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Pharmacists' propensity to trust automated technologies: A demographic analysis 药剂师信任自动化技术的倾向:人口统计学分析。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2025-12-23 DOI: 10.1016/j.japh.2025.103011
Megan Whitaker, Brigid Rowell, Jin Yong Kim, Raed Al Kontar, X. Jessie Yang, Corey A. Lester

Background

Artificial intelligence (AI), in conjunction with automated technologies, is being deployed in pharmacies. Little research has been published regarding pharmacists' general willingness to trust AI. Understanding pharmacists' propensity to trust (PTT) AI may help guide the successful implementation and adoption of AI tools.

Objective

The objective is to assess pharmacists' PTT AI with automated technology and identify factors that may influence this tendency.

Methods

As part of a larger study, licensed pharmacists completed a demographics survey and the PTT survey before testing AI advice on medication fills. The PTT survey consisted of 6 statements about AI and pharmacists indicated their level of agreement using a 5-point Likert scale, with higher numbers indicating more agreement. Summary statistics, Kruskal-Wallis tests, linear regressions, and confidence intervals were calculated.

Results

Ninety-nine pharmacists completed the surveys. The mean pharmacist age was 38.1 years and the median PTT score was 3.83 (P < 0.001). Age was a statistically significant predictor of PTT (β = 0.02, P < 0.001, and R2 = 0.11). Linear regressions yielded statistically significant results for age and the work experience category of 21 or more years. No significant differences were found between the PTT scores and gender, ethnicity, race, or pharmacy setting.

Conclusions

Older and more experienced pharmacists had higher PTT scores. Exposure to AI tools during pharmacy education may help younger pharmacists optimize their PTT AI.
背景:人工智能(AI)与自动化技术正在药房中得到应用。关于药剂师普遍愿意信任人工智能的研究很少发表。了解药剂师信任人工智能的倾向可能有助于指导人工智能工具的成功实施和采用。目的:目的是评估药剂师信任人工智能与自动化技术的倾向,并确定可能影响这种倾向的因素。方法:作为一项更大规模研究的一部分,在测试人工智能对药物填充物的建议之前,有执照的药剂师完成了一项人口统计调查和信任倾向(PTT)调查。PTT调查包括6个关于人工智能的陈述,药剂师使用5分李克特量表表示他们的同意程度,数字越高表示同意程度越高。计算了汇总统计、Kruskal-Wallis检验、线性回归和置信区间。结果:共有99名药师完成调查。药师平均年龄38.1岁,PTT评分中位数为3.83分(p 2 = 0.11)。线性回归对年龄和21年以上工作经验类别产生了统计上显著的结果。PTT评分与性别、民族、种族或药房设置之间无显著差异。结论:药师年龄越大,经验越丰富,PTT评分越高。在药学教育期间接触人工智能工具可能有助于年轻药剂师优化他们对人工智能的信任倾向。
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引用次数: 0
Evaluating the APhA Foundation Incentive Grants Program: Perceptions from residency program 评估APhA基金会奖励补助计划:来自住院医师计划的看法。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2026-01-13 DOI: 10.1016/j.japh.2026.103025
Emily Albers, Shanna K. O'Connor, Cristian Rodriquez

Background

The American Pharmacists Association (APhA) Foundation Incentive Grants Program provides financial support for practice-based research projects designed to enhance the health outcomes of patients. Incentive grants have been a staiting point for many pharmacists, residents, and students to develop a passion for innovative patient care.

Objective

To evaluate residency program directors' (RPDs) perception of the Incentive Grants Program, the perceived value of program facilitation, and impact of the program on practice sites.

Methods

RPDs from Incentive Grant-funded programs participated in a 16-item survey and follow-up focus groups where they responded to questions related to their programs, their residents, program-related publications, impact of the program, and perceptions of the program and experience.

Results

Twenty-five RPDs completed the survey and 9 participated in focus groups. Findings included that 95.7% of respondents agreed or strongly agreed that the Incentive Grants program is valuable to community-based practice, and agreement that residents benefit from Incentive Grants. Some areas of improvement for the Incentive Grants program were identified, including a need to refine the scoring rubric for applications to more heavily weigh feasibility, communication from APhA foundation coordinators to RPDs and residents, and expectations related to publications.

