ArticleBMJ open2019
Supporting the provision of pharmacy medication reviews to marginalised (medically underserved) groups: a before/after questionnaire study investigating the impact of a patient-professional co-produced digital educational intervention.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Effect of an Online Continuing Professional Development Course on Physicians' Intention to Approach a Colleague in Difficulty: Mixed Methods Convergent Study.JMIR medical education · 2026Observational
- Childbirth Educators' Attitudes Toward Implicit Bias and Intention to Self-Monitor Behavior.The Journal of perinatal education · 2025Article
- Consumer Involvement in the Design and Development of Medication Safety Interventions or Services in Primary Care: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Evaluating the impact of continuing professional development courses on physician behavioral intention: a pre-post study with follow-up at six months.BMC medical education · 2023Article
- Medication-Related Outcomes and Health Equity: Evidence for Pharmaceutical Care.Pharmacy (Basel, Switzerland) · 2023Review
- Recommendations for community pharmacy to improve access to medication advice for people from ethnic minority communities: A qualitative person-centred codesign study.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Article
- 'He or she maybe doesn't know there is such a thing as a review': A qualitative investigation exploring barriers and facilitators to accessing medication reviews from the perspective of people from ethnic minority communities.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Use of the CPD-REACTION Questionnaire to Evaluate Continuing Professional Development Activities for Health Professionals: Systematic Review.JMIR medical education · 2022Review
- A qualitative exploration of the barriers and facilitators affecting ethnic minority patient groups when accessing medicine review services: Perspectives of healthcare professionals.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Web-Based Training for Nurses on Using a Decision Aid to Support Shared Decision-making About Prenatal Screening: Parallel Controlled Trial.JMIR nursing · 2022Article
- A Qualitative Exploration to Understand Access to Pharmacy Medication Reviews: Views from Marginalized Patient Groups.Pharmacy (Basel, Switzerland) · 2020Article
- Towards equity: a qualitative exploration of the implementation and impact of a digital educational intervention for pharmacy professionals in England.International journal for equity in health · 2019Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
objectivesPeople who are marginalised (medically underserved) experience significant health disparities and their voices are often 'seldom heard'. Interventions to improve professional awareness and engagement with these groups are urgently needed. This study uses a co-production approach to develop an online digital educational intervention in order to improve pharmacy staffs' intention to offer a community pharmacy medication review service to medically underserved groups.
designBefore/after (3 months) self-completion online questionnaire.
settingCommunity pharmacies in the Nottinghamshire (England) geographical area.
participantsCommunity pharmacy staff.
interventionOnline digital educational intervention. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome measure was 'behaviour change intention' using a validated 12-item survey measure. The secondary outcome measure was pharmacist self-reported recruitment of underserved groups to the medication review service.
resultsAll pharmacies in the Nottinghamshire area (n=237) were approached in June 2017 and responses were received from 149 staff (from 122 pharmacies). At 3 months (after completing the baseline questionnaire), 96 participants (from 80 pharmacies) completed a follow-up questionnaire, of which two-thirds (n=62) reported completing the e-learning. A before/after comparison analysis found an improving trend in all the five constructs of behaviour change intention (intention, social influence, beliefs about capabilities, moral norms and beliefs about consequences), with a significant increase in mean score of participants' 'beliefs about capabilities' (0.44; 95% CI 0.11 to 0.76, p=0.009). In the short-term, no significant change was detected in the number of patients being offered and the patient completing a medication review.
conclusionsAlthough increases in the numbers of patients being offered a medication review was not detected, the intervention has the potential to significantly improve pharmacy professionals' 'beliefs about capabilities' in the short-term. Wider organisational and policy barriers to engagement with marginasied groups may need to be addressed. Future research should focus on the interplay between digital learning and practice to better identify and understand effective practice change pathways.
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