Medicines and driving: evaluation of training and software support for patient counselling by pharmacists
Medicines and driving: evaluation of training and software support for patient counselling by pharmacists
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DOI：
10.1007/s11096-012-9658-7
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发表时间：
2012-08-01
影响因子：
2.4
通讯作者：
Verstraete, Alain G.
中科院分区：
文献类型：
--
作者：
Legrand, Sara-Ann;Boets, Sofie;Verstraete, Alain G.
背景 服用一些精神药物会对驾驶健康产生负面影响。药剂师应该为患者提供有关参与交通的有用建议。然而，几乎没有关于这个主题的信息。目的 评估在两种类型的配药支持工具中培训和实施有关驾驶障碍药物的新配药指南的效果。测量了用户接受度以及对药剂师的态度和意识、自我报告的行为和知识的影响。来自比利时东佛兰德斯的药剂师。方法 两个干预组和一个对照组参与。干预组接受了培训，并获得了一个配药支持工具，其中包含药物对驾驶能力影响的信息，该工具可以是独立的（USB 棒），也可以集成到日常使用的软件（ViaNova）中。三组在干预期之前和之后填写了一份调查问卷。主要成果衡量 对关于态度和意识、自我报告行为、知识和用户接受度的前/后调查问卷的回答。结果许多药剂师在研究开始时就对该主题产生了浓厚的兴趣。态度、自我报告的行为和知识的积极变化主要是在药剂师群体中测量的，这些信息已集成到他们日常使用的软件中。这些药剂师更多地询问了患者的驾驶体验，告知他们更多与驾驶相关的风险，并提供了有关药物损害作用的更详细信息。参与的药剂师对“药物与驾驶”主题的了解普遍较低。参与者承认了解药物和驾驶主题的重要性，但他们报告缺乏信息或教育。他们强烈喜欢将信息集成到日常使用的软件中的工具。结论 发放支持工具，提供有关药物对驾驶健康的潜在损害影响的信息，可以提高认识、报告的风险沟通行为以及药剂师在该主题上的知识。当信息集成到日常使用的配药软件中时，计算机化的配药支持工具是最有效的。
Background The consumption of some psychotropic medicines has a negative effect on the fitness to drive. Pharmacists are expected to give useful advice to patients on their participation in traffic. However, almost no information is available on this topic. Objective To assess the effect of training and implementation of new dispensing guidelines with regard to driving-impairing medicines, in two types of dispensing support tools. User acceptance was measured as well as the effect on pharmacists' attitudes & awareness, self-reported behaviour and knowledge. Setting Pharmacists from East Flanders in Belgium. Methods Two intervention groups and a control group participated. The intervention groups followed a training and were provided with a dispensing support tool containing information on the effect of medicines on driving ability, which was either stand-alone (USB stick) or integrated into the daily used software (ViaNova). The three groups filled out a questionnaire prior to and after the intervention period. Main outcome measure Answers to a pre/post-questionnaire on attitudes and awareness, self-reported behaviour, knowledge and user acceptance. Results Many pharmacists were already strongly interested in the topic at the beginning of the study. Positive changes in attitude, self-reported behaviour and knowledge were measured mostly in the group of pharmacists for which the information was integrated in their daily used software. These pharmacists asked significantly more about the patients' driving experience, informed them more about driving-related risk and gave more detailed information on impairing effects of medicines. The knowledge of the participating pharmacists on the topic 'medicines and driving' remained generally low. The participants acknowledge the importance of being aware of the topic medicines and driving but they report a lack of information or education. They strongly prefer a tool that integrates the information in their daily used software. Conclusion Dispensing support tools with information on the potential impairing effect of a medicine on the fitness to drive increases awareness, reported risk communication behaviour as well as knowledge of pharmacists on this topic. Computerised dispensing support tools are most effective when the information is integrated into the daily used dispensing software.