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A cluster-randomized controlled knowledge translation feasibility study in Alberta community pharmacies using the

Meagen M Rosenthal1, Ross T Tsuyuki2, Sherilyn Kd Houle3

  • 1Department of Pharmacy Administration, University of Mississippi, 223 Faser Hall, Post Office Box 1848, Mississippi, MS 38677-1848 USA.

Pilot and Feasibility Studies
|December 15, 2016
PubMed
Summary

This study tested a facilitated intervention to improve medication management services in community pharmacies for chronic diseases. The research aims to increase the uptake of these services through enhanced facilitation, supporting scalable practice changes.

Keywords:
FacilitationKnowledge implementationKnowledge translationPharmacy

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Area of Science:

  • Health Services Research
  • Implementation Science
  • Pharmacy Practice

Background:

  • Pharmacist involvement in chronic disease management shows benefits but is underutilized in community settings.
  • The Promoting Action on Research Implementation in Health Services (PARiHS) framework highlights evidence, context, and facilitation for effective knowledge translation.
  • This study hypothesizes that a lack of facilitation hinders the uptake of beneficial pharmacy services, despite adequate evidence and conducive contexts.

Purpose of the Study:

  • To conduct a feasibility study of a facilitated pharmacy practice intervention based on the PARiHS framework.
  • To assist community pharmacists in increasing the number of formal and documented medication management services for patients with diabetes, dyslipidemia, and hypertension.
  • To evaluate the role of facilitation in achieving scalable and sustainable practice change in community pharmacy.

Main Methods:

  • A cluster-randomized before-after design involving ten pharmacies from a single organization.
  • Pharmacies were randomized to either a facilitated intervention group or a usual practice control group.
  • The Alberta Context Tool assessed the practice context, and external facilitators provided task-focused support in the intervention group.

Main Results:

  • The study successfully identified and enrolled the ten required pharmacies.
  • The intervention process has been initiated in the participating pharmacies.
  • Process evaluation will assess pharmacy needs, intervention acceptability, and participation willingness.

Conclusions:

  • This study is the first to investigate the specific role of facilitation in enhancing pharmacy practice.
  • The findings aim to inform strategies for scalable and sustainable improvements in medication management services.
  • Successful implementation could lead to broader adoption of clinical pharmacy services.