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Development, implementation and evaluation of a pilot project to deliver interventions on alcohol issues in community pharmacies

机译:开发,实施和评估一个试点项目,以对社区药房的酒精问题进行干预

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The aim was to evaluate the feasibility and acceptability of the provision of brief interventions on alcohol misuse in community pharmacies. The objectives were to: train community pharmacists to initiate discussion of alcohol consumption with targeted pharmacy clients and screen, intervene or refer as appropriate; and to explore with pharmacists and clients the feasibility, acceptability and perceived value of screening and delivering the intervention.Eight community pharmacies in Greater Glasgow.After a two-day training course for pharmacists (n = 9) and one day for pharmacy assistants (n = 13), the eight pharmacies recruited clients over 3 months. Standardised protocols were prepared to screen clients for hazardous or harmful drinking using the Fast Alcohol Screening Tool (FAST) and to guide the intervention. Clients were recruited from specific target groups and via posters highlighting the service. Following completion of the recruitment phase, pharmacists and clients were followed up by the research team, using a combination of focus groups and semi-structured telephone interviews.During the study period 70 clients were recruited, 30 screened as drinking hazardously (42.9%) and 7 (10%) screened positive for harmful drinking. Interventions commonly included explanation of sensible drinking and units in clients' preferred drinks (n = 33), feedback on screening and risks to health (n = 27) and discussion of pros and cons of current drinking pattern and link with presenting issue (n = 23). Of the 40 clients agreeing to be followed up, 19 could be contacted and most were generally positive about the experience. On follow-up the pharmacists were positive and felt the project worthwhile and, importantly, noted no strong negative reactions from clients.This project has been successful in training community pharmacists to discuss alcohol with 70 clients. Further work is required to test the generalisability of our findings and to measure the impact on alcohol consumption.
机译:目的是评估提供关于社区药房滥用酒精的简短干预措施的可行性和可接受性。目的是:培训社区药剂师,与有针对性的药房客户进行酒精消费的讨论,并筛选,干预或酌情转介;并与药剂师和客户探讨筛选和实施干预措施的可行性,可接受性和感知价值。大格拉斯哥的八家社区药房。为期两天的药剂师培训课程(n = 9)和一天的药房助手培训(n = 13),这8家药房在3个月内招募了客户。准备了标准规程,以使用快速酒精筛查工具(FAST)筛查客户的有害或有害饮料并指导干预措施。从特定的目标群体中招募客户,并通过突出服务的招贴招募客户。招募阶段结束后,研究小组通过焦点小组和半结构化电话访谈相结合的方式对药剂师和客户进行了跟踪研究,在研究期间招募了70位客户,其中30位被筛查为有害饮酒者(42.9%)和7(10%)人筛查出有害饮酒的阳性。干预措施通常包括对合理饮酒的解释和客户偏爱饮品的单位(n = 33),对筛查和健康风险的反馈(n = 27)以及对当前饮酒方式的利弊的讨论以及与提出问题的联系(n = 23)。在同意跟进的40位客户中,有19位可以与之联系,大多数人对该体验持肯定态度。在后续行动中,药剂师表示积极并认为该项目值得进行,重要的是,没有注意到客户的强烈反对。该项目成功地培训了社区药剂师与70个客户讨论酒精问题。需要做进一步的工作来检验我们发现的一般性并衡量对饮酒的影响。

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