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Comment on “Falling pass rates on the North American Pharmacist Licensure Examination signal an emerging crisis for a growing number of pharmacy schools” 关于 "北美药剂师执业资格考试通过率下降预示着越来越多的药学院面临新危机 "的评论
IF 1.3 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-17 DOI: 10.1002/jac5.2036
Natalia Shcherbakova Ph.D., Kimberly Pesaturo Pharm.D., John M. Pezzuto Ph.D., D.Sc.
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引用次数: 0
Response to Comment on “Falling pass rates on the North American Pharmacist Licensure Examination signal an emerging crisis for a growing number of pharmacy schools” 对 "北美药剂师执业资格考试通过率下降预示着越来越多的药学院面临新危机 "评论的回应
IF 1.3 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-17 DOI: 10.1002/jac5.2037
Daniel L. Brown Pharm.D.
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引用次数: 0
Pharmacists should be held to high standards, not hindered by bright-line rules 药剂师应遵守高标准,而不应受到明线规则的阻碍
IF 1.3 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-17 DOI: 10.1002/jac5.2038
Stuart T. Haines Pharm.D., FCCP
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引用次数: 0
Assessing pharmacy students' HIV pre-exposure prophylaxis (PrEP) prescribing knowledge, PrEP attitudes, and HIV-related stigma 评估药剂学专业学生的艾滋病暴露前预防(PrEP)处方知识、PrEP 态度以及与艾滋病相关的耻辱感
IF 1.3 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-06 DOI: 10.1002/jac5.2043
Celeste Noelle Bustria B.S., Finan Yohannes, Jennifer Cocohoba Pharm.D., MAS, Lee Nguyen Pharm.D., Nimish Patel Pharm.D., Ph.D., Parya Saberi Pharm.D., MAS

Introduction

Human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) significantly reduces the risk of acquiring HIV. To increase PrEP prescribing, it is crucial to evaluate the preparedness of future pharmacists who will play a pivotal role in providing PrEP education, counseling, and prescribing.

Objective

We assessed PrEP-prescribing knowledge, attitudes, and HIV-related stigma of pharmacy students.

Methods

We conducted a cross-sectional web-based survey of student pharmacists in their final two years of education and training at the three University of California pharmacy schools. Survey questions assessed students' awareness of PrEP, familiarity with prescribing guidelines and Senate Bill 159 (SB159), PrEP knowledge, HIV-related stigma, and attitudes about PrEP. The sample was characterized using descriptive statistics, and non-parametric tests were used to examine associations between dependent variables and independent variables. A p-value <0.05 was deemed statistically significant.

Results

A total of 110 students participated in the survey. The greatest familiarity with guidelines was observed in male (77.4%) (p = 0.047) and gay-identifying (100%) (p = 0.039) students compared with other genders and sexual identities, respectively. Non-advanced pharmacy practice experience (APPE) students (70.3%) displayed significantly more familiarity with SB159 than APPE students (65.2%) (p = 0.006). Non-APPE students displayed higher HIV-related stigma compared with APPE students (13.8 vs. 9.4, p = 0.0015). Significant differences in PrEP knowledge (p = 0.0105), HIV-related stigma (p = 0.0003), and PrEP attitudes (p = 0.0098) were observed between the schools. African American students had a significantly higher mean PrEP attitudes score (mean = 51.0, standard deviation [SD] = 3.6) compared with other racial categories (p = 0.0329).

Conclusion

Elevated HIV-related stigma, in the presence of high levels of PrEP knowledge, highlights the need to focus on destigmatizing HIV prevention services and increasing anti-stigma training, which is imperative in preparing student pharmacists to prescribe PrEP.