Conclusion

The Incentive Grants program is positively perceived by RPDs and can be improved by streamlining communication and administration of the program. The program-funded projects are valuable to community-based practice and the grants themselves may benefit trainees more than broadly impacting practice.
背景:美国药剂师协会(APhA)基金会激励资助计划为旨在提高患者健康结果的基于实践的研究项目提供财政支持。激励补助金已经成为许多药剂师、住院医生和学生培养创新病人护理热情的起点。目的:评估住院医师项目主任(rpd)对激励补助项目的感知、项目促进的感知价值以及项目对实习场所的影响。方法:来自激励基金资助项目的住院医师项目主任参与了一项16项调查和后续焦点小组,他们回答了与他们的项目、他们的住院医师、项目相关的出版物、项目的影响以及对项目和经验的看法有关的问题。结果:有25位RPDs完成了调查,9位参与了焦点小组。调查结果包括95.7%的受访者同意或强烈同意激励赠款计划对社区实践有价值,并同意居民从激励赠款中受益。奖励性资助计划的一些改进领域被确定,包括需要完善申请的评分标准,以更重地衡量可行性,APhA基金会协调员与rpd和居民的沟通,以及与出版物相关的期望。结论:rpd对激励补助计划有积极的看法,可以通过简化该计划的沟通和管理来改进。计划资助的项目对社区实践是有价值的,赠款本身可能使受训者受益,而不是广泛影响实践。
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引用次数: 0
Dosing impact of cefepime and meropenem on multidrug-resistant Pseudomonas aeruginosa chronic cellulitis: A case report 头孢吡肟和美罗培南对多重耐药铜绿假单胞菌慢性蜂窝组织炎的剂量影响1例。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2026-01-06 DOI: 10.1016/j.japh.2026.103017
Xiaofeng Botner

Background

To describe a case of treatment failure and emergent resistance due to suboptimal antibiotic dosing and demonstrate a practical strategy for optimizing dosing to achieve treatment efficacy.

Case summary

We report a woman in her 90s with no history of renal disease but with low weight and height. She was treated with a renally adjusted dose of cefepime for cellulitis caused by multidrug resistant (MDR) Pseudomonas aeruginosa, with a minimum inhibitory concentration at the susceptibility borderline. One month later, she was re-admitted for cefepime-resistant P. aeruginosa cellulitis and therapy was switched to meropenem. The meropenem dose was optimized by evaluating both the creatinine clearance (CrCl) calculated by the Cockcroft-Gault equation and the modification of diet in renal disease (MDRD) estimated glomerular filtration rate (eGFR). This approach led to a successful treatment.

Practice implications

This case highlights the challenge of dosing antibiotics in the elderly population for MDR bacteria, where high doses are often required. To prevent treatment failure and the emergence of resistance from suboptimal dosing, we recommend evaluating renal function using MDRD eGFR in addition to CrCl, when a significant discrepancy exists between the 2 values.
目的:描述一个由于抗生素剂量不理想而导致治疗失败和出现耐药性的病例,并展示一种优化剂量以达到治疗效果的实用策略。病例总结:我们报告一位90多岁的女性,无肾脏疾病史,但体重和身高都很低。她使用肾调节剂量的头孢吡肟治疗由多重耐药(MDR)铜绿假单胞菌引起的蜂窝织炎,最低抑制浓度(MIC)在敏感性边界。一个月后,她因耐头孢吡肟铜绿假单胞菌蜂窝组织炎再次入院,并改用美罗培南治疗。通过评估Cockcroft-Gault (CG)方程计算的肌酐清除率(CrCl)和肾病患者饮食改变(MDRD)估计的肾小球滤过率(eGFR)来优化美罗南剂量。这种方法治疗成功。实践意义:该病例突出了在老年人群中使用抗生素治疗耐多药细菌的挑战,通常需要高剂量。为了防止治疗失败和因次优给药而出现耐药性,我们建议除了使用CrCl外,还使用MDRD eGFR来评估肾功能,当两者之间存在显著差异时。
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引用次数: 0
Exploring the role of community pharmacist-administered injectable naltrexone for drug treatment court participants: Results from a pilot study 探索社区药剂师管理的注射纳曲酮对药物治疗法庭参与者的作用:一项试点研究的结果。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2026-01-20 DOI: 10.1016/j.japh.2026.103029
Jason S. Chladek, Aaron M. Gilson, Michele Gassman, James H. Ford II

Background

Drug treatment courts (DTCs) are designed to reduce relapse and recidivism among individuals with substance use issues, including opioid use disorder (OUD). Medications for opioid use disorder (MOUD) are part of the gold standard for OUD treatment. Most drug courts, including adult courts, authorize the use of MOUD for program participants. However, the overall percentage of individuals receiving MOUD remains low.

