Educational strategies to promote evidence-based community pharmacy practice

MC Watson, CM Bond, JM Grimshaw, J Mollison, A Ludbrook, AE Walker

Research output: Contribution to journalArticle

69 Citations (Scopus)

Abstract

Background. Community pharmacists have increasing involvement in the self-management of minor illness as a result of the availability of a wider range of over-the-counter (OTC) medicines. We undertook a randomized controlled trial (RCT) to assess the effectiveness and efficiency of educational strategies to implement evidence-based guidelines for the sale of OTC anti-fungals in the community pharmacy setting. Objective. The aim of the study was to compare the effectiveness and efficiency of two guideline dissemination strategies in community pharmacy settings. Methods. A 2 × 2 factorial, cluster RCT was conducted with 60 community pharmacies in the Grampian region of Scotland. The interventions included dissemination of an evidence-based guideline for OTC management of vulvovaginal candidiasis (thrush) by postal dissemination (control), educational outreach visit or attendance at a continuing professional education session. Pre- and post-intervention simulated patient visits were made to participating pharmacies. The simulated patients completed assessment forms following each visit. The primary outcome was the appropriateness (based upon the guidelines) of sale or no sale of OTC anti-fungals. Results. There were no significant differences in the proportion of appropriate outcomes following educational outreach [odds ratio (OR) = 1.1; 95% confidence interval (Cl) 0.52 to 2.45] or continuing professional education (OR = 0.88; 95% Cl 0.41 to 1.91). Conclusions. Neither strategy was effective in improving the appropriateness of OTC management of vulvovaginal candidiasis by community pharmacy staff. Further research is needed to identify barriers to guideline implementation and evidence-based practice in this setting.
Original languageEnglish
Pages (from-to)529-536
Number of pages8
JournalFamily Practice
Volume19
Issue number5
DOIs
Publication statusPublished - 1 Oct 2002

Fingerprint

Pharmacies
Guidelines
Vulvovaginal Candidiasis
Professional Education
Continuing Education
Randomized Controlled Trials
Odds Ratio
Oral Candidiasis
Evidence-Based Practice
Scotland
Self Care
Pharmacists
Confidence Intervals
Research

Keywords

  • community pharmacy services
  • non-prescription drugs
  • pharmacy continuing education
  • randomized controlled trial

Cite this

Watson, MC., Bond, CM., Grimshaw, JM., Mollison, J., Ludbrook, A., & Walker, AE. (2002). Educational strategies to promote evidence-based community pharmacy practice. Family Practice, 19(5), 529-536. https://doi.org/10.1093/fampra/19.5.529
Watson, MC ; Bond, CM ; Grimshaw, JM ; Mollison, J ; Ludbrook, A ; Walker, AE. / Educational strategies to promote evidence-based community pharmacy practice. In: Family Practice. 2002 ; Vol. 19, No. 5. pp. 529-536.
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Watson, MC, Bond, CM, Grimshaw, JM, Mollison, J, Ludbrook, A & Walker, AE 2002, 'Educational strategies to promote evidence-based community pharmacy practice', Family Practice, vol. 19, no. 5, pp. 529-536. https://doi.org/10.1093/fampra/19.5.529

Educational strategies to promote evidence-based community pharmacy practice. / Watson, MC; Bond, CM; Grimshaw, JM; Mollison, J; Ludbrook, A; Walker, AE.

In: Family Practice, Vol. 19, No. 5, 01.10.2002, p. 529-536.

Research output: Contribution to journalArticle

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