Using an Intervention Mapping Framework to Develop an Online Mental Health Continuing Education Program for Pharmacy Staff

Wheeler, Amanda; Fowler, Jane; Hattingh, Laetitia

doi:10.1002/chp.21198

Cited by 43 publications

(38 citation statements)

References 42 publications

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“…Our findings indicate very high motivation among the participating pharmacists and pharmacy support staff to work with mental health care consumers, but it is important to acknowledge that they were a self‐selected sample who expressed interest in receiving training about mental health and were offered remuneration for their time. In alignment with the National Mental Health Strategy Commitment to improve the lives of people with mental illness, outcomes from this study informed the development of an online training program for pharmacists and pharmacy support staff …”

Section: Discussionmentioning

confidence: 98%

“…Community pharmacy staff had self‐selected to participate in a project to develop and evaluate a mental health training program for pharmacy staff . The project was promoted by a campaign of: (i) advertisements in newspapers, pharmacy journals, magazines and websites; (ii) personal recommendation from participants and direct invitation from the research team; and (iii) promotion by pharmacy organisations and banner groups.…”

Section: Methodsmentioning

confidence: 99%

“…A clear understanding of the motivations and barriers from the service provider perspective will help inform strategies designed to improve relationships in community pharmacy in order to support better adherence and treatment outcomes for mental health consumers and carers. This study stems from a project that developed pharmacy staff training to address knowledge and skill deficits . We sought to address the need for information from pharmacy staff (including non‐pharmacist support staff) concerning their motivations and barriers.…”

Section: Introductionmentioning

confidence: 99%

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Community pharmacy staff motivations and barriers to working with mental health consumers

Knox

Hattingh

Wheeler

2016

Pharmacy Practice and Res

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Background Mental health is an Australian national priority area, yet evidence indicates pharmacy staff members focus more frequently on other chronic diseases. A need was identified to facilitate community pharmacy staff engagement with mental health initiatives. Aim This study explored community pharmacy staff motivations and barriers to working with mental health consumers and carers. Method A questionnaire assessing baseline attitudes, knowledge and skills towards mental illness was completed by 791 community pharmacy staff members. Participants rated their agreement with statements regarding factors that motivate them (11 items) or present a barrier to working with mental health consumers and carers (12 items) on a 7‐point Likert scale. Qualitative comments were invited. Results In total, 465 pharmacists (58.8%) and 326 support staff (41.2%) completed the questionnaire. Statements reflecting motivations were strongly endorsed: 83% of participants agreed that they were motivated to work with mental health consumers and carers, and 96% agreed that community pharmacists are integral members of the healthcare team. The most frequently endorsed barriers related to lack of training to assist people and belief that consumers feel ashamed about their illness. Themes that emerged from qualitative comments identified staff skills and knowledge as both motivators and barriers. Conclusion The findings identified that both pharmacists and pharmacy support staff required more training, confidence and practical strategies to support best practice in meeting the needs and expectations of mental health consumers and carers.

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Section: Discussionmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Community pharmacy staff motivations and barriers to working with mental health consumers

Knox

Hattingh

Wheeler

2016

Pharmacy Practice and Res

Self Cite

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“…Pharmacists completed an additional four modules that focussed on treatment planning and problem‐solving around medication‐specific issues related to depression and anxiety. The learning objectives, content and delivery techniques used in the intervention are described in more detail elsewhere …”

Section: Methodsmentioning

confidence: 99%

A web‐based mental health promotion intervention for pharmacy staff to reduce stigmatising and discriminating attitudes

Wheeler

Mey

Fowler

et al. 2018

Health Prom J of Aust

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Issue addressed Stigma and discrimination can have a significant impact on successful mental health recovery. This research evaluated the effectiveness of a web‐based mental health promotion intervention on stigma and discrimination in community pharmacies via assessment of staff attitudes, confidence and skills. Methods Guided by the intervention mapping framework, we used experiential learning techniques, including pre‐recorded consumer/carer narratives, role‐plays and panel discussions accessed by participants in an innovative, flexible, web‐based, program of modules. A quasi‐experimental pre‐post design was used to evaluate the intervention effectiveness. Participants completed pre‐ (T1) and post‐intervention (T2) questionnaires that contained both validated measures and questions developed or adapted specifically for this evaluation. Results 566 pharmacy staff (357 pharmacists, 209 support staff) completed the intervention between September 2012 and May 2013; pharmacists completed eight online modules (4‐hours total), support staff completed four (2‐hours total). After participating, staff attitudes about mental health had changed in a positive direction; their confidence and skills when working with consumers and their carers had increased overall, although support staff remained less confident than pharmacists. Conclusion These results suggest that the involvement of consumers and carers in the intervention development and delivery was integral to reducing pharmacy staff stigma and enhancing confidence and communication skills.

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“…The experiences, expectations and needs of mental health consumers within the context of community pharmacy were explored (Stage One) Knox et al, 2015;Mey et al, 2013). Stage One findings informed development and evaluation of a comprehensive online mental health educational package for pharmacy staff (Stage Two) (Wheeler et al, 2013). Following this, a conceptual schema was undertaken which considered a range of factors, including professional pharmacy services (Table 1), organisational culture and evaluative tools to inform the design, implementation and evaluation of the intervention (Scahill et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

The impact of a person-centred community pharmacy mental health medication support service on consumer outcomes

McMillan

Kelly

Hattingh

et al. 2017

Journal of Mental Health

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Background: Mental illness is a worldwide health priority. As medication is commonly used to treat mental illness, community pharmacy staff is well placed to assist consumers. Aim: To evaluate the effectiveness of a multifaceted, community pharmacy medication support service for mental health consumers. Method: Pharmacists and pharmacy support staff in three Australian states were trained to deliver a flexible, goal-oriented medication support service for adults with mental illness over 3-6 months. Consumer-related outcome measures included perceptions of illness and healthrelated quality of life, medication beliefs, treatment satisfaction and medication adherence. Results: Fifty-five of 100 trained pharmacies completed the intervention with 295 of the 418 recruited consumers (70.6% completion rate); 51.2% of consumers received two or more followups. Significant improvements were reported by consumers for overall perceptions of illness (p50.001), the mental health domain of quality of life (p50.001), concerns about medication (p ¼ 0.001) and global satisfaction with medication (p50.001). Consumers also reported an increase in medication adherence (p ¼ 0.005). Conclusions: A community pharmacy mental health medication support service that is goaloriented, flexible and individualised, improved consumer outcomes across various measures. While further research into the cost-effectiveness and sustainability of such a service is warranted, this intervention could easily be adapted to other contexts.

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Using an Intervention Mapping Framework to Develop an Online Mental Health Continuing Education Program for Pharmacy Staff

Abstract: Intervention mapping provides a systematic and rigorous approach that can be used to develop a quality continuing education program for the health workforce.

Cited by 43 publications

References 42 publications

Community pharmacy staff motivations and barriers to working with mental health consumers

Community pharmacy staff motivations and barriers to working with mental health consumers

A web‐based mental health promotion intervention for pharmacy staff to reduce stigmatising and discriminating attitudes

The impact of a person-centred community pharmacy mental health medication support service on consumer outcomes

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