一个由药剂师提供的基于习惯的干预试点,以支持初级保健中的药物坚持
Matthew Witry1, James Hoehns1, L Alison Phillips2
1University of Iowa College of Pharmacy, 180 S. Grand Ave CPB, Iowa City, IA, 52242, USA.
Research in social & administrative pharmacy : RSAP
|September 13, 2025
概括
与标准教育相比,药剂师主导的使用习惯形成的干预措施并没有显著改善药物坚持或习惯强度. 习惯强度预测了坚持,这表明未来对非坚持患者进行干预的潜力.
科学领域:
- 药房实践的做法 在药房实践.
- 行为科学是一种行为科学.
- 健康研究成果研究结果
背景情况:
- 药物坚持对于治疗成功至关重要.
- 习惯形成是改善坚持的潜在策略.
- 药剂师主导的干预可以支持患者的自我管理.
研究的目的:
- 试点一个由药剂师主导的干预措施,通过习惯形成促进药物坚持.
- 将习惯形成干预与标准教育进行比较.
- 评估对服用药物的习惯强度和坚持的影响.
主要方法:
- 试点研究涉及新药患者,分两个阶段招募.
- 第一个阶段:标准的药剂师教育 (控制).
- 第二阶段:药剂师主导的习惯形成,使用工作表,然后在基线和100天进行调查.
主要成果:
- 两组之间习惯强度 (p=0.37) 或坚持 (p=0.47) 没有显著差异.
- 习惯强度显著预测了坚持 (p=0.02).
- 需要的信念预测了错过的剂量 (p=0.03).
结论:
- 在这项试验中,习惯形成干预措施并没有显著改善坚持或习惯强度.
- 高基线坚持可能会影响结果.
- 未来的研究应该集中在已建立的不遵守或缺乏例行程序的患者身上.
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