导言 人体免疫缺陷病毒(HIV)暴露前预防(PrEP)可显著降低感染 HIV 的风险。为了增加 PrEP 的处方量,评估未来药剂师的准备情况至关重要,因为他们将在提供 PrEP 教育、咨询和处方方面发挥关键作用。 目标 我们评估了药剂学学生对 PrEP 处方的了解、态度以及与 HIV 相关的耻辱感。 方法 我们对加利福尼亚大学三所药学院最后两年接受教育和培训的学生药剂师进行了横向网络调查。调查问题评估了学生对 PrEP 的认识、对处方指南和参议院第 159 号法案 (SB159) 的熟悉程度、PrEP 知识、与 HIV 相关的耻辱感以及对 PrEP 的态度。使用描述性统计对样本进行特征描述,并使用非参数检验来检验因变量与自变量之间的关联。p 值为 0.05 则具有统计学意义。 结果 共有 110 名学生参与了调查。与其他性别和性别认同的学生相比,男性(77.4%)(p = 0.047)和同性恋认同的学生(100%)(p = 0.039)对指南的熟悉程度最高。非高级药学实践经验(APPE)学生(70.3%)对 SB159 的熟悉程度明显高于 APPE 学生(65.2%)(p = 0.006)。与 APPE 学生相比,非 APPE 学生表现出更高的艾滋病相关耻辱感(13.8 vs. 9.4,p = 0.0015)。在 PrEP 知识(p = 0.0105)、HIV 相关污名(p = 0.0003)和 PrEP 态度(p = 0.0098)方面,不同学校之间存在显著差异。与其他种族类别的学生相比,非裔美国学生的 PrEP 态度平均得分明显更高(平均值 = 51.0,标准差 [SD] = 3.6)(p = 0.0329)。 结论 在 PrEP 知识水平较高的情况下,与艾滋病相关的污名化程度较高,这突出表明有必要重视消除艾滋病预防服务的污名化,并加强反污名化培训,这对于培养学生药剂师开具 PrEP 处方至关重要。
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引用次数: 0
Charting a course: Use of Electronic Health Records in skills-based pharmacy education 规划路线:在以技能为基础的药学教育中使用电子病历
IF 1.3 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-05 DOI: 10.1002/jac5.2042
Amy L. Ives Pharm.D., Marina L. Maes Pharm.D., Kathryn Sawyer Pharm.D., MBA, Jessica M. Bergbaken Pharm.D., Jared Van Hooser Pharm.D., Michelle Fravel Pharm.D., FCCP, Kristen Cook Pharm.D.

Introduction

Competent navigation of an electronic health record (EHR) has become a critical skill for health professionals, and pharmacists need to be adept in EHR utilization given the extent of EHR involvement in routine medication management. Limited data exists related to current approaches to teaching EHR skills in pre-Advanced Pharmacy Practice Experiences (pre-APPE) pharmacy curricula.

Objectives

The purpose of this study was to describe activities, utilization, and barriers to implementation of teaching EHRs (tEHRs) into pharmacy curricula in skills-based courses.

Methods

Faculty members of the Big Ten Academic Alliance Skills-Based Education and Assessment Collaborative (BTAA-SBEAC) were surveyed. The questionnaire included open-ended questions related to tEHR type, curriculum placement, and current use of tEHRs, as well as barriers to incorporation of tEHRs in the curriculum. Inductive content analysis was used to evaluate qualitative responses.

Results

A representative from all 10 colleges within the BTAA responded. Most programs focused on EHR teaching in the second and third years of the curriculum. All respondents reported having access to a tEHR for internal case building. The tEHR was used by all institutions to allow students to practice in gathering patient information as the first step in the Pharmacists' Patient Care Process. Other activities commonly performed using the tEHR included patient care documentation, medication order verification, prescription processing, and medication reconciliation. Faculty time and cost were barriers identified for successful tEHR implementation.

Conclusion

Multiple skills are taught through the utilization of a tEHR among the colleges within the BTAA. These activities vary between institutions, and barriers exist that limit expansion and consistent integration across a skills-based curriculum. Recognition of EHR utilization as an essential pharmacy skill can allow for development of formalized learning outcomes, leading to better support and integration throughout skills-based courses.

