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推动社区药剂师推行带回家纳洛的实施:测试COM-B的作用
Joanna C Moullin1,2, Lexy Staniland2, Hannah Uren1
1School of Population Health, Faculty of Health Sciences, Curtin University, Perth, Australia.
Drug and alcohol review
|January 30, 2024
概括
一个简短的教育视频提高了药剂师的信心和提供回家纳洛 (THN) 的意图. 然而,它并没有显著改变人们的态度或知识,表明需要更广泛的实施策略.
科学领域:
- 公共卫生 公共卫生
- 药房实践 在药房实践.
- 行为科学 行为科学
背景情况:
- 阿片类药物过量死亡人数正在增加,这凸显了改善回家纳洛 (THN) 分配的需要.
- 目前的THN可访问性不足,需要针对药剂师制定有针对性的实施策略.
研究的目的:
- 评估一个简短的教育视频干预药剂师实施THN的有效性.
- 以COM-B模型为指导,评估视频对影响THN提供因素的影响.
主要方法:
- 在西澳大利亚的102名药剂师中采用了前后混合方法设计.
- 基于COM-B模型的教育视频被用作干预.
- 配对的t测试和结构方程建模分析了意图,知识,技能,信心和其他因素的变化.
主要成果:
- 药剂师在THN可行性,适当性和可接受性的意图,技能,信心和感知方面表现出显著的改善.
- 在态度,知识或实施气候方面没有观察到显著的变化.
- 动机对能力/机会和意图之间的关系的假设调解没有得到支持.
结论:
- 有针对性的视频干预可以增强影响药剂师提供THN的关键因素.
- 在向社区药剂师传播信息方面仍然存在挑战.
- 需要进一步实施战略,以解决知识差距和其他影响THN药剂师行为的其他影响.
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