9% vs 48%±2%, p<0.05; skill-1 statement: 105%±9% vs 48%±3%, p<0.001); skill-2 statement: 71%±11% vs 50%±9%, p<0.05) were noted in the framework-related and skill-related statement 1–2 (the familiarity and confidence to use the framework and skills) than those of intervention group. At the end-of-rotation stage, the trainees ability to use the ‘A-step: using audiovisual materials’ of the OSCAR was significantly improved (229%±13%, p<0.001), compared with other steps. In the intervention group, the degree of improvement of the end-of-rotation data of trainees’ self-assessment from baseline was significantly correlated with the degree of the improvement in physicians’ assessment data in the aspects of skills, framework and steps in framework (R=0.872, p<0.01; R=0.813, p<0.001; R=0.914, p<0.001).ConclusionsThe OSCAR framework-based intervention module is well accepted by medical clerks and motivates them to integrate the acquired skills in clinical practice, which leads to trainees’ primary care patients being satisfied with their preprocedural communication.

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Promoting Patient Care Through Communication Training in a Pre-clerkship Pharmacy Education Course in Japan

Cited by 3 publications

References 14 publications

Medication Adherence among Patients with Chronic Diseases in Saudi Arabia

Medication Adherence among Patients with Chronic Diseases in Saudi Arabia

Online Learning Evaluation of Drug Information Service Lectures : Study on Learning Process, Learning Outcomes, and Student Perceptions

Enhancing the learning and transfer of preprocedural communication skills during clerkship using audio-visual material: a prospective case-controlled study over 2 years

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