导言:熟练使用电子健康记录(EHR)已成为医疗专业人员的一项重要技能,鉴于电子健康记录在日常药物管理中的参与程度,药剂师需要熟练使用电子健康记录。目前在高级药学实践预科(pre-APE)药学课程中教授电子健康记录技能的方法相关数据有限。 目的 本研究旨在描述在药学课程中以技能为基础的课程中实施电子病历(tEHRs)教学的活动、利用情况和障碍。 方法 对十大学术联盟技能教育与评估合作组织(BTAA-SBEAC)的教师成员进行了调查。问卷包括与 tEHR 类型、课程安排、tEHR 的当前使用情况以及将 tEHR 纳入课程的障碍有关的开放式问题。采用归纳内容分析法对定性回答进行评估。 结果 BTAA 的 10 所学院都有代表做出了回答。大多数课程将电子病历教学集中在课程的第二和第三年。所有受访者都表示可以使用 tEHR 建立内部病例。所有院校都使用 tEHR 让学生练习收集病人信息,作为药剂师病人护理过程的第一步。其他通常使用 tEHR 进行的活动包括病人护理记录、用药单验证、处方处理和药物对账。教师的时间和成本是成功实施 tEHR 的障碍。 结论 BTAA 各学院通过使用 tEHR 教授多种技能。这些活动因院校而异,存在的障碍限制了以技能为基础的课程的扩展和一致整合。认识到电子病历的使用是一项基本的药学技能,可以发展正式的学习成果,从而更好地支持和整合以技能为基础的课程。
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引用次数: 0
EXaminaTion of cRitical cAre PHArmacist pRoductivity MetricS (EXTRA-PHARMS): The clinical pharmacist's perspective 对临床药师药效指标(EXTRA-PHARMS)的研究:临床药师的视角
IF 1.3 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-30 DOI: 10.1002/jac5.2040
Christy Forehand Pharm.D., Russel Roberts Pharm.D., Nicole M. Acquisto Pharm.D., FCCP, Mitchell Buckley Pharm.D., FCCP, Christine M. Groth Pharm.D., Devin Holden Pharm.D., Andrea Sikora Pharm.D., Thomas (Tomi) Ardiles M.D., Melissa Thompson Bastin Pharm.D., Ph.D., Sivasubramanium V. Bhavani M.D., Ashley DePriest M.S., Ifeoma Mary Eche Pharm.D., Brigid Flynn M.D., William J. Healy M.D., Brett Hogan MSN, Brenton LaRiccia M.S., MBA, Kirby Mayer DPT, Ph.D., David Murphy M.D., Ph.D., Lucy Stun Pharm.D., Shan Wang Pharm.D., Nicola Zetola M.D., Robert MacLaren Pharm.D., MPH, FCCP

Background

Critical care pharmacists are well-established, valuable members of the intensive care unit interprofessional team with unique skills to perform comprehensive medication management in complex critically ill patients. However, standardized and consequential productivity metrics for critical care pharmacists have not been established.

Objective

To characterize the utilization and perception of contemporary critical care pharmacy productivity metrics utilized among individual institutions.

Design, Setting, and Participants

An electronic survey was distributed to critical care pharmacist members of the Society of Critical Care Medicine Clinical Pharmacy and Pharmacology Section and the American College of Clinical Pharmacy Critical Care Practice and Research Network.

Main Outcomes and Measures

The survey included 23 questions to assess institution demographics, individual respondent demographics, institution practices, and individual respondent perceptions about the value of critical care pharmacist productivity metrics.

Results

A total of 204 critical care pharmacists, largely from the United States, responded to the survey between July and November 2022. Institutional metrics captured by more than 50% of the respondents' institutions included order verification rate/number of orders verified (60%), number of clinical interventions (57%), and intravenous to enteral product interchanges (52%). Of these metrics, critical care pharmacists only agreed with the value of the number of clinical interventions, were indifferent to the value of intravenous to oral product interchanges, and disagreed with the value of order verification rate/number of orders verified.

