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Pharmacy Continence Care - Bladder and Bowel Website

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materials, the Pharmacist Training Module <strong>and</strong> the <strong>Pharmacy</strong> Assistant Training Module.<br />

Stage 2 of the <strong>Pharmacy</strong> <strong>Continence</strong> <strong>Care</strong> Program, which is the subject of this report, was<br />

commissioned in late 2004 to review the materials developed in Stage 1, <strong>and</strong> to research<br />

<strong>and</strong> develop a training package <strong>and</strong> strategy to trial <strong>and</strong> evaluate the implementation of the<br />

draft <strong>Pharmacy</strong> <strong>Continence</strong> <strong>Care</strong> Program by community pharmacies.<br />

The <strong>Pharmacy</strong> <strong>Continence</strong> <strong>Care</strong> Program is intended to establish a role for pharmacists in<br />

continence care, a role that has not been formally developed <strong>and</strong> articulated prior to this.<br />

The Program has been designed for the pharmacist to assist in the identification of people<br />

who are at risk of incontinence, <strong>and</strong> to provide continued support <strong>and</strong> management to<br />

people with the condition. The Program is to enable the pharmacist to identify, advise,<br />

counsel <strong>and</strong>/or refer <strong>and</strong> promote continence awareness to people with or at risk of<br />

incontinence.<br />

1.2 Stage 2 <strong>Pharmacy</strong> <strong>Continence</strong> <strong>Care</strong> Program<br />

The second stage of the <strong>Pharmacy</strong> <strong>Continence</strong> <strong>Care</strong> Project (PCCP), which commenced in<br />

September 2004, was to design, implement <strong>and</strong> evaluate a pilot program to provide<br />

information <strong>and</strong> training to pharmacists <strong>and</strong> pharmacy assistants in community pharmacies,<br />

<strong>and</strong> to establish draft st<strong>and</strong>ards for a national sustainable <strong>and</strong> cost-effective accreditation<br />

program based on the Quality <strong>Care</strong> <strong>Pharmacy</strong> Practice (QCPP) st<strong>and</strong>ards <strong>and</strong> requirements.<br />

The project is considered by the <strong>Pharmacy</strong> Guild to be important to all areas of pharmacy,<br />

governments, <strong>and</strong> people affected by incontinence. The Guild considers the project offers<br />

the potential for pharmacists <strong>and</strong> pharmacy assistants to be more formally recognised in<br />

continence care <strong>and</strong> for the contribution they are able to make to the quality of life to those<br />

whose incontinence is undiagnosed, poorly managed or under treated. The project is to<br />

develop st<strong>and</strong>ards for possible incorporation into the Quality <strong>Care</strong> <strong>Pharmacy</strong> Practice<br />

program <strong>and</strong> would enable interested pharmacies to participate in a st<strong>and</strong>ardised <strong>and</strong><br />

accredited quality care service in continence care.<br />

This project (Stage 2) had a specific service development purpose rather than research per<br />

se. The research component required was a measurement of the health <strong>and</strong> economic<br />

outcomes of the program <strong>and</strong> an evaluation of the effectiveness <strong>and</strong> cost-effectiveness of<br />

the intervention. The agreed project design aimed to demonstrate the outcomes <strong>and</strong><br />

benefits of the training materials, the training methodology, the pharmacy interaction with<br />

consumers, the business benefit to pharmacies providing a continence care service, <strong>and</strong> the<br />

health <strong>and</strong> other benefits to consumers, <strong>and</strong>, depending on the outcomes of the project, to<br />

consider the potential to demonstrate to government the cost-effectiveness of including<br />

pharmacists in the National <strong>Continence</strong> Management Strategy.<br />

The project had four core tasks:<br />

• to develop training <strong>and</strong> resource materials<br />

• to develop <strong>and</strong> implement a training program<br />

• to evaluate the outcomes of pharmacy-provided continence care following the training<br />

program<br />

• to recommend on the potential for implementation of the program as a participatory <strong>and</strong><br />

accredited quality care program for community care pharmacy.<br />

The central research questions were the extent to which:<br />

• participation in the training resulted in behaviour change in pharmacists <strong>and</strong> pharmacy<br />

assistants<br />

Final Report<br />

2<br />

NOVA Public Policy<br />

<strong>Pharmacy</strong> <strong>Continence</strong> <strong>Care</strong> Project

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