Senior onderzoeker Farmaceutische Zorg
Publicatie
Publicatie datum
Counselling for inhaled medication: evaluation of communication between pharmacy technicians and chronic lung patients
Brinkhof, L., Paske, R. te, Vervloet, M., Dijk, L. van. Counselling for inhaled medication: evaluation of communication between pharmacy technicians and chronic lung patients International Journal of Clinical Pharmacy: 2023, 45, p. 272. Abstract of the 26th Annual Meeting of ESPACOMP, the International Society for Medication Adherence, Berlin, Germany, 17–19 November 2022
Lees online
ABSTRACT:
Introduction
70% of chronic lung patients use their medication suboptimally. In the Netherlands, patients often receive instructions on use in the pharmacy. Proper inhaler technique education may improve initiation, implementation and persistence of inhaled medication.
Aim
To explore the interaction in communication between Pharmacy Technician (PT) and chronic lung patient during dispense counselling sessions including inhaler technique instruction.
Methods
A coding scheme was developed to evaluate video-taped inhaled medication counselling sessions between PTs and patients.
Results
31 video-taped counselling session were observed. Overall, more instructions (N = 51) were provided by PTs to patients than compliments (N = 45). Most instructions were related to breathingrelated (n = 16) prior to- or during inhalation. Most compliments concerned the entire process of inhalation. Patients mainly expressed informational concerns (64%), to which PTs reacted with an informational answer (98%). Emotional concerns that were expressed by patients were reacted to with emotional answers (60%), but also with informational answers (20%) by PTs.
Discussion
During counselling sessions regarding inhaled medication, a mismatch is present in the way feedback is provided by PTs to their patients during inhaled medication counselling session.
Conclusion
Efforts can be made to improve the balance the amount of instructions or compliments are provided by PTs, as well as on how to deal with concerns that are expressed by patients. A better match may result in better initiation, implementation and persistence of inhaled medication adherence.
Introduction
70% of chronic lung patients use their medication suboptimally. In the Netherlands, patients often receive instructions on use in the pharmacy. Proper inhaler technique education may improve initiation, implementation and persistence of inhaled medication.
Aim
To explore the interaction in communication between Pharmacy Technician (PT) and chronic lung patient during dispense counselling sessions including inhaler technique instruction.
Methods
A coding scheme was developed to evaluate video-taped inhaled medication counselling sessions between PTs and patients.
Results
31 video-taped counselling session were observed. Overall, more instructions (N = 51) were provided by PTs to patients than compliments (N = 45). Most instructions were related to breathingrelated (n = 16) prior to- or during inhalation. Most compliments concerned the entire process of inhalation. Patients mainly expressed informational concerns (64%), to which PTs reacted with an informational answer (98%). Emotional concerns that were expressed by patients were reacted to with emotional answers (60%), but also with informational answers (20%) by PTs.
Discussion
During counselling sessions regarding inhaled medication, a mismatch is present in the way feedback is provided by PTs to their patients during inhaled medication counselling session.
Conclusion
Efforts can be made to improve the balance the amount of instructions or compliments are provided by PTs, as well as on how to deal with concerns that are expressed by patients. A better match may result in better initiation, implementation and persistence of inhaled medication adherence.
ABSTRACT:
Introduction
70% of chronic lung patients use their medication suboptimally. In the Netherlands, patients often receive instructions on use in the pharmacy. Proper inhaler technique education may improve initiation, implementation and persistence of inhaled medication.
Aim
To explore the interaction in communication between Pharmacy Technician (PT) and chronic lung patient during dispense counselling sessions including inhaler technique instruction.
Methods
A coding scheme was developed to evaluate video-taped inhaled medication counselling sessions between PTs and patients.
Results
31 video-taped counselling session were observed. Overall, more instructions (N = 51) were provided by PTs to patients than compliments (N = 45). Most instructions were related to breathingrelated (n = 16) prior to- or during inhalation. Most compliments concerned the entire process of inhalation. Patients mainly expressed informational concerns (64%), to which PTs reacted with an informational answer (98%). Emotional concerns that were expressed by patients were reacted to with emotional answers (60%), but also with informational answers (20%) by PTs.
Discussion
During counselling sessions regarding inhaled medication, a mismatch is present in the way feedback is provided by PTs to their patients during inhaled medication counselling session.
Conclusion
Efforts can be made to improve the balance the amount of instructions or compliments are provided by PTs, as well as on how to deal with concerns that are expressed by patients. A better match may result in better initiation, implementation and persistence of inhaled medication adherence.
Introduction
70% of chronic lung patients use their medication suboptimally. In the Netherlands, patients often receive instructions on use in the pharmacy. Proper inhaler technique education may improve initiation, implementation and persistence of inhaled medication.
Aim
To explore the interaction in communication between Pharmacy Technician (PT) and chronic lung patient during dispense counselling sessions including inhaler technique instruction.
Methods
A coding scheme was developed to evaluate video-taped inhaled medication counselling sessions between PTs and patients.
Results
31 video-taped counselling session were observed. Overall, more instructions (N = 51) were provided by PTs to patients than compliments (N = 45). Most instructions were related to breathingrelated (n = 16) prior to- or during inhalation. Most compliments concerned the entire process of inhalation. Patients mainly expressed informational concerns (64%), to which PTs reacted with an informational answer (98%). Emotional concerns that were expressed by patients were reacted to with emotional answers (60%), but also with informational answers (20%) by PTs.
Discussion
During counselling sessions regarding inhaled medication, a mismatch is present in the way feedback is provided by PTs to their patients during inhaled medication counselling session.
Conclusion
Efforts can be made to improve the balance the amount of instructions or compliments are provided by PTs, as well as on how to deal with concerns that are expressed by patients. A better match may result in better initiation, implementation and persistence of inhaled medication adherence.