Objectives

Explore if Wisconsin DTCs collaborate with community pharmacists to administer injectable naltrexone, as well as perceptions, barriers, and advantages of these collaborations.

Methods

A 21-item survey was administered to Wisconsin Treatment Court coordinators to understand the use of injectable naltrexone for OUD among program participants. Respondents were invited to participate in an unstructured focus group following survey completion. Subsequently, community pharmacists were recruited for an interview panel. The focus group and interview panel purpose was to understand perspectives related to a bi-directional collaboration to provide injectable naltrexone for program participants. Descriptive statistics and an inductive thematic analysis summarized study findings.

Results

Overall, 20 respondents completed the survey. Three of the 4 DTCs providing MOUD report administering injectable naltrexone to participants and awareness that pharmacists can administer injectable naltrexone. However, only one had directly worked with a pharmacist. Two treatment court coordinators participated in the focus group, and 4 community pharmacists participated in the interview panel. Emergent themes included lack of awareness and concerns regarding community pharmacy services and potential advantages of and barriers to community pharmacist-administered injectable naltrexone.

Conclusion

Community pharmacist-administered injectable naltrexone is not widely used within Wisconsin DTCs. However, treatment court coordinators and community pharmacists acknowledged the potential benefits of community pharmacy involvement to administer injectable naltrexone. Future research should expand on these findings and explore ways to increase knowledge and awareness of injectable naltrexone and community pharmacist-provided services and address barriers.
背景:药物治疗法庭(dtc)旨在减少物质使用问题个体的复发和再犯,包括阿片类药物使用障碍(OUD)。阿片类药物使用障碍(mod)的药物治疗是OUD治疗的金标准的一部分。大多数毒品法庭,包括成人法庭,都授权项目参与者使用mod。然而,接受mod的个人的总体百分比仍然很低。目的:探讨威斯康星州dtc是否与社区药剂师合作管理可注射纳曲酮,以及这些合作的认知、障碍和优势。方法:对威斯康星州治疗法院协调员进行21项调查,以了解项目参与者中注射纳曲酮治疗OUD的使用情况。调查完成后,受访者被邀请参加一个非结构化的焦点小组。随后,招募社区药剂师进行访谈小组。焦点小组和访谈小组的目的是了解与双向合作有关的观点,为项目参与者提供可注射纳曲酮。描述性统计和归纳性专题分析总结了研究结果。结果:总共有20名受访者完成了调查。提供mod的4个dtc中有3个报告给参与者使用可注射纳曲酮,并且意识到药剂师可以使用可注射纳曲酮。然而,只有一个人直接与药剂师一起工作。两名治疗法庭协调员参加了焦点小组,四名社区药剂师参加了访谈小组。紧急主题包括缺乏对社区药房服务的认识和关注,以及社区药剂师给药注射纳曲酮的潜在优势和障碍。结论:社区药剂师给药注射纳曲酮在威斯康辛州dtc未被广泛使用。然而,治疗法庭协调员和社区药剂师承认社区药房参与管理注射纳曲酮的潜在好处。未来的研究应扩大这些发现,并探索如何提高对可注射纳曲酮的认识和认识,以及社区药剂师提供的服务和解决障碍。
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引用次数: 0
Pharmacist's role in addressing barriers to continuous glucose monitoring within underserved communities 药剂师在解决服务不足社区持续血糖监测障碍中的作用。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2026-01-05 DOI: 10.1016/j.japh.2025.103016
Christ Ange K. Cellino , En-Ling Chen , Julia Pawelek, Chris J. Daly, David M. Jacobs, Gina M. Prescott
Continuous glucose monitoring (CGM) has transformed diabetes care by enabling real-time tracking of glucose levels, improving glycemic control, reducing hypoglycemia, and enhancing quality of life. Despite their clinical benefits, CGM adoption remains inequitable, with underserved populations facing barriers such as low digital and health literacy, financial hardship, limited provider engagement, and fragmented healthcare system infrastructure. Pharmacists, trusted and accessible providers embedded within communities, have emerged as key collaborators for CGM use through patient education, data interpretation, and treatment optimization. Evidence from community-based settings demonstrates that pharmacist-led CGM interventions are associated with significant reductions in HbA1c, improvements in time-in-range, and enhanced patient engagement, although studies focusing specifically on underserved populations remain limited. Persistent barriers at patient, provider, and system levels must be addressed to achieve equitable CGM system access, including challenges related to cost, digital access or literacy, language barriers, health care professional training and patient education. By advancing pharmacist-led CGM initiatives tailored to the social and cultural needs of underserved populations, there is an opportunity to reduce disparities in CGM utilization and improve diabetes outcomes. This commentary highlights current evidence, identifies gaps, and issues a call to action for expanding pharmacist-led CGM programs in high need populations as a critical step toward promoting health equity in diabetes management.
连续血糖监测(CGM)通过实时跟踪血糖水平、改善血糖控制、减少低血糖和提高生活质量,改变了糖尿病护理。尽管有临床益处,但CGM的采用仍然不公平,服务不足的人群面临着诸如数字和健康素养低、经济困难、提供者参与有限以及医疗保健系统基础设施分散等障碍。药剂师是社区内可信赖和可接近的提供者,通过患者教育、数据解释和治疗优化,已成为CGM使用的关键合作者。来自社区环境的证据表明,药剂师主导的CGM干预与HbA1c的显著降低、范围时间的改善和患者参与度的提高有关,尽管专门针对服务不足人群的研究仍然有限。必须解决患者、提供者和系统层面的持续障碍,以实现公平的CGM系统访问,包括与成本、数字访问或扫盲、语言障碍、医疗保健专业培训和患者教育相关的挑战。通过推进药剂师主导的针对服务不足人群的社会和文化需求的CGM计划,有机会缩小CGM利用的差距并改善糖尿病结局。本评论强调了目前的证据,确定了差距,并呼吁采取行动,在高需求人群中扩大药剂师主导的CGM项目,作为促进糖尿病管理健康公平的关键一步。
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引用次数: 0
Integrating trauma-informed care into ambulatory settings: A practical approach 将创伤知情护理纳入门诊设置:一种实用的方法。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2025-10-15 DOI: 10.1016/j.japh.2025.102946
Casey Gallimore, K. Ashley Garling

