...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Family Practice >Determinants of intentions to monitor antihypertensive medication adherence in Irish community pharmacy: a factorial survey
【24h】

Determinants of intentions to monitor antihypertensive medication adherence in Irish community pharmacy: a factorial survey

机译：监测爱尔兰社区药房的抗高血压药物遵守的意图决定因素：阶乘调查

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Community pharmacy represents an important setting to identify patients who may benefit from an adherence intervention, however it remains unclear whether it would be feasible to monitor antihypertensive adherence within the workflow of community pharmacy. The aim of this study was to identify facilitators and barriers to monitoring antihypertensive medication adherence of older adults at the point of repeat dispensing. We undertook a factorial survey of Irish community pharmacists, guided by a conceptual model adapted from the Theory of Planned Behaviour (TPB). Respondents completed four sections, 1) five factorial vignettes (clinical scenario of repeat dispensing), 2) a medication monitoring attitude measure, 3) subjective norms and self-efficacy questions, and 4) demographic and workplace questions. Barriers and facilitators to adherence monitoring behaviour were identified in factorial vignette analysis using multivariate multilevel linear modelling, testing the effect of both contextual factors embedded within the vignettes (section 1), and respondent-level factors (sections 2–4) on likelihood to perform three adherence monitoring behaviours in response to the vignettes. Survey invites (n?=?1543) were sent via email and 258 completed online survey responses were received; two-thirds of respondents were women, and one-third were qualified pharmacists for at least 15?years. In factorial vignette analysis, pharmacists were more inclined to monitor antihypertensive medication adherence by examining refill-patterns from pharmacy records than asking patients questions about their adherence or medication beliefs. Pharmacists with more positive attitudes towards medication monitoring and normative beliefs that other pharmacists monitored adherence, were more likely to monitor adherence. Contextual factors also influenced pharmacists’ likelihood to perform the three adherence monitoring behaviours, including time-pressures and the number of days late the patient collected their repeat prescription. Pharmacists’ normative beliefs and the number of days late the patient collected their repeat prescription had the largest quantitative influence on responses. This survey identified that positive pharmacist attitudes and normative beliefs can facilitate adherence monitoring within the current workflow; however contextual time-barriers may prevent adherence monitoring. Future research should consider these findings when designing a pharmacist-led adherence intervention to be integrated within current pharmacy workflow.
机译：社区药房代表了一个重要的环境，以确定可能受益于依从性干预的患者，但仍然不清楚监测社区药房工作流程中的抗高血压遵守是否是可行的。本研究的目的是识别在重复分配点监测老年人的抗高血压药物粘附的辅导员和障碍。我们对爱尔兰社区药剂师进行了一项因子调查，由改编自计划行为理论（TPB）的概念模型为指导。受访者完成了四个部分，1）五个因子Vignettes（临床情景重复分配），2）药物监测态度措施，3）主观规范和自我效力问题，4）人口统计和工作场所问题。在使用多变量多级线性建模的情况下，识别障碍和促进者依赖于遵守监测行为，测试嵌入羽毛内部（第1节）内嵌入的上下文因素（第1节）和受访者级别因素（第2-4节）的效果三个依从性监测行为以响应小插图。通过电子邮件发送调查邀请（N？=？1543），并收到了258份完成的在线调查答复;三分之二的受访者是女性，三分之一的药剂师至少有15岁？年。在阶乘小插图分析中，药剂师更倾向于通过检查药房记录的替补模式来监测抗高血压药物依从性，而不是要求患者对其粘附或药物信仰的问题。具有更积极态度的药剂师对药物监测和规范信念的态度更有可能监测依从性，更有可能监测依从性。背景因素也影响了药剂师的可能性，以执行三个依从性监测行为，包括患者收集其重复处方的时间压力和日子数。药剂师的规范信念和患者收集其重复处方的患者的天数对响应具有最大的定量影响。该调查确定了积极的药剂师态度和规范信念可以促进当前工作流程中的依从性监测;然而，上下文时障可能会阻止依从性监测。在设计药剂师LED粘附干预时，将来应考虑这些调查结果，以集成在当前的药房工作流程中。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号