Pharmacists' perspectives on MedSMA∫T: A serious game to educate youth about opioid safety
Pharmacists' perspectives on MedSMA∫T: A serious game to educate youth about opioid safety
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DOI：
10.1016/j.japh.2023.04.020
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发表时间：
2023-07-19
影响因子：
2.1
通讯作者：
Paulsen, Zachary
中科院分区：
文献类型：
--
作者：
Abraham, Olufunmilola;Slonac, Evan;Paulsen, Zachary
背景：青少年阿片类药物滥用已被认为是一个可怕的公共卫生问题。尽管美国努力解决类阿片流行问题，但与类阿片有关的发病率和死亡率继续上升。几乎没有专门针对预防青少年滥用阿片类药物的干预措施。MedSMART：冒险在制药城（MedSMART），是一个严重的游戏，教育最终用户的挑战，使他们在低风险的环境中作出适用的决定。目的：该研究旨在描述药剂师对使用MedSMART教育青少年和家庭阿片类药物安全性的观点。方法：从药学实践增强和行动研究链接（PearlRx）和威斯康星州药学会招募药剂师。药剂师们玩了30分钟的MedSMART游戏，而一名研究小组成员通过Zoom观察。虚拟半结构化访谈（45分钟）进行了记录和逐字转录。研究小组的两名成员使用NVivo软件对每份成绩单进行独立编码，以进行归纳主题分析。每两周举行一次会议，讨论和完善代码以及主码本，并确定普遍的主题（编码器间的可靠性，kappa 1/4 0.91）。结果：2021年8月至11月期间，对22名药师进行了访谈。确定了四个主题：游戏内容和设计，病人教育，实施障碍和实施促进者。大多数药剂师认为MedSMART是阿片类药物安全教育的有效资源。Pharmacy报告称，与年龄相适应的语言与现实场景和相关角色相结合。Pharmacy还强调了互动游戏的价值，以吸引玩家积极学习和回忆教育内容。结论：药剂师作为药物专家发挥着不可或缺的作用，并为使用和将MedSMART游戏纳入各种药房实践环境提供了宝贵的见解。未来的工作是必要的，以了解家长和青少年的看法，使用MedSMART作为阿片类药物的安全教育工具在药店。© 2023美国药学协会®。爱思唯尔公司出版All rights reserved.
Background: Adolescent opioid misuse has been recognized as a dire public health issue. Despite efforts to address the opioid epidemic in the United States, opioid-related morbidity and mortality have continued to rise. Few interventions have been tailored to prevent adolescent opioid misuse. MedSMART: Adventures in PharmaCity (MedSMART), is a serious game that educates the end-user by challenging them to make applicable decisions in a low-stakes environment. Objective: The study aimed to characterize pharmacists' perspectives on using MedSMART to educate adolescents and families about opioid medication safety. Methods: Pharmacists were recruited from the Pharmacy Practice Enhancement and Action Research Link (PearlRx) and the Pharmacy Society of Wisconsin. Consented pharmacists played the MedSMART game for 30 minutes while a research team member observed via Zoom. Virtual semi-structured interviews (45 minutes) were recorded and transcribed verbatim. Two members of the research team independently coded each transcript using NVivo software to conduct inductive thematic analyses. Bi-weekly meetings were held to discuss and refine codes as well as the master codebook, and identify prevalent themes (intercoder reliability, kappa 1/4 0.91). Results: Twenty-two pharmacists were interviewed between August and November 2021. Four themes were identified: game content and design, patient education, implementation barriers, and implementation facilitators. Most pharmacists perceived MedSMART to be an effective resource for opioid safety education. Pharmacists reported that age-appropriate language was used in combination with realistic scenarios and relatable characters. Pharmacists also highlighted the value of interactive gameplay to engage the player to actively learn and recall educational content. Conclusions: Pharmacists play an integral role as medication experts and contributed valuable insights into using and incorporating the MedSMART game into various pharmacy practice settings. Future work is necessary to understand parents' and adolescents' perceptions of using MedSMART as an opioid safety education tool in pharmacies. & COPY; 2023 American Pharmacists Association & REG;. Published by Elsevier Inc. All rights reserved.