Background

Outpatient pharmacy settings, such as ambulatory care clinics, serve patients by addressing their medical needs and providing longitudinal pharmacy health care services within their communities. In the United States, approximately 83% of people have experienced a traumatic event in their lifetime, and these exposures can significantly impact their long-term health outcomes. Trauma-informed care (TIC) is an approach to health care that recognizes and responds to the impact of trauma on individuals in ways that promote healing and recovery and avoid re-traumatization.

Objectives

This article aims to guide ambulatory care pharmacists on implementing trauma-informed care (TIC) to improve patient outcomes.

Methods

This guidance includes how to recognize signs and symptoms of trauma, navigate trauma disclosures, build trust with survivors through trauma-informed communication, and report abuse in a pharmacy ambulatory care setting, highlighting the crucial role of pharmacists in this process.

Results

Trauma-informed practices and care in ambulatory settings are not just important but essential due to the ongoing nature of care and the management of chronic health conditions in patients who have experienced trauma, underscoring the significance of pharmacists' roles in patient care. Although the Substance Abuse and Mental Health Services Administration has outlined TIC approaches, there is a gap in training within the Doctor of Pharmacy program and a lack of published literature on using TIC in specific settings.

Conclusion

The effective use of TIC in ambulatory care settings can significantly improve patient care and, ultimately, patient health outcomes, making pharmacists an integral part of the health care process.
门诊药房设置,如流动护理诊所,通过满足患者的医疗需求并在其社区内提供纵向药房医疗保健服务,为患者提供服务。在美国,大约83%的人在他们的一生中经历过创伤性事件,这些暴露会显著影响他们的长期健康结果。创伤知情护理(TIC)是一种认识和应对创伤对个人的影响,以促进愈合和恢复,避免再次创伤的医疗保健方法。本文旨在指导门诊护理药师实施创伤知情护理(TIC),以改善患者的预后。该指南包括如何识别创伤的体征和症状,如何进行创伤披露,如何通过创伤知情沟通与幸存者建立信任,以及如何在药房门诊护理环境中报告滥用行为,并强调了药剂师在这一过程中的关键作用。在门诊环境中,创伤知情的实践和护理不仅重要,而且必不可少,因为正在进行的护理和对经历过创伤的患者的慢性健康状况的管理,强调了药剂师在患者护理中的作用的重要性。尽管药物滥用和精神健康服务管理局(SAMHSA)概述了创伤知情护理(TIC)方法,但在药学博士项目的培训中存在空白,并且缺乏在特定环境中使用TIC的已发表文献。在门诊护理环境中有效使用TIC可以显著改善患者护理,并最终改善患者健康结果,使药剂师成为医疗保健过程中不可或缺的一部分。
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引用次数: 0
Methemoglobinemia induced by dapsone, hydroxychloroquine, and rifampin combination for post-treatment Lyme disease syndrome: A case report 氨苯砜、羟氯喹和利福平联合治疗后莱姆病综合征致高铁血红蛋白血症1例
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2025-12-18 DOI: 10.1016/j.japh.2025.103009
Jarett Worden, Tyler Baumeister, Sarah Stogner, Nancy Henin, Rebecca A. Stern

Background

A patient presented to the emergency department with drug-induced methemoglobinemia due to a combination of medications prescribed for post-treatment Lyme disease syndrome (PTLDS). This case highlights the potential risks of dapsone, hydroxychloroquine (HCQ), and rifampin for the management of PTLDS.

