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Pharmacy Student Opioid Consultations with Standardized Limited English Proficiency Patients
Tanvee Thakur1, Meredith Frey2, Betty Chewning1
1University of Wisconsin-Madison School of Pharmacy, United States.
Currents in Pharmacy Teaching & Learning
|April 27, 2020
Summary
Pharmacy students need better training to discuss opioid risks with limited English proficiency (LEP) patients. Most students did not cover severe side effects or opioid-specific dangers like dependency and overdose.
Area of Science:
- Health communication
- Pharmacy education
- Patient safety
Background:
- Limited research exists on healthcare communication with limited English proficiency (LEP) patients.
- There is a lack of evidence on pharmacist-patient communication regarding opioid risks for LEP individuals.
Purpose of the Study:
- To explore topics discussed during opioid medication consultations.
- To assess if pharmacy students inform patients about opioid dependency and overdose risks.
- To evaluate communication practices specifically for LEP patients.
Main Methods:
- Third-year pharmacy students consulted with standardized patients (SPs) simulating LEP individuals (70% non-English speaking).
- Consultations involved a simulated oxycodone prescription pickup and were video recorded.
- Communication skills were quantitatively coded for verbal and non-verbal interactions.
Main Results:
- Few students discussed severe side effects or opioid-specific risks (dependency, overdose).
- Most students used teach-back methods but struggled with clear communication (filler words, fast pace).
- Students recognized a need for structured training in opioid counseling and LEP communication.
Conclusions:
- Pharmacy students demonstrate a lack of confidence and skills in communicating opioid risks to LEP patients.
- Structured educational interventions are necessary to improve pharmacist-patient communication for this vulnerable population.
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