Pharmacy Continence Care - Bladder and Bowel Website

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Each pharmacy was asked to enrol, up to 10 customers to participate in the baseline and follow-up survey by completing the consumer questionnaire, in the pharmacy, at enrolment, and by consenting to a follow-up telephone interview to complete the questionnaire at three months post enrolment. 4.2 Effectiveness of the training The effectiveness of the training was evaluated through: • administration of the PIQ and PEQ survey questions (number 1-13, 42-47 and 61) • administration of the Evaluation of the PCCP training program Survey form, on completion of the training • collection of feedback from the training providers in relation to training delivery issues and activities that may have an impact on implementation of a future program. 4.2.1 Administration of the PIQ and PEQ survey questions The results of the analysis of these three approaches are discussed in the Section 5. In summary, the training was perceived by both pharmacies and trainers as being effective, despite the mode of delivery. The revised materials, based on the training manuals from Stage One of the project, were well received by the users and provide a good framework for national roll-out of the PCCP. The PEQ and PIQ were used to evaluate the effectiveness of the training by recording responses of pharmacies before and after training to questions related to the following: • changes in knowledge/understanding of: o the urinary and gastrointestinal systems o normal bladder and bowel function o the different types of urinary incontinence o faecal incontinence o the risk factors for bladder and bowel incontinence o medicines used in the treatment of incontinence o medicines that may cause or exacerbate incontinence o self-management options for people with incontinence o incontinence products and how to match these to customer needs • changes in the level of confidence in: o initiating conversations with customers who may have incontinence o providing appropriate referrals for customers who may have continence problems o providing advice about continence self-management options such as diet and exercise • changes in perceptions about the availability of suitable resources (e.g. information ) to assist in talking to customers about continence issues. It also sought an indication of preferred modes of training, before and after training delivery, to evaluate if there had been any shift. Final Report 23 NOVA Public Policy Pharmacy Continence Care Project
Level of knowledge and level of confidence were indicated on a five-point scale where 5 is the highest and 1 is the lowest. Statistical analysis of all questions relating to level of knowledge and level of confidence showed a statistically significant shift towards a higher rating, post training, on all items. Figure 9 to Figure 21 illustrate this for questions 1-12 and question 22. 80% 70% 60% 50% 40% 30% 20% 10% 0% 10.20% Q1. Rate your level of confidence in your knowledge of the anatomy and physiology of the urinary and gastrointestinal systems 3.13% 16.33% 0.00% 34.69% 1 2 3 4 5 Figure 9: Pharmacy responses to PIQ and PEQ Question 1 – knowledge of the anatomy and physiology of the urinary and gastrointestinal systems 70% 60% 50% 40% 30% 20% 10% 0% Q2. Rate your level of confidence in your knowledge of normal bladder and bowel function 4.08% 3.13% 8.16% 0.00% 32.65% 1 2 3 4 5 Figure 10: Pharmacy responses to PIQ and PEQ Question 2 – knowledge of normal bladder and bowel function 70% 60% 50% 40% 30% 20% 10% 0% 12.24% 9.38% 12.50% Q3. Rate your level of understanding of the different types of urinary incontinence? 3.13% 28.57% 0.00% 28.57% 1 2 3 4 5 Figure 11: Pharmacy responses to PIQ and PEQ Question 3 – understanding of the different types of urinary incontinence 15.63% Final Report 24 NOVA Public Policy Pharmacy Continence Care Project 34.69% 51.02% 26.53% 18.75% 65.63% 59.38% 4.08% 4.08% 4.08% 18.75% 21.88% 68.75% PIQ PEQ PIQ PEQ PIQ PEQ
Page 1 and 2: NOVA Public Policy A registered bus
Page 3 and 4: • Abena-Sanicare, contracted by N
Page 5 and 6: CONTENTS Glossary of Acronyms .....
Page 7 and 8: Figure 11: Pharmacy responses to PI
Page 9 and 10: Glossary of Acronyms CATI computer
Page 11 and 12: Program was based on assessment of
Page 13 and 14: o CQI points through the QCPP for c
Page 15 and 16: materials, the Pharmacist Training
Page 17 and 18: • evaluation of the pilot program
Page 19 and 20: 2 METHODOLOGY The methodology for t
Page 21 and 22: Consumer recruitment was part of th
Page 23 and 24: methodology that assessed the pilot
Page 25 and 26: 3 IMPLEMENTATION OF THE PILOT PROGR
Page 27 and 28: ased on either their customer popul
Page 29 and 30: • self-paced using the CD-ROM/web
Page 31 and 32: focus was on embedding the practice
Page 33 and 34: and faxed newsletter, of an extensi
Page 35: prior to training (PIQ) and the sam
Page 39 and 40: 45% 40% 35% 30% 25% 20% 15% 10% 5%
Page 41 and 42: 80% 70% 60% 50% 40% 30