Case summary

A 62-year-old female presented to the hospital with shortness of breath and low oxygen saturation. Past medical history included a diagnosis of PTLDS, for which she was prescribed a combination of dapsone, HCQ, doxycycline, rifampin, and ivermectin at home. The patient had an oxygen saturation of 88% on room air but was otherwise clinically stable. Arterial blood gas was obtained and demonstrated an elevated methemoglobin level (11.2%). Analysis of peripheral blood smear revealed oxidative hemolysis, indicating medication-induced methemoglobinemia. Glucose-6-phosphate-dehydrogenase (G6PD) testing was ordered to assess for G6PD deficiency, as this is a known risk factor for methemoglobinemia and had not previously been evaluated for this patient. Testing did not demonstrate a G6PD deficiency for this patient. A negative Lyme total antibody test confirmed no active infection. Both dapsone and HCQ are known to induce methemoglobinemia and the addition of rifampin may enhance this effect. Patient improved on supplemental oxygen, ascorbic acid, and discontinuation of dapsone, HCQ, ivermectin, doxycycline, and rifampin therapy.

Practice implications

There is no strong evidence for any anti-infectives used for the treatment of PTLDS, with either short- or long-term use. Dapsone and HCQ can each cause methemoglobinemia. That effect may be increased when used together, especially in combination with rifampin. Appropriate risk assessment and monitoring should be considered when utilizing this combination.
目的:一位因治疗后莱姆病综合征(PTLDS)联合用药而出现药物性高铁血红蛋白血症的患者。本病例强调了氨苯砜、羟氯喹(HCQ)和利福平治疗PTLDS的潜在风险。病例总结:一名62岁女性因呼吸短促和低血氧饱和度入院。既往病史包括PTLDS的诊断,为此在家中给她开了氨苯砜、HCQ、强力霉素、利福平和伊维菌素的联合治疗。患者在室内空气中氧饱和度为88%,但其他方面临床稳定。动脉血气显示高铁血红蛋白水平升高(11.2%)。外周血涂片分析显示氧化性溶血,提示药物性高铁血红蛋白血症。葡萄糖-6-磷酸脱氢酶(G6PD)检测被要求评估G6PD缺乏症,因为G6PD是高铁血红蛋白血症的已知危险因素,以前没有对该患者进行过评估。检测未显示该患者G6PD缺乏。莱姆病总抗体试验阴性,证实无活动性感染。已知氨苯砜和HCQ都能诱导高铁血红蛋白血症,利福平的加入可能会增强这种作用。患者在补充氧气、抗坏血酸和停止氨苯砜、HCQ、伊维菌素、强力霉素和利福平治疗后病情好转。实践意义:没有强有力的证据表明任何抗感染药物用于治疗PTLDS,无论是短期还是长期使用。氨苯砜和羟氯喹均可引起高铁血红蛋白血症。当一起使用时,这种效果可能会增加,特别是与利福平合用。在使用这种组合时,应考虑适当的风险评估和监测。
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引用次数: 0
Factors that can impact community pharmacists' role in reducing health disparities 可能影响社区药剂师在减少健康差距方面的作用的因素。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2025-12-13 DOI: 10.1016/j.japh.2025.103007
Jenna Goins, Elizabeth Unni

Background

Social determinants of health (SDoH) significantly impact health outcomes but are often overlooked in community health care settings. Community pharmacists, as highly accessible providers, are well positioned to address these social factors and reduce health disparities. However, limited research has examined their preparedness, resource access, or current engagement in SDoH interventions.

