Jul-Sep, 2012 - Indian Journal of Pharmacy Practice

Rao JR - Development and Validation of an Instrument to Assess the Perception of Pharmacy Students' on Medication Review ProcessAll items in the MeRPA instrument were agreed by more than75% of the respondents except one item (Item 13), agreed atabout 45.5% only. “Medication Review is necessary to beconducted by all clinical pharmacists” and “MedicationReview is useful in improving communication with Patients aswell as health care professionals” were agreed by more than90% of the respondents. About 85% of the respondents agreedto “Medication review is a core requirement ofpharmaceutical care”. More than half of the respondentsdisagreed towards the item “Medication Review requires lotof Time and Effort to learn and practice” (54.5%). Responsesummary statistics with median and inter quartile range weredepicted in Table 3.As a part of reliability assessment, Cronbach's alphafor 13 item MeRPA instrument was found to be 0.815 basedon non-standardized items and 0.82 based on standardizeditems.Exploratory factor analysis gives three factors after extractionexplaining cumulative variance of about 50.5 %. Individualcontribution of the three factors was 32.45 %, 9.60 %, 8.46 %respectively. The items 4, 6, 7, 8, 9, 12 loaded under Benefitof MR (Factor 1); 10, 11, 13 loaded under Requirement ofMR (Factor 2); remaining items 1, 2, 3, 5 were loaded underProfessional Need of MR (Factor 3). Details of factorloadings and factors were given in Table 4.Table 3: Response statistics for individual items (n=209)Item Item Strongly Agree Neutral Disagree Strongly MedianNo. Agree Agree (Interquartilerange)1. Medication Review is necessary to be 132(63.16) 69(33.01) 6(2.87) 1(0.48) 1(0.48) 5(4-5)conducted by all clinical pharmacists2. Medication Review is professionally 76(36.36) 87(41.63) 36(17.22) 7(3.35) 3(1.44) 4(4-5)rewarding and valuable to one's career3. Medication Review is useful in improving 118(56.46) 72(34.45) 15(7.18) 4(1.91) 0(0.00) 5(4-5)communication with Patients as well ashealth care professionals4. Conducting Medication Review improves the 108(51.67) 79(37.80) 19(9.09) 3(1.44) 0(0.00) 5(4-5)intervening capability of pharmacist5. Medication Review is a core requirement of 96(45.93) 82(39.23) 23(11.00) 6(2.87) 2(0.96) 4(4-5)Pharmaceutical care6. Medication Review improves patient 102(48.80) 76(36.36) 26(12.44) 3(1.44) 2(0.96) 4(4-5)compliance and health status7. Medication Review ensures safe and cost 88(42.11) 83(39.71) 31(14.83) 6(2.87) 1(0.48) 4(4-5)effective therapy to the patient8. Medication Review optimizes 75(35.89) 82(39.23) 39(18.66) 10(4.78) 3(1.44) 4(3.5-5)polypharmacy prescriptions9. Medication Review ensures appropriateness 111(53.11) 71(33.97) 22(10.53) 1(0.48) 4(1.91) 5(4-5)of therapy through detection and preventionof drug related problems10. There is a need for Structured format to 105(50.24) 78(37.32) 22(10.53) 3(1.44) 1(0.48) 5(4-5)conduct Medication Review11. There is a need of specific training to conduct 2(44.02) 89(42.58) 23(11.00) 5(2.39) 0(0.00) 4(4-5)and document medication review12. Medication Review considers Medication 82(39.23) 89(42.58) 29(13.88) 6(2.87) 1(0.48) 4(4-5)History Interview (MHI) and Medicationreconciliation to ensure therapeutic individualization13. Medication Review requires lot of Time and 39(18.66) 77(36.84) 69(33.01) 19(9.09) 5(2.39) 4(3-4)Effort to learn and practiceIndian Journal of Pharmacy Practice Volume 5 Issue 3 Jul - Sep, 2012 72