Improving the patient-pharmacist interaction: a new approach to help patients make informed decisions
As the patient-facing roles of pharmacists increase in practice, pharmacists need to develop effective consultation skills. This includes a patient-centred approach and shared decision making (SDM). For effective SDM, patients should be well-informed about options, evaluate the benefits versus risks and integrate these with their values. The discrete choice experiment (DCE) is a tool which structures a decision problem into an attribute-based framework and asks individuals to value options in a series of choices, highlighting the concept of trade-offs inherent in healthcare decisions. They have been used extensively to value patient experiences in healthcare, including pharmacy services. The mechanism underlying a DCE gives it a potential role as a decision aid tool (DAT).
This study will be conducted in three phases:
Phase 1 - literature review and qualitative interviews with patients, pharmacists and doctors to confirm what is important in the delivery of chronic pain treatment, and inform the DAT development.
Phase 2 - development and pre-testing of the DAT. The DAT will include multimedia information about chronic pain and a personalised-DCE component programmed to provide real-time feedback.
Phase 3 – a pilot randomised trial will assess the acceptability of the DAT, recruitment and retention rates, and patient satisfaction with the pharmacist-patient interaction, and test outcome measures.
External collaborators: C. Bond (Centre for Academic Primary Care, University of Aberdeen); R. Adam, P. Murchie (Institute of Applied Health Sciences, University of Aberdeen); and N. Krucien (Evidera)
Chua, G.N., Ryan, M., Bond, C., Porteous, T., Adam, R., Murchie, P. and Krucien, N. (2019) 'Promoting shared decision making in patient‐pharmacist interactions: a systematic review of decision aid tools and discrete choice experiments in chronic pain management' [Poster], Royal Pharmaceutical Society Science and Research Summit, County Hall, London, 8 February 2019.
Ryan, M., Loria, L.E., Porteous, T., Bond, C., Adams, R., Murchie, P., Krucien, N. and Cardy, A. (2019) 'Developing a decision aid tool for chronic pain at the pharmacy level', Royal Pharmaceutical Society. Health Literacy: What You Need to Know and How to Improve it, Aberdeen, 7 February 2019.
Ryan, M., Loria, L.E., Porteous, T., Bond, C., Adams, R., Murchie, P., Krucien, N. and Cardy, A. (2019) 'Developing a digital decision aid tool for persistent pain: findings from qualitative research', Complex Regional Pain Syndrome (CRPS) UK Seminar, Stirling Court Hotel, Stirling, 15 June 2019.
Ryan, M., Loria, L.E., Porteous, T., Bond, C., Adams, R., Murchie, P., Krucien, N. and Cardy, A. (2019) 'Developing a digital decision aid tool for persistent pain: findings from qualitative research', Network of Alberta Health Economists (NOAHE) Health Economics and Technology Assessment Rounds, Edmonton, Alberta, Canada, 12 September 2019.