ORCID Profile
0000-0002-4452-0820
Current Organisations
University of Surabaya
,
Maastricht University Faculty of Health Medicine and Life Sciences
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Publisher: Oxford University Press (OUP)
Date: 24-05-2019
DOI: 10.1111/IJPP.12461
Abstract: To explore pharmacist harmacy staff trainers' perspectives on conducting community-based training to promote responsible self-medication, and to evaluate knowledge gained among community representatives participating in the training. Training was conducted in four districts/cities in East Java, Indonesia in 2016. A pre-test ost-test study was used to evaluate the knowledge of 129 community representatives (participants) before/after the training pre-test and post-test scores as well as absolute gain were determined. Four focus group discussions with 20 pharmacist harmacy staff (trainers) were conducted after the training, and the data were thematically analysed. Overall mean test scores for community representatives significantly improved from 14.11 to 15.70 after the training (P < 0.001). The average total absolute gain was 1.85 (95% CI 1.29 to 2.39). To reach local communities, trainers suggested improvements to the content and structure of the module, training aids, trainer competency, approach and time allocation. Community-based training provides a potential strategy to improve community knowledge of medications. Findings from this study should inform strategies for a broader uptake amongst local communities in Indonesia.
Publisher: JCFCorp SG PTE LTD
Date: 31-12-2017
Publisher: Oxford University Press (OUP)
Date: 28-04-2023
Abstract: Pharmacists’ role in diabetes care is developing in improving medication adherence. Implementation of pharmacist services needs to consider patients’ and pharmacists’ perspectives as service users and providers, respectively. Therefore, this study investigates both perspectives on suitable pharmacist services to improve medication adherence in Indonesia. This study used data collected based on open-ended survey questions, which were part of a survey among 917 patients and 99 pharmacists in community health centres (CHCs) and three hospitals in Surabaya, Indonesia. The open-ended questions aimed to elicit the perspective of patients and pharmacists on pharmacist services. The data were digitally recorded, transcribed and analysed in Atlas.ti 9th software using a pre-defined coding book. The data were then quantified. Most patients indicated they did not need services to improve medication adherence (67.25% CHCs vs. 63.06% hospitals). Those who did need services mostly preferred educational-based pharmacist services. This was also pharmacists’ most frequently mentioned service (45.45%). Consultation/counselling was the most common service to improve adherence according to pharmacists (66.67%) and patients (15.53% CHCs vs. 19.89% hospitals). Reminders about medication use and providing discussion sessions/seminars, and home care were other options mentioned. Limited human resources, time and pharmacists’ high workload were the most commonly identified barriers to implementing the desired pharmacist services. Patients and pharmacists had similar perspectives on the desired services to improve medication adherence, especially educational-based services and consultation/counselling. Barriers to implementing services should be considered when evaluating the current practice and preparing for pharmacists’ future role in patient care.
Publisher: JCFCorp SG PTE LTD
Date: 13-09-2019
DOI: 10.18549/PHARMPRACT.2021.2.2269
Abstract: Background: Cough is a common symptom for which people frequently present to community pharmacies. Previous articles from developing countries have shown that the provision of self-medication consultation for cough in community pharmacies were suboptimal, with knowledge deficiency being a contributing factor. However, little is known regarding the ability of pharmacy students in handling self-medication consultations in developing countries. Objectives: To measure the competency of Indonesian pharmacy students in providing self-medication consultations for patients with chronic cough and to identify factors associated with the provision of appropriate advice. Method: This study is a cross-sectional study. A simulated patient method using a product and a symptom-based request of chronic cough was used in students from a pharmacy school in Indonesia. The nature and amount of information gathered and advice provided by pharmacy students were noted and audio-recorded. A logistic regression analysis was performed to identify factors associated with the provision of appropriate advice. Results: The information gathered by participating students was not comprehensive. The most common types of information gathered were related to the nature and duration of the cough. Information relating to accompanying symptoms, medications, and allergies was gathered in less than 60% of the participating students for both product and symptom based scenarios. The appropriate advice of direct medical referral was provided in 54% and 56% of the 183 participating students for the product and symptom-based request scenarios respectively. Asking about symptom duration and prior medical conditions were positively associated with the provision of appropriate advice in the symptom and product based requests respectively. Conclusion: Student competency in self-medication consultation for chronic cough needs to be improved. Appropriate information-gathering is a predictor of appropriate advice. Further qualitative research identifying factors affecting students’ competence in providing self-medication consultation is required, so that suitable interventions are developed and implemented.
Location: Netherlands
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