The MEDMAN project: Evaluation of the medicines management training for community pharmacists

Jaffray, Mariesha; Krska, Janet; Lee, A. J.; Bond, Christine

doi:10.1080/15602210701381985

Cited by 5 publications

(5 citation statements)

References 9 publications

(7 reference statements)

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“…14 While the most likely explanation for this is that patients thought of additional questions after the I-MUR had been completed, particularly given the time interval between the I-MUR and the patient survey, pharmacist knowledge may have been insufficient. Pharmacists' perceptions of their skills and knowledge was in fact high even before they started to deliver the I-MUR, in contrast to pharmacists in England prior to delivering a similar service ), 12 and while pharmacists in this latter study did perceive their skills and knowledge improved after training, there was no significant change in the perceived skills and knowledge of the pharmacists delivering the I-MUR. The need for more communication and collaboration with GPs regarding the medicines use review (MUR) service in England has been reported.…”

Section: Discussioncontrasting

confidence: 55%

“…A questionnaire was developed based on an instrument used in a previous study in England ). 12 It was divided into three sections: pharmacists' demographic details; expectations and experiences of delivering the I-MUR service; views about the I-MUR service using a five-point Likert scale plus confidence and comfort in delivering the intervention. Expectations were sought by: i) requesting respondents to select any issue from a list, developed from previous studies, which they thought may be potential barriers to providing the I-MUR and ii) to select the types of pharmaceutical care issues (PCIs) they thought may be identified in the patients, using a validated classification system.…”

Section: Pharmacist Questionnairementioning

confidence: 99%

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Pharmacists’ and patients’ views and feedback on Italian Medicines Use Review (I-MUR)

Manfrin¹,

Krska²

2018

EJPCH

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Rationale, aims and objectives: Although medicine review services are offered by community pharmacists in many countries, they are non-existent in Italy. A novel intervention, I-MUR, was developed for patients with asthma aiming to improve medicines use. The aim of this study was to obtain pharmacists’ and patients’ views on the acceptability of the I-MUR service provided by community pharmacists to asthma patients in 4 Italian regions. Methods: Pharmacists’ expectations, experiences and attitudes to delivering the I-MUR were obtained through questionnaires distributed before and after delivering the I-MUR, plus focus groups. Patients’ views were obtained via questionnaires, distributed by the pharmacists and returned anonymously.Results: Seventy-four pharmacists provided the I-MUR service to 895 asthma patients; 49 pharmacists completed both questionnaires, 53 participated in focus groups and 246 patients returned questionnaires. Barriers anticipated most frequently by pharmacists before the I-MUR were lack of time (53%) and lack of co-ordination with other health professionals (61%), while lack of financial compensation was identified by 37%. Lack of co-ordination proved the most common actual barrier (88%), with lack of financial compensation being cited less frequently after providing the intervention (8%). Ninety-six percent of pharmacists anticipated providing both education on inhaler technique and medication counselling, but in practice slightly fewer had provided these (90% and 86% respectively). Focus groups highlighted a lack of relevant undergraduate education to support medication review and structural barriers within some pharmacies, but described positive patient feedback and a desire to extend the I-MUR. Patient respondents were positive; 62% indicated the reason for having an I-MUR as making sure that they were using medication correctly, 75% considered they benefited from it and 86% would recommend it to others.Conclusions: The I-MUR service was perceived positively by both pharmacists and patients, supporting the extension of medicine review services to community pharmacists in Italy in an enhancement of the person-centeredness of care.

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Section: Discussioncontrasting

confidence: 55%

Section: Pharmacist Questionnairementioning

confidence: 99%

Pharmacists’ and patients’ views and feedback on Italian Medicines Use Review (I-MUR)

Manfrin¹,

Krska²

2018

EJPCH

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“…This study suggests problems with the completeness of medication reviews by community pharmacists and lack of uniformity between pharmacists, which may have been affected by the limited training provided [12], but which also bore no relationship to demographic characteristics. This variation may have contributed to the lack of benefit shown in the CPMMP [11].…”

Section: Discussionmentioning

confidence: 99%

“…In line with other studies involving community pharmacists and limited data, there were no significant benefits in terms of quality of life, cost of medicines, health service utilization or prescribing appropriateness in line with the National Service Framework (NSF) for CHD [11]. As part of the evaluation of the CPMMP, the training provided to community pharmacists, which was specifically designed for the project [12], and the reviews they delivered were studied.…”

