为社区药剂师开发基于行为理论的新医学服务工具包,以促进药物坚持
Betul Okuyan1, Pınar Ay2, Mesut Sancar3
1Department of Clinical Pharmacy, Faculty of Pharmacy, Marmara University, Istanbul, Türkiye. betulokuyan@yahoo.com.
International journal of clinical pharmacy
|June 28, 2025
概括
一个新的工具包帮助药剂师为开始服用心脏代谢药物的患者个性化干预措施,通过识别改善药物管理的特定障碍来解决低附着性问题.
科学领域:
- 制药科学 制药科学
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 对新型心脏代谢药物的低坚持是一个重大挑战.
- 个性化行为干预措施对于解决个体患者障碍至关重要.
研究的目的:
- 为土耳其的社区药剂师开发基于行为理论的新医学服务 (NMS) 工具包.
- 该工具包旨在识别和解决患者开始服用高血压,糖尿病或脂质失调药物的不服药原因.
主要方法:
- 一种多阶段的方法,包括文献审查,专家小组,认知面试和患者调查,以开发土耳其DOSE不遵守量表.
- 理论领域框架 (TDF-14) 和行为变化技术 (BCT) 用于将干预措施与不坚持的原因相匹配.
- 一个经过修改的Delphi研究与社区药剂师评估了拟议干预措施的适用性.
主要成果:
- 完成了31项不加入原因列表,以及NMS工具包的14项简短表格.
- 为了完整的原因列表,确定了10个TDF-14域和18个BCT.
- 在Delphi研究中,84%的药剂师干预被发现适用,映射到15个BCT.
结论:
- 一个基于行为理论的NMS工具包成功地为社区药剂师开发.
- 该工具包将帮助药剂师创建个性化干预措施,以改善新处方的药物遵守.
- 建议进行进一步的研究,以评估工具包对患者遵守和临床结果的影响.
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