Objective

This study assessed New York State community pharmacists' knowledge, access to, and use of SDoH-related resources using the theoretical framework proposed by Kiles et al., which examines pharmacist roles at the patient, practice, and community levels.

Methods

A cross-sectional survey of 37 items was distributed electronically to licensed community pharmacists across New York State. The survey captured data on demographics, SDoH knowledge and resource awareness, and practice-based engagement. Descriptive and inferential statistics identified key trends and associations. Two composite scores—SDoH resource awareness and availability—were generated to evaluate pharmacist familiarity with and access to social support services.

Results

A total of 355 pharmacists met eligibility criteria and completed the survey. Those with training in health disparities demonstrated significantly higher awareness of cultural practices, health screening availability, and mental health resources. While many reported availability of naloxone, immunizations, and smoking cessation services, fewer than a quarter offered disease state education, and just a fifth had training in depression screening. Fewer than one-third routinely recommended Medicare Part D enrollment. A moderately strong positive correlation was found between awareness and availability of SDoH resources. Pharmacists who spoke another language or had long-term tenure at their practice site reported greater familiarity with local needs and resources.

Conclusion

While community pharmacists in New York are positioned to address SDoH, gaps in training, mental health screening, and community engagement persist. Structured training in health disparities and mental health, along with policies to support sustainable implementation of SDoH interventions, are needed to expand pharmacists' capacity to serve vulnerable populations and advance health equity.
背景:健康的社会决定因素(SDoH)显著影响健康结果,但在社区卫生保健环境中往往被忽视。社区药剂师作为易于获得的提供者,在解决这些社会因素和减少健康差距方面处于有利地位。然而,有限的研究调查了他们的准备情况、资源获取情况或目前参与SDoH干预措施的情况。目的:本研究使用Kiles等人提出的理论框架评估了纽约州社区药剂师对sdoh相关资源的知识、获取和使用情况,该框架研究了药剂师在患者、实践和社区层面的角色。方法:以电子方式向纽约州有执照的社区药剂师分发一份包含37项内容的横断面调查。该调查收集了人口统计数据、SDoH知识和资源意识以及基于实践的参与度。描述性和推断性统计确定了主要趋势和关联。生成了两个复合分数- sdoh资源意识和可用性-来评估药剂师对社会支持服务的熟悉程度和获取情况。结果:共有355名药师符合条件并完成调查。那些接受过健康差异培训的人对文化习俗、健康筛查的可获得性和精神卫生资源的认识明显更高。虽然许多人报告了纳洛酮、免疫接种和戒烟服务的可用性,但提供疾病状态教育的不到四分之一,只有五分之一接受过抑郁症筛查方面的培训。少于三分之一的人通常建议参加医疗保险D部分。在意识和SDoH资源的可用性之间发现了中等强的正相关。会说另一种语言或在实习地点长期任职的药剂师报告说,他们更熟悉当地的需求和资源。结论:虽然纽约的社区药剂师有能力解决SDoH问题,但在培训、心理健康筛查和社区参与方面的差距仍然存在。要扩大药剂师服务弱势群体和促进卫生公平的能力,就需要对健康差距和心理健康进行有组织的培训,并制定政策支持可持续地实施卫生保健干预措施。
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引用次数: 0
From blueprint to practice: Implementation strategies for behavioral health programs in community pharmacy 从蓝图到实践:社区药房行为健康项目的实施策略。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 Epub Date: 2025-10-31 DOI: 10.1016/j.japh.2025.102967
Melanie Livet, Amber Watson

Background

Despite the need for practical implementation systems, few studies have focused on operationalizing and exploring use of clearly articulated implementation strategies to support uptake of patient care interventions in community pharmacies. This project involved implementation of a behavioral health (BH) intervention for depression and anxiety at 7 pharmacy sites over a 6–11 month period.