Section: Introductionmentioning

confidence: 93%

Evaluation of medication reviews conducted by community pharmacists: a quantitative analysis of documented issues and recommendations

Krska¹,

Avery²

2007

Brit J Clinical Pharma

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What is already known about this subject? • There is conflicting evidence concerning the potential benefits of pharmacist‐led medication review. • Little work has been published on the completeness of medication reviews provided by community pharmacists. What this study adds • The 60 community pharmacists taking part in a large randomized controlled trial showed considerable variation in the completeness of the reviews they recorded for intervention patients. • Overall, pharmacists recorded only a minority of the potential issues present in these patients. • The frequency with which pharmacists recorded issues was not related to key characteristics or to the number of reviews completed. Aims To describe issues noted and recommendations made by community pharmacists during reviews of medicines and lifestyle relating to coronary heart disease (CHD), and to identify and quantify missed opportunities for making further recommendations and assess any relationships with demographic characteristics of the pharmacists providing the reviews. Methods All issues and recommendations noted by 60 community pharmacists during patient consultations were classified and quantified. Two independent reviewers studied a subsample of cases from every participating pharmacist and identified and classified potential issues from the available data. The findings of the pharmacists and the reviewers were compared. Relevant pharmacist characteristics were obtained from questionnaire data to determine relationships to the proportion of potential issues noted. Results A total of 2228 issues and 2337 recommendations were noted by the pharmacists in the 738 patients seen, a median of three per patient (interquartile range 2–4). The majority of the recommendations made (1719; 74%) related to CHD. In the subsample of 169 patients (23% of the total), the reviewers identified 1539 potential issues, of which pharmacists identified an average of 33.8% (95% confidence interval 30.1, 36.4). No relationship was found between the proportion of issues noted and potentially relevant factors such as pharmacists' characteristics and their experience of doing reviews. Conclusions The majority of issues and recommendations noted by pharmacists related to CHD, although pharmacists recorded only a minority of the issues identified by reviewers. Variation between pharmacists in the completeness of reviews was not explained by review or other relevant experience.

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“…Evidences to improve pharmaceuticals practices were seen in previous training intervention studies (Calop et al, 2002; Coggans et al, 2001; Currie et al, 1997; Jaffray et al, 2007; Willis et al, 2016). However, few studies have evaluated the development of the training intervention conducted for community pharmacists to assess its feasibility for implementation and usability for the purpose intended.…”

mentioning

confidence: 86%

Development and Evaluation of Health Promotion Training Program for Community Pharmacists in Oyo State, Nigeria

Oseni

Afolabi

2020

Pedagogy in Health Promotion

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Background. Community pharmacists have considered training in health promotion services to improve their practice, but no published study in Nigeria has provided such training to improve practice change. Objectives. The study aims to develop and evaluate the appropriateness and applicability of health promotion training provided for community pharmacists after identifying the gaps in the provision of health promotion services in community pharmacies in Oyo State, Nigeria. Materials and Methods. A 2-day training was developed, conducted, and evaluated on a 5-point Likert-type scale, semistructured questionnaire administered to randomly sampled 80 respondents. It rated participants’ opinions on the training content, resource persons, and perceived sufficiency of the training. Data were analyzed using IBM SPSS Version 21 with descriptive statistics while open-ended responses were analyzed thematically. Results. Response rate was 72.5%. Total mean score of participants’ opinions on the training program was 45.67 ± 5.802 (range of 10–50; midpoint 30). An average score ranged from 3.97 to 4.61 out of the total score of 5 was obtained for good presentation abilities of the resource persons. Respondents (93.1%) strongly agreed and agreed that the training was sufficient to deliver the health promotion services (4.36 ± 0.765). They suggested the need to organize the training periodically (15.5%), training to cover other areas like use of diagnostic test kit and immunization (13.8%) and allowance of more time for interaction and sharing of experiences by participants (10.3%). Conclusion. The training was adequate for use by community pharmacists and fit for the purpose it was designed for.

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The MEDMAN project: Evaluation of the medicines management training for community pharmacists

Cited by 5 publications

References 9 publications

Pharmacists’ and patients’ views and feedback on Italian Medicines Use Review (I-MUR)

Pharmacists’ and patients’ views and feedback on Italian Medicines Use Review (I-MUR)

Evaluation of medication reviews conducted by community pharmacists: a quantitative analysis of documented issues and recommendations

Development and Evaluation of Health Promotion Training Program for Community Pharmacists in Oyo State, Nigeria

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