METHODS: A ten-question questionnaire about gout management was developed to assess pharmacists\' knowledge. A 14 min 26 s video educational intervention was co-designed by a rheumatologist, a pharmacist, and designer of pharmacy education resources. The effectiveness of this pharmacy-specific intervention was assessed using the same questionnaire in 53 pharmacists (25 in the intervention group; 28 in the control group). Contingency tables were used to analyse differences between groups.
RESULTS: There were 173 pharmacist respondents to the initial survey; 35.3% answered that first-line therapy for gout involves a combination of a xanthine oxidase inhibitor (e.g., allopurinol) combined with a prophylactic agent (e.g., colchicine), and 28.9% of respondents answered that colchicine prophylaxis should be used when initiating urate-lowering therapy. Following the educational intervention, pharmacist\'s knowledge about gout management increased across many domains, including serum urate targets when using urate-lowering therapy (p = 0.006), use of colchicine prophylaxis (p = 0.011), and duration of colchicine use (p < 0.001).
CONCLUSIONS: Gout management recommendations can be impeded if translation into pharmacy practice is neglected. Pharmacists are a valuable information resource for patients. Co-designing a brief education intervention with pharmacists is an effective, low-cost way to increase pharmacist knowledge on the management of gout.
方法:开发了关于痛风管理的十项问卷,以评估药剂师的知识。一个14分26秒的视频教育干预是由风湿病学家共同设计的,药剂师,药学教育资源的设计者。在53名药剂师(干预组25名;对照组28名)中,使用相同的问卷评估了该药学特定干预措施的有效性。使用应急表分析组间差异。
结果:初次调查有173名药剂师受访者;35.3%的人回答说,痛风的一线治疗涉及黄嘌呤氧化酶抑制剂的组合(例如,别嘌呤醇)与预防剂(例如,秋水仙碱),28.9%的受访者回答在开始降尿酸治疗时应该使用秋水仙碱预防。在教育干预之后,药剂师关于痛风管理的知识在许多领域都有所增加,包括使用降尿酸治疗时的血清尿酸目标(p=0.006),使用秋水仙碱预防(p=0.011),和使用秋水仙碱的持续时间(p<0.001)。
结论:如果忽略转化为药学实践,痛风管理建议可能会受到阻碍。药师是患者宝贵的信息资源。与药剂师共同设计一个简短的教育干预措施是一种有效的,以低成本的方式增加药师对痛风管理的认识。