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Development and validation of the Medication-Related Consultation Framework (MRCF)
Rauja Abdel-Tawab1, Delyth Higman James, Andreas Fichtinger
1School of Pharmacy & Biomolecular Sciences, University of Brighton, UK.
Patient Education and Counseling
|May 31, 2011
Summary
A new framework, the Medication-Related Consultation Framework (MRCF), effectively evaluates practitioner consultation skills. It demonstrates good reliability and validity, aiding in identifying medication-related needs and improving patient adherence.
Area of Science:
- Healthcare Professional Education
- Clinical Pharmacy Practice
- Communication Skills Assessment
Background:
- Effective medication-related consultations are crucial for patient outcomes and adherence.
- Existing frameworks for evaluating these consultations may lack comprehensive psychometric validation.
- Standardized assessment tools are needed to ensure consistent quality of care.
Purpose of the Study:
- To develop and validate a robust framework for assessing practitioner consultation skills in medication-related interactions.
- To establish the psychometric properties of the developed framework.
- To provide a tool for quality evaluation and professional development.
Main Methods:
- Literature review to identify key consultation components.
- Expert consensus (n=21) to refine the framework into the Medication-Related Consultation Framework (MRCF).
- Psychometric testing using pharmacists' (n=10) assessments of simulated consultations.
Main Results:
- The MRCF comprises 46 behaviors across five sections.
- The framework showed good discrimination between consultation quality levels (p<0.01).
- Demonstrated good test-retest (rho=0.59-0.95) and internal consistency (Cronbach's alphas=0.58-0.97), with moderate inter-assessor reliability (Kendall's W=0.67).
Conclusions:
- The MRCF exhibits strong psychometric properties for evaluating consultation skills at global and section levels.
- Identified potential training needs regarding individual behavior assessment consistency.
- The MRCF offers a patient-centered structure for improving medication-related care and adherence.
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