在社区药房提供酒精查和简短干预方面经验丰富的障碍和促进者:定性证据综合
Alexander Smith1,2,3, Ryan Buchanan1,3,4, Julie Parkes1,2
1School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, United Kingdom.
The International journal of pharmacy practice
|November 8, 2023
概括
社区药房可以通过解决已识别的障碍和促进者来改善酒精查和简短干预 (SBI) 交付. 了解行为因素是开发有效的药房SBI计划的关键.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 药房实践 在药房实践.
背景情况:
- 在COVID-19大流行期间,与酒精有关的死亡人数增加,需要加强酒精查和简短干预 (SBI).
- 社区药房是提供SBI的有希望的环境.
- 本次审查调查了社区药房中SBI的障碍和促进者.
研究的目的:
- 在社区药房设置中识别酒精查和简短干预 (SBI) 提供障碍和促进者的障碍.
- 为未来基于药房的SBI倡议的发展提供信息.
主要方法:
- 在四个数据库 (MEDLINE,EMBASE,CINAHL,PsycINFO) 进行定性或混合方法研究的系统搜索.
- 使用能力-机会-动机-行为 (COM-B) 模型进行定性数据提取和框架合成.
- 分析了9项研究 (包括英国的7项,澳大利亚的2项).
主要成果:
- 对SBI交付的障碍和促进因素与COM-B模型的所有组件保持一致.
- 促进者包括沟通技巧,服务整合和角色合法性.
- 障碍包括时间限制,缺乏经验,以及担心引起冒犯.
结论:
- 与其他环境相比,在社区药房中对SBI的研究有限.
- 本综述提供了对药房中SBI交付障碍和促进者的行为理解.
- 这些发现可以指导使用COM-B和行为变化轮 (BCW) 模型开发有效的基于药房的SBI.
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