Objectives

This study describes the comprehensive, multifaceted blueprint that guided pharmacies through the implementation process, and summarizes the lessons learned related to use of its implementation strategies.

Methods

The implementation blueprint involved operationalization of 8 strategy clusters adapted from Waltz and colleagues' Expert Recommendations for Implementing Change taxonomy. Lessons learned were generated through 30-45 minutes interviews with 7 pharmacists leading the implementation. These interviews focused on successes, barriers, and key insights related to implementation. The transcripts were analyzed using directive content analysis involving an a-priori coding structure.

Results

Five lessons learned emerged: (1) offering the BH intervention as an add-on to already existing patient care services facilitates integration; (2) patient engagement strategies hinge on clarifying the role the pharmacist can play in behavioral health care; (3) level of connectivity between the pharmacist and the local BH community influence follow-on care; (4) convenience of patient care workflows and availability of implementation supports are critical implementation strategies; and (5) intent to continue offering the BH services is dependent on perceived value for both patients and pharmacists.

Conclusion

Beyond the immediate improvements that can be made to the original blueprint, results highlight 3 key findings with implications for advancing community pharmacy practice through implementation science: the importance of customizing implementation strategies for community pharmacy; the need to further emphasize and integrate relational strategies into implementation blueprints and frameworks; and the value of leveraging the interdependencies among implementation strategies to improve effective implementation.
背景:尽管需要实际的实施系统,但很少有研究集中在操作和探索使用明确的实施策略来支持社区药房患者护理干预措施的吸收。该项目涉及在6-11个月期间在7个药房实施针对抑郁和焦虑的行为健康干预。目的:本研究描述了指导药房实施过程的全面、多方面的蓝图,并总结了与使用其实施策略相关的经验教训。方法:实施蓝图包括采用华尔兹等人的ERIC分类法的8个策略集群的操作化。通过与七名负责实施的药剂师进行30-45分钟的访谈,得出了经验教训。这些访谈集中在与实施相关的成功、障碍和关键见解上。使用涉及先验编码结构的指令内容分析对转录本进行分析。结果:总结了五个经验教训:(1)将BH干预作为现有患者护理服务的附加内容,促进了整合;(2)患者参与策略取决于明确药师在行为卫生保健中的角色;(3)药师与当地医院社区的连通性水平影响后续护理;(4)患者护理工作流程的便利性和实施支持的可用性是关键的实施策略;(5)继续提供BH服务的意图取决于患者和药剂师的感知价值。结论:除了可以对原始蓝图进行直接改进之外,结果突出了三个关键发现,这些发现对通过实施科学推进社区药房实践具有重要意义:定制社区药房实施策略的重要性;需要进一步强调关系战略并将其纳入执行蓝图和框架;以及利用实施战略之间的相互依赖性来提高有效实施的价值。
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引用次数: 0
Implementation and evolution of a citizen council to support patient-oriented pharmacy practice research in Ontario, Canada 实施和演变的公民委员会,以支持病人为导向的药学实践研究在安大略省,加拿大。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 Epub Date: 2025-11-17 DOI: 10.1016/j.japh.2025.102997
Mathew DeMarco, Elizabeth Vernon-Wilson, Mansur Mehdi, Lisa Dolovich, Nancy M. Waite, Jon Jones, Zahava R.S. Rosenberg Yunger

Background

The Ontario Pharmacy Evidence Network (OPEN) introduced the OPEN Citizens’ Council (OCC) in 2019 as a forum for citizen engagement. The OCC provides OPEN researchers with a mechanism for collecting citizens’ perspectives on research priorities, strategies, data interpretation, and methods.

Objective

This paper examines the development and learning from OCC meeting data to provide insight into how a citizen advisory forum can enhance health practice research.

Methods

OCC evaluation used mixed methods. The Public and Patient Engagement Evaluation Tool (PPEET) and participant feedback interviews were offered to both OCC members and researcher presenters following OCC meetings. Descriptive statistical analysis of quantitative data (PPEET survey) was conducted. Inductive thematic analysis was used to conceptualize themes from qualitative semi-structured interviews from both OCC members and researcher presenters.

Results

Ongoing collection and analysis of survey data guided changes to OCC delivery. These included adjusting training, modifying meeting duration and scheduling, expanding preparation and discussion by posting materials online prior to meetings. Qualitative analysis of interview data led to development of four major themes: 1) rationale for participation in OCC, 2) OCC meeting experience, 3) lessons learned about citizen engagement, and 4) research impact and ramifications of citizen engagement (CE).

