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Communication during counseling sessions about inhaled corticosteroids at the community pharmacy
BACKGROUND: Pharmaceutical care is one of the major tasks of pharmacists, which aims to improve patient outcomes. Counseling patients with asthma or chronic obstructive pulmonary disease about their use of inhaled corticosteroids (ICS) might enhance medication adherence and symptom control. Therefor...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5098562/ https://www.ncbi.nlm.nih.gov/pubmed/27843303 http://dx.doi.org/10.2147/PPA.S108006 |
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author | Driesenaar, Jeanine A De Smet, Peter AGM van Hulten, Rolf Hu, Litje van Dulmen, Sandra |
author_facet | Driesenaar, Jeanine A De Smet, Peter AGM van Hulten, Rolf Hu, Litje van Dulmen, Sandra |
author_sort | Driesenaar, Jeanine A |
collection | PubMed |
description | BACKGROUND: Pharmaceutical care is one of the major tasks of pharmacists, which aims to improve patient outcomes. Counseling patients with asthma or chronic obstructive pulmonary disease about their use of inhaled corticosteroids (ICS) might enhance medication adherence and symptom control. Therefore, effective pharmacist–patient communication is very important. In this regard, both affective communication, for handling emotions, and instrumental communication, for exchanging biomedical and lifestyle information, are relevant. Until now, only few studies have explored pharmacist–patient communication, and further insight is needed in this regard. The aim of this study is to investigate how pharmacists and pharmacy technicians communicate about ICS with patients with asthma and/or chronic obstructive pulmonary disease, what topics are discussed by them, and whether pharmacists and pharmacy technicians differ in their communication during counseling sessions. METHODS: Patients aged ≥18 years who had used ICS for at least 1 year and filled at least two ICS prescriptions in the preceding year were recruited through 12 pharmacies. Participants had one counseling session with a pharmacist or a pharmacy technician, which was video-recorded. The process and content of the provider–patient communication were analyzed using the Roter interaction analysis system, adapted to the pharmaceutical setting. RESULTS: A total of 169 sessions were recorded and analyzed. The communication appeared largely instrumental. Lifestyle, psychosocial issues, and ICS adherence were not discussed in detail. The pharmacists had longer conversations and more affective talk than the pharmacy technicians. CONCLUSION: Pharmacists and pharmacy technicians may need to pay more attention to ICS adherence, lifestyle, and psychosocial topics. They differed in their communication; the pharmacists exhibited more affective behavior and discussed medical and therapeutic issues more extensively compared to the pharmacy technicians. Educational courses for pharmacists and pharmacy technicians could focus more on the discussion of adherence, lifestyle, and psychosocial topics with patients. |
format | Online Article Text |
id | pubmed-5098562 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-50985622016-11-14 Communication during counseling sessions about inhaled corticosteroids at the community pharmacy Driesenaar, Jeanine A De Smet, Peter AGM van Hulten, Rolf Hu, Litje van Dulmen, Sandra Patient Prefer Adherence Original Research BACKGROUND: Pharmaceutical care is one of the major tasks of pharmacists, which aims to improve patient outcomes. Counseling patients with asthma or chronic obstructive pulmonary disease about their use of inhaled corticosteroids (ICS) might enhance medication adherence and symptom control. Therefore, effective pharmacist–patient communication is very important. In this regard, both affective communication, for handling emotions, and instrumental communication, for exchanging biomedical and lifestyle information, are relevant. Until now, only few studies have explored pharmacist–patient communication, and further insight is needed in this regard. The aim of this study is to investigate how pharmacists and pharmacy technicians communicate about ICS with patients with asthma and/or chronic obstructive pulmonary disease, what topics are discussed by them, and whether pharmacists and pharmacy technicians differ in their communication during counseling sessions. METHODS: Patients aged ≥18 years who had used ICS for at least 1 year and filled at least two ICS prescriptions in the preceding year were recruited through 12 pharmacies. Participants had one counseling session with a pharmacist or a pharmacy technician, which was video-recorded. The process and content of the provider–patient communication were analyzed using the Roter interaction analysis system, adapted to the pharmaceutical setting. RESULTS: A total of 169 sessions were recorded and analyzed. The communication appeared largely instrumental. Lifestyle, psychosocial issues, and ICS adherence were not discussed in detail. The pharmacists had longer conversations and more affective talk than the pharmacy technicians. CONCLUSION: Pharmacists and pharmacy technicians may need to pay more attention to ICS adherence, lifestyle, and psychosocial topics. They differed in their communication; the pharmacists exhibited more affective behavior and discussed medical and therapeutic issues more extensively compared to the pharmacy technicians. Educational courses for pharmacists and pharmacy technicians could focus more on the discussion of adherence, lifestyle, and psychosocial topics with patients. Dove Medical Press 2016-11-02 /pmc/articles/PMC5098562/ /pubmed/27843303 http://dx.doi.org/10.2147/PPA.S108006 Text en © 2016 Driesenaar et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Driesenaar, Jeanine A De Smet, Peter AGM van Hulten, Rolf Hu, Litje van Dulmen, Sandra Communication during counseling sessions about inhaled corticosteroids at the community pharmacy |
title | Communication during counseling sessions about inhaled corticosteroids at the community pharmacy |
title_full | Communication during counseling sessions about inhaled corticosteroids at the community pharmacy |
title_fullStr | Communication during counseling sessions about inhaled corticosteroids at the community pharmacy |
title_full_unstemmed | Communication during counseling sessions about inhaled corticosteroids at the community pharmacy |
title_short | Communication during counseling sessions about inhaled corticosteroids at the community pharmacy |
title_sort | communication during counseling sessions about inhaled corticosteroids at the community pharmacy |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5098562/ https://www.ncbi.nlm.nih.gov/pubmed/27843303 http://dx.doi.org/10.2147/PPA.S108006 |
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