Kaitlyn E. Watson BPharm (Hons), PhD, GradCertAppPharmPrac, FHEA , Kirnvir Dhaliwal RN, MN, PhD , Eleanor Benterud RN, MN , Sandra Robertshaw , Nancy Verdin , Ella McMurtry , Nicole Lamont MBT, BHSc , Kelsea M. Drall MSc , Sarah Gill , David J.T. Campbell MD, MSc, PhD, FRCPC , Kerry McBrien MD, MPH, CCFP , Ross T. Tsuyuki BSc(Pharm), PharmD, MSc, FCSHP, FACC, FCAHS, ISHF , Neesh Pannu MD, SM , Matthew T. James MD, PhD, FRCPC , Maoliosa Donald PhD, BScPT
{"title":"糖尿病、肾病和心血管疾病患者 \"病假 \"期间的药物管理:以理论为指导的干预设计与实施方法》。","authors":"Kaitlyn E. Watson BPharm (Hons), PhD, GradCertAppPharmPrac, FHEA , Kirnvir Dhaliwal RN, MN, PhD , Eleanor Benterud RN, MN , Sandra Robertshaw , Nancy Verdin , Ella McMurtry , Nicole Lamont MBT, BHSc , Kelsea M. Drall MSc , Sarah Gill , David J.T. Campbell MD, MSc, PhD, FRCPC , Kerry McBrien MD, MPH, CCFP , Ross T. Tsuyuki BSc(Pharm), PharmD, MSc, FCSHP, FACC, FCAHS, ISHF , Neesh Pannu MD, SM , Matthew T. James MD, PhD, FRCPC , Maoliosa Donald PhD, BScPT","doi":"10.1016/j.jcjd.2024.02.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>Our aim in this work was to 1) explore barriers and enablers to patient and health-care provider (HCP) behaviours related to sick-day medication guidance (SDMG), 2) identify theory-informed strategies to advise SDMG intervention design, and 3) obtain perspectives on an eHealth tool for this purpose.</p></div><div><h3>Methods</h3><p>A qualitative descriptive study using qualitative conventional content analysis was undertaken. Interviews and focus groups were held with patients and HCPs from January 2021 to April 2022. Data were analyzed using the Behaviour Change Wheel and Theoretical Domains Framework to inform intervention design.</p></div><div><h3>Results</h3><p>Forty-eight people (20 patients, 13 pharmacists, 12 family physicians, and 3 nurse practitioners) participated in this study. Three interventions were designed to address the identified barriers and enablers: 1) prescriptions provided by a community-based care provider, 2) pharmacists adding a label to at-risk medications, and 3) built-in prompts for prescribing and dispensing software. Most participants accepted the concept of an eHealth tool and identified pharmacists as the ideal point-of-care provider. Challenges for an eHealth tool were raised, including credibility, privacy of data, medical liability, clinician remuneration and workload impact, and equitable access to use of the tool.</p></div><div><h3>Conclusions</h3><p>Patients and HCPs endorsed non-technology and eHealth innovations as strategies to aid in the delivery of SDMG. These findings can guide the design of future theory-informed SDMG interventions.</p></div>","PeriodicalId":9565,"journal":{"name":"Canadian Journal of Diabetes","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499267124000455/pdfft?md5=4af92579e548299ac5f7b13571a62efd&pid=1-s2.0-S1499267124000455-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Managing Medications During “Sick Days” in Patients With Diabetes, Kidney, and Cardiovascular Conditions: A Theory-informed Approach to Intervention Design and Implementation\",\"authors\":\"Kaitlyn E. Watson BPharm (Hons), PhD, GradCertAppPharmPrac, FHEA , Kirnvir Dhaliwal RN, MN, PhD , Eleanor Benterud RN, MN , Sandra Robertshaw , Nancy Verdin , Ella McMurtry , Nicole Lamont MBT, BHSc , Kelsea M. Drall MSc , Sarah Gill , David J.T. Campbell MD, MSc, PhD, FRCPC , Kerry McBrien MD, MPH, CCFP , Ross T. Tsuyuki BSc(Pharm), PharmD, MSc, FCSHP, FACC, FCAHS, ISHF , Neesh Pannu MD, SM , Matthew T. James MD, PhD, FRCPC , Maoliosa Donald PhD, BScPT\",\"doi\":\"10.1016/j.jcjd.2024.02.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>Our aim in this work was to 1) explore barriers and enablers to patient and health-care provider (HCP) behaviours related to sick-day medication guidance (SDMG), 2) identify theory-informed strategies to advise SDMG intervention design, and 3) obtain perspectives on an eHealth tool for this purpose.</p></div><div><h3>Methods</h3><p>A qualitative descriptive study using qualitative conventional content analysis was undertaken. Interviews and focus groups were held with patients and HCPs from January 2021 to April 2022. Data were analyzed using the Behaviour Change Wheel and Theoretical Domains Framework to inform intervention design.</p></div><div><h3>Results</h3><p>Forty-eight people (20 patients, 13 pharmacists, 12 family physicians, and 3 nurse practitioners) participated in this study. Three interventions were designed to address the identified barriers and enablers: 1) prescriptions provided by a community-based care provider, 2) pharmacists adding a label to at-risk medications, and 3) built-in prompts for prescribing and dispensing software. Most participants accepted the concept of an eHealth tool and identified pharmacists as the ideal point-of-care provider. Challenges for an eHealth tool were raised, including credibility, privacy of data, medical liability, clinician remuneration and workload impact, and equitable access to use of the tool.</p></div><div><h3>Conclusions</h3><p>Patients and HCPs endorsed non-technology and eHealth innovations as strategies to aid in the delivery of SDMG. 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Managing Medications During “Sick Days” in Patients With Diabetes, Kidney, and Cardiovascular Conditions: A Theory-informed Approach to Intervention Design and Implementation
Objectives
Our aim in this work was to 1) explore barriers and enablers to patient and health-care provider (HCP) behaviours related to sick-day medication guidance (SDMG), 2) identify theory-informed strategies to advise SDMG intervention design, and 3) obtain perspectives on an eHealth tool for this purpose.
Methods
A qualitative descriptive study using qualitative conventional content analysis was undertaken. Interviews and focus groups were held with patients and HCPs from January 2021 to April 2022. Data were analyzed using the Behaviour Change Wheel and Theoretical Domains Framework to inform intervention design.
Results
Forty-eight people (20 patients, 13 pharmacists, 12 family physicians, and 3 nurse practitioners) participated in this study. Three interventions were designed to address the identified barriers and enablers: 1) prescriptions provided by a community-based care provider, 2) pharmacists adding a label to at-risk medications, and 3) built-in prompts for prescribing and dispensing software. Most participants accepted the concept of an eHealth tool and identified pharmacists as the ideal point-of-care provider. Challenges for an eHealth tool were raised, including credibility, privacy of data, medical liability, clinician remuneration and workload impact, and equitable access to use of the tool.
Conclusions
Patients and HCPs endorsed non-technology and eHealth innovations as strategies to aid in the delivery of SDMG. These findings can guide the design of future theory-informed SDMG interventions.
期刊介绍:
The Canadian Journal of Diabetes is Canada''s only diabetes-oriented, peer-reviewed, interdisciplinary journal for diabetes health-care professionals.
Published bimonthly, the Canadian Journal of Diabetes contains original articles; reviews; case reports; shorter articles such as Perspectives in Practice, Practical Diabetes and Innovations in Diabetes Care; Diabetes Dilemmas and Letters to the Editor.