Conclusions

Significant discrepancies exist between institutional productivity metric practices and their perceived value and utility among critical care pharmacists.

背景 重症监护药剂师是重症监护病房跨专业团队中公认的宝贵成员,拥有为复杂重症患者进行全面药物管理的独特技能。然而,针对重症监护药剂师的标准化和相应的生产力指标尚未建立。 目的 了解各个机构对当代重症监护药剂师工作效率指标的使用情况和看法。 设计、设置和参与者 向重症医学会临床药学和药理学分会以及美国临床药学院重症监护实践和研究网络的重症监护药剂师成员发放了一份电子调查问卷。 主要结果和测量方法 调查包括 23 个问题,用于评估机构人口统计学、受访者个人人口统计学、机构实践以及受访者个人对重症监护药剂师生产力指标价值的看法。 结果 在 2022 年 7 月至 11 月期间,共有 204 名重症监护药剂师对调查做出了回复,其中大部分来自美国。50%以上的受访者所在机构采用的机构指标包括医嘱验证率/已验证医嘱数量(60%)、临床干预次数(57%)和静脉注射与肠内产品交换次数(52%)。在这些指标中,重症监护药剂师只同意临床干预次数的价值,对静脉注射与口服产品交换的价值无动于衷,不同意医嘱核查率/已核查医嘱数量的价值。 结论 重症监护药剂师对机构生产率指标的实践与其认为的价值和效用之间存在显著差异。
{"title":"EXaminaTion of cRitical cAre PHArmacist pRoductivity MetricS (EXTRA-PHARMS): The clinical pharmacist's perspective","authors":"Christy Forehand Pharm.D.,&nbsp;Russel Roberts Pharm.D.,&nbsp;Nicole M. Acquisto Pharm.D., FCCP,&nbsp;Mitchell Buckley Pharm.D., FCCP,&nbsp;Christine M. Groth Pharm.D.,&nbsp;Devin Holden Pharm.D.,&nbsp;Andrea Sikora Pharm.D.,&nbsp;Thomas (Tomi) Ardiles M.D.,&nbsp;Melissa Thompson Bastin Pharm.D., Ph.D.,&nbsp;Sivasubramanium V. Bhavani M.D.,&nbsp;Ashley DePriest M.S.,&nbsp;Ifeoma Mary Eche Pharm.D.,&nbsp;Brigid Flynn M.D.,&nbsp;William J. Healy M.D.,&nbsp;Brett Hogan MSN,&nbsp;Brenton LaRiccia M.S., MBA,&nbsp;Kirby Mayer DPT, Ph.D.,&nbsp;David Murphy M.D., Ph.D.,&nbsp;Lucy Stun Pharm.D.,&nbsp;Shan Wang Pharm.D.,&nbsp;Nicola Zetola M.D.,&nbsp;Robert MacLaren Pharm.D., MPH, FCCP","doi":"10.1002/jac5.2040","DOIUrl":"https://doi.org/10.1002/jac5.2040","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Critical care pharmacists are well-established, valuable members of the intensive care unit interprofessional team with unique skills to perform comprehensive medication management in complex critically ill patients. However, standardized and consequential productivity metrics for critical care pharmacists have not been established.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To characterize the utilization and perception of contemporary critical care pharmacy productivity metrics utilized among individual institutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design, Setting, and Participants</h3>\u0000 \u0000 <p>An electronic survey was distributed to critical care pharmacist members of the Society of Critical Care Medicine Clinical Pharmacy and Pharmacology Section and the American College of Clinical Pharmacy Critical Care Practice and Research Network.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcomes and Measures</h3>\u0000 \u0000 <p>The survey included 23 questions to assess institution demographics, individual respondent demographics, institution practices, and individual respondent perceptions about the value of critical care pharmacist productivity metrics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 204 critical care pharmacists, largely from the United States, responded to the survey between July and November 2022. Institutional metrics captured by more than 50% of the respondents' institutions included order verification rate/number of orders verified (60%), number of clinical interventions (57%), and intravenous to enteral product interchanges (52%). Of these metrics, critical care pharmacists only agreed with the value of the number of clinical interventions, were indifferent to the value of intravenous to oral product interchanges, and disagreed with the value of order verification rate/number of orders verified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Significant discrepancies exist between institutional productivity metric practices and their perceived value and utility among critical care pharmacists.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"7 11","pages":"1084-1093"},"PeriodicalIF":1.3,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Research and scholarly methods: Research collaboration 研究和学术方法:研究合作
IF 1.3 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-24 DOI: 10.1002/jac5.2041
Susan E. Smith Pharm.D., Christopher M. Bland Pharm.D., FCCP, Trisha N. Branan Pharm.D., Andrea Sikora Pharm.D., MSCR, FCCP, William Anthony Hawkins Pharm.D.

The pursuit of research and scholarly productivity is critical for clinician scientists, yet achieving impactful outcomes often necessitates collaboration within a well-structured team. This review explores the foundational elements of team building that support sustained research productivity among health care professionals and academicians. Drawing on principles from team science, the importance of establishing a shared vision and mission, fostering authentic relationships, and creating an efficient infrastructure to enhance and sustain collaborative efforts is discussed. The four stages of team development—forming, storming, norming, and performing—are examined to provide insights into the dynamic nature of teamwork. Emphasizing the need for intentional practices, we highlight methods for identifying and integrating team members, managing conflicts, and leveraging diverse skill sets to achieve collective goals. Best practices for sustaining research teams, including the implementation of SMART (Specific, Measurable, Assignable, Realistic, Time-related) goals, regular retreats, and strategic alignment of activities to maximize output are also discussed. Two collaborative teams are used as exemplars to illustrate the successful application of these principles, resulting in significant scholarly output. By understanding and applying the concepts of team building, clinician scientists can enhance their research output, contribute to the advancement of health care, and achieve a fulfilling and sustainable career.

追求研究和学术生产力对临床科学家来说至关重要,然而要取得有影响力的成果,往往需要在一个结构合理的团队中开展合作。本综述探讨了团队建设的基本要素,这些要素可支持医护专业人员和院士持续提高研究效率。根据团队科学的原则,讨论了建立共同愿景和使命、培养真实关系以及创建高效基础设施以加强和维持合作努力的重要性。对团队发展的四个阶段--形成、风暴、规范和执行--进行了研究,以深入了解团队工作的动态性质。在强调有意识实践的必要性的同时,我们重点介绍了识别和整合团队成员、管理冲突以及利用不同技能组合实现集体目标的方法。此外,我们还讨论了维持研究团队的最佳做法,包括实施 SMART(具体、可衡量、可分配、现实、与时间相关)目标、定期务虚会以及对活动进行战略调整,以最大限度地提高产出。以两个合作团队为例,说明这些原则的成功应用,从而产生了重要的学术成果。通过理解和应用团队建设的概念,临床科学家可以提高他们的研究成果,为医疗保健事业的发展做出贡献,并获得一个充实和可持续的职业生涯。
{"title":"Research and scholarly methods: Research collaboration","authors":"Susan E. Smith Pharm.D.,&nbsp;Christopher M. Bland Pharm.D., FCCP,&nbsp;Trisha N. Branan Pharm.D.,&nbsp;Andrea Sikora Pharm.D., MSCR, FCCP,&nbsp;William Anthony Hawkins Pharm.D.","doi":"10.1002/jac5.2041","DOIUrl":"https://doi.org/10.1002/jac5.2041","url":null,"abstract":"<p>The pursuit of research and scholarly productivity is critical for clinician scientists, yet achieving impactful outcomes often necessitates collaboration within a well-structured team. This review explores the foundational elements of team building that support sustained research productivity among health care professionals and academicians. Drawing on principles from team science, the importance of establishing a shared vision and mission, fostering authentic relationships, and creating an efficient infrastructure to enhance and sustain collaborative efforts is discussed. The four stages of team development—forming, storming, norming, and performing—are examined to provide insights into the dynamic nature of teamwork. Emphasizing the need for intentional practices, we highlight methods for identifying and integrating team members, managing conflicts, and leveraging diverse skill sets to achieve collective goals. Best practices for sustaining research teams, including the implementation of SMART (Specific, Measurable, Assignable, Realistic, Time-related) goals, regular retreats, and strategic alignment of activities to maximize output are also discussed. Two collaborative teams are used as exemplars to illustrate the successful application of these principles, resulting in significant scholarly output. By understanding and applying the concepts of team building, clinician scientists can enhance their research output, contribute to the advancement of health care, and achieve a fulfilling and sustainable career.</p>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"7 11","pages":"1122-1132"},"PeriodicalIF":1.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jac5.2041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to “Educational outcomes necessary to enter pharmacy residency training: 2023 update” 对 "进入药学住院医师培训所需的教育成果:2023 年更新 "的更正
IF 1.3 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-22 DOI: 10.1002/jac5.2039

Stamm PL, Haines ST, Edwards KL, Fusco NM, Havrda DE, Lee KC, et al. Educational outcomes necessary to enter pharmacy residency training: 2023 update. J Am Coll Clin Pharm. 2024;7(9):952–6. https://doi.org/10.1002/jac5.1994

The American College of Clinical Pharmacy (ACCP) Board of Regents approval date was excluded from the original publication. This Position Statement was approved by the ACCP Board of Regents on November 9, 2023.

We apologize for this error.

Stamm PL、Haines ST、Edwards KL、Fusco NM、Havrda DE、Lee KC 等。 进入药学住院医师培训所需的教育成果:2023 年更新。J Am Coll Clin Pharm.2024;7(9):952-6. https://doi.org/10.1002/jac5.1994The 美国临床药学院 (ACCP) 董事会批准日期不包括在原始出版物中。本立场声明于 2023 年 11 月 9 日获得 ACCP 董事会批准。我们对此错误深表歉意。
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引用次数: 0
Restrictions on pharmacist dispensing of mifepristone remain a hard pill to swallow 限制药剂师配发米非司酮仍是难以接受的事实
IF 1.3 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-21 DOI: 10.1002/jac5.2034
Kelli Boyden JD, Randy C. Hatton Pharm.D., FCCP, Catherine M. Lynch M.D., David B. Brushwood BSPharm, JD

This analysis explores the basis for the US Food and Drug Administration (FDA) requiring a Risk Evaluation and Mitigation Strategy (REMS) for mifepristone for the termination of intrauterine pregnancy. Controversies surround mifepristone and its REMS. The safety and efficacy of mifepristone are briefly reviewed with respect to FDA's actions. It is difficult to justify the continued requirement for a REMS for mifepristone by applying the regulatory framework and considering mifepristone's safety record. Drugs with higher risks are on the US market without an FDA-mandated REMS. Canada removed all restrictions on the use of mifepristone for abortion, which has not resulted in patient safety concerns. All pharmacists should be permitted to dispense mifepristone. The continued requirement for a mifepristone REMS in the US appears to be based more on politics rather than evidence.

本分析探讨了美国食品和药物管理局(FDA)要求米非司酮用于终止宫内妊娠的风险评估和缓解策略(REMS)的依据。围绕米非司酮及其 REMS 存在争议。本文就 FDA 的行动简要回顾了米非司酮的安全性和有效性。通过应用监管框架和考虑米非司酮的安全记录,很难证明继续要求米非司酮实施 REMS 是合理的。美国市场上有风险更高的药物,但没有食品与药物管理局规定的 REMS。加拿大取消了对使用米非司酮进行人工流产的所有限制,这并未导致对患者安全的担忧。应允许所有药剂师配发米非司酮。美国对米非司酮 REMS 的持续要求似乎更多是基于政治而非证据。
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引用次数: 0
Evaluation of TikTok social media posts on side effect information for popular weight loss medications 评估 TikTok 社交媒体上关于流行减肥药副作用信息的帖子
IF 1.3 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-14 DOI: 10.1002/jac5.2035
Jerica Singleton Pharm.D., Gwendolyn A. Wantuch Pharm.D.

Introduction

The prevalence of overweight and obesity is increasing in America, contributing to various health risks. Glucagon-like peptide-1 (GLP-1) and gastric inhibitory peptide (GIP) receptor agonists have bloomed in popularity due to their efficacy and United States Food and Drug Administration (FDA) approval for weight loss, igniting popularity on social media. This study focuses on the role of TikTok™ (ByteDance, Haidian, Beijing, China), a popular social media platform, in disseminating understandable and actionable information about the side effects of weight loss medications.

Methods

The study analyzed the top 50 TikTok videos for each of the following hashtags: #ozempicsideeffects, #semaglutidesideeffects, #mounjarosideeffects, and #wegovysideeffects. Videos were evaluated based on their understandability and actionability using the Patient Education Materials Assessment Tool (PEMAT) for audio-visual (AV) products. PEMAT-AV scores and popularity of videos were compared between hashtags utilizing one-way analysis of variance (ANOVA). An alpha of 0.05 was used, with Bonferroni correction.

Results

A total of 165 videos were reviewed for PEMAT-AV understandability and actionability scores. The total visibility of the videos reached over 19.4 million views. A majority of the videos were personal experiences (89%), with only 5% being health care education videos. The average understandability and actionability scores for all videos were 43% and 20%, respectfully. The data presented a difference between searched hashtags for both evaluation scores, p-values of <0.001 and 0.093, respectively.

Conclusion

TikTok videos covering weight loss medication side effects have poor understandability and actionability scores. This study highlights the opportunity for more educational videos produced by health care professionals on TikTok, and a potential need for health care organizations and/or colleges of pharmacy to provide education to health care providers on how to create quality content for medication education on social media-based platforms. Further research is needed to evaluate the credibility of content.

导言 美国超重和肥胖症的发病率越来越高,导致各种健康风险。胰高血糖素样肽-1(GLP-1)和胃抑制肽(GIP)受体激动剂因其减肥功效和美国食品药品管理局(FDA)的批准而大受欢迎,并在社交媒体上引发热议。本研究的重点是 TikTok™(字节跳动,中国北京海淀)这一流行的社交媒体平台在传播有关减肥药物副作用的可理解和可操作信息方面的作用。 研究方法 该研究分析了以下每个标签的前 50 个 TikTok 视频:#ozempicsideeffects、#semaglutidesideeffects、#mounjarosideeffects 和 #wegovysideeffects。我们使用针对视听(AV)产品的患者教育材料评估工具(PEMAT)对视频的可理解性和可操作性进行了评估。通过单因素方差分析(ANOVA)比较了不同标签的 PEMAT-AV 分数和视频受欢迎程度。α值为 0.05,并进行了 Bonferroni 校正。 结果 共对 165 个视频进行了 PEMAT-AV 可理解性和可操作性评分。这些视频的总浏览量超过 1940 万次。大部分视频都是个人经历(89%),只有 5%是医疗保健教育视频。所有视频的平均可理解度和可操作性得分分别为 43% 和 20%。数据显示,搜索到的标签在这两项评价得分上存在差异,P 值分别为 <0.001 和 0.093。 结论 有关减肥药物副作用的 TikTok 视频的可理解性和可操作性得分较低。本研究强调了由医护人员在 TikTok 上制作更多教育视频的机会,以及医护组织和/或药学院为医护人员提供教育的潜在需求,即如何在基于社交媒体的平台上创建高质量的用药教育内容。还需要开展进一步的研究来评估内容的可信度。
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引用次数: 0
期刊
Journal of the American College of Clinical Pharmacy : JACCP
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