Conclusion

Regular evaluation enabled council development that provided pharmacy researchers with a way to explore societal views on strategic and implementation research stages. By tapping into broad, civic knowledge, citizen engagement panels can complement other research engagement activities that include patients who have specific, lived experiences. Greater recognition of engagement types, activities, and associated value, along with resources to support collaborative initiatives, will lead to a more responsive research landscape.
背景:安大略省药房证据网络(OPEN)于2019年推出了开放公民委员会(OCC),作为公民参与的论坛。OCC为OPEN研究人员提供了一种机制,用于收集公民对研究重点、策略、数据解释和方法的观点。目的:本文考察了OCC会议数据的发展和学习,以提供关于公民咨询论坛如何加强卫生实践研究的见解。方法:采用混合方法评价OCC。公众和患者参与评估工具(pepet)和参与者反馈访谈提供给OCC成员和OCC会议后的研究人员。对定量数据进行描述性统计分析(pepet调查)。从OCC成员和研究者演讲的定性半结构化访谈中,采用归纳主题分析来概念化主题。结果:持续收集和分析调查数据指导OCC交付的变化。这些措施包括调整培训、修改会议时间和日程安排、通过在会议前在线发布材料来扩大准备和讨论。访谈数据的定性分析导致了四个主要主题的发展:1)参与OCC的理性,2)OCC会议经验,3)公民参与的经验教训,4)研究影响和行政教育的后果。结论:定期评估使委员会的发展提供了一种方法,药学研究人员探索社会对战略和实施研究阶段的看法。通过利用广泛的公民知识,公民参与小组可以补充其他研究参与活动,包括有具体生活经验的患者。对参与类型、活动和相关价值的更多认识,以及支持合作倡议的资源,将导致更积极的研究前景。
{"title":"Implementation and evolution of a citizen council to support patient-oriented pharmacy practice research in Ontario, Canada","authors":"Mathew DeMarco,&nbsp;Elizabeth Vernon-Wilson,&nbsp;Mansur Mehdi,&nbsp;Lisa Dolovich,&nbsp;Nancy M. Waite,&nbsp;Jon Jones,&nbsp;Zahava R.S. Rosenberg Yunger","doi":"10.1016/j.japh.2025.102997","DOIUrl":"10.1016/j.japh.2025.102997","url":null,"abstract":"<div><h3>Background</h3><div>The Ontario Pharmacy Evidence Network (OPEN) introduced the OPEN Citizens’ Council (OCC) in 2019 as a forum for citizen engagement. The OCC provides OPEN researchers with a mechanism for collecting citizens’ perspectives on research priorities, strategies, data interpretation, and methods.</div></div><div><h3>Objective</h3><div>This paper examines the development and learning from OCC meeting data to provide insight into how a citizen advisory forum can enhance health practice research.</div></div><div><h3>Methods</h3><div>OCC evaluation used mixed methods. The Public and Patient Engagement Evaluation Tool (PPEET) and participant feedback interviews were offered to both OCC members and researcher presenters following OCC meetings. Descriptive statistical analysis of quantitative data (PPEET survey) was conducted. Inductive thematic analysis was used to conceptualize themes from qualitative semi-structured interviews from both OCC members and researcher presenters.</div></div><div><h3>Results</h3><div>Ongoing collection and analysis of survey data guided changes to OCC delivery. These included adjusting training, modifying meeting duration and scheduling, expanding preparation and discussion by posting materials online prior to meetings. Qualitative analysis of interview data led to development of four major themes: 1) rationale for participation in OCC, 2) OCC meeting experience, 3) lessons learned about citizen engagement, and 4) research impact and ramifications of citizen engagement (CE).</div></div><div><h3>Conclusion</h3><div>Regular evaluation enabled council development that provided pharmacy researchers with a way to explore societal views on strategic and implementation research stages. By tapping into broad, civic knowledge, citizen engagement panels can complement other research engagement activities that include patients who have specific, lived experiences. Greater recognition of engagement types, activities, and associated value, along with resources to support collaborative initiatives, will lead to a more responsive research landscape.</div></div>","PeriodicalId":50015,"journal":{"name":"Journal of the American Pharmacists Association","volume":"66 1","pages":"Article 102997"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of the American Pharmacists Association
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