Development of a Theory-Based Intervention to Enhance Information Exchange During Over-The-Counter Consultations in Community Pharmacy

Overview

Journal Pharmacy (Basel)

Date 2018 Oct 26

PMID 30356015

Citations 8

Authors

Liza J Seubert

Kerry Whitelaw

Laetitia Hattingh

Margaret C Watson

Rhonda M Clifford

Affiliations

Soon will be listed here.

Abstract

(1) Background: Community pharmacy personnel help mitigate risks of self-care by consumers who seek over-the-counter (OTC) medicines or treatment of symptoms and/or conditions. Exchange of information facilitates the OTC consultation, but pharmacy personnel often report difficulties in engaging consumers in a dialogue. The aim of this study was to describe the development of a behaviour change intervention to enhance information exchange between pharmacy personnel and consumers during OTC consultations in community pharmacies. (2) Methods: The Behaviour Change Wheel methodological framework was used to link factors that influence consumer engagement with information exchange during OTC consultations with intervention functions to change behaviour. Options generated were rationalized and the final intervention strategy was derived. (3) Results: Education, persuasion, environmental restructuring, and modelling were determined to be potential intervention functions. The intervention incorporated placing situational cues in the form of posters in the community pharmacy modelling information exchange behaviour, persuading through highlighting the benefits of exchanging information and educating about its importance. (4) Conclusions: A systematic, theoretically underpinned approach was applied to develop candidate interventions to promote information exchange in OTC consultations. The feasibility and efficacy of the intervention strategy has since been tested and will be reported elsewhere.

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References

Mullan J, Weston K, Bonney A, Burns P, Mullan J, Rudd R . Consumer knowledge about over-the-counter NSAIDs: they don't know what they don't know. Aust N Z J Public Health. 2016; 41(2):210-214. DOI: 10.1111/1753-6405.12589. View

Collins J, Schneider C, Faraj R, Wilson F, de Almeida Neto A, Moles R . Management of common ailments requiring referral in the pharmacy: a mystery shopping intervention study. Int J Clin Pharm. 2017; 39(4):697-703. DOI: 10.1007/s11096-017-0505-8. View

Krishnan H, Schaefer M . Evaluation of the impact of pharmacist's advice giving on the outcomes of self-medication in patients suffering from dyspepsia. Pharm World Sci. 2000; 22(3):102-8. DOI: 10.1023/a:1008733207854. View

Benrimoj S, Frommer M . Community pharmacy in Australia. Aust Health Rev. 2004; 28(2):238-46. DOI: 10.1071/ah040238. View

Kelly F, Williams K, Benrimoj S . Does advice from pharmacy staff vary according to the nonprescription medicine requested?. Ann Pharmacother. 2009; 43(11):1877-86. DOI: 10.1345/aph.1L121. View

Hanna L, Hughes C . 'First, do no harm': factors that influence pharmacists making decisions about over-the-counter medication: a qualitative study in Northern Ireland. Drug Saf. 2010; 33(3):245-55. DOI: 10.2165/11319050-000000000-00000. View

Watson M, Johnston M, Entwistle V, Lee A, Bond C, Fielding S . Using the theory of planned behaviour to develop targets for interventions to enhance patient communication during pharmacy consultations for non-prescription medicines. Int J Pharm Pract. 2014; 22(6):386-96. DOI: 10.1111/ijpp.12095. View

Watson M, Bond C, Grimshaw J, Mollison J, Ludbrook A, WALKER A . Educational strategies to promote evidence-based community pharmacy practice: a cluster randomized controlled trial (RCT). Fam Pract. 2002; 19(5):529-36. DOI: 10.1093/fampra/19.5.529. View

Watson M, Bond C, Grimshaw J, Johnston M . Factors predicting the guideline compliant supply (or non-supply) of non-prescription medicines in the community pharmacy setting. Qual Saf Health Care. 2006; 15(1):53-7. PMC: 2564005. DOI: 10.1136/qshc.2005.014720. View

10.

Cane J, OConnor D, Michie S . Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012; 7:37. PMC: 3483008. DOI: 10.1186/1748-5908-7-37. View

11.

Watson M, Cleland J, Inch J, Bond C, Francis J . Theory-based communication skills training for medicine counter assistants to improve consultations for non-prescription medicines. Med Educ. 2007; 41(5):450-9. DOI: 10.1111/j.1365-2929.2007.02723.x. View

12.

Berger K, Eickhoff C, Schulz M . Counselling quality in community pharmacies: implementation of the pseudo customer methodology in Germany. J Clin Pharm Ther. 2005; 30(1):45-57. DOI: 10.1111/j.1365-2710.2004.00611.x. View

13.

Schneider C, Emery L, Brostek R, Clifford R . Evaluation of the supply of antifungal medication for the treatment of vaginal thrush in the community pharmacy setting: a randomized controlled trial. Pharm Pract (Granada). 2013; 11(3):132-7. PMC: 3809135. DOI: 10.4321/s1886-36552013000300002. View

14.

Watson M, Cleland J, Bond C . Simulated patient visits with immediate feedback to improve the supply of over-the-counter medicines: a feasibility study. Fam Pract. 2009; 26(6):532-42. DOI: 10.1093/fampra/cmp061. View

15.

Schneider C, Everett A, Geelhoed E, Kendall P, Clifford R . Measuring the assessment and counseling provided with the supply of nonprescription asthma reliever medication: a simulated patient study. Ann Pharmacother. 2009; 43(9):1512-8. DOI: 10.1345/aph.1M086. View

16.

Queddeng K, Chaar B, Williams K . Emergency contraception in Australian community pharmacies: a simulated patient study. Contraception. 2011; 83(2):176-82. DOI: 10.1016/j.contraception.2010.07.011. View

17.

Watson M, Bond C, Johnston M, Mearns K . Using human error theory to explore the supply of non-prescription medicines from community pharmacies. Qual Saf Health Care. 2006; 15(4):244-50. PMC: 2564009. DOI: 10.1136/qshc.2005.014035. View

18.

Calamusa A, Di Marzio A, Cristofani R, Arrighetti P, Santaniello V, Alfani S . Factors that influence Italian consumers' understanding of over-the-counter medicines and risk perception. Patient Educ Couns. 2011; 87(3):395-401. DOI: 10.1016/j.pec.2011.10.003. View

19.

Watson M, Hart J, Johnston M, Bond C . Exploring the supply of non-prescription medicines from community pharmacies in Scotland. Pharm World Sci. 2008; 30(5):526-35. DOI: 10.1007/s11096-008-9202-y. View

20.

Hughes C, McElnay J, Fleming G . Benefits and risks of self medication. Drug Saf. 2001; 24(14):1027-37. DOI: 10.2165/00002018-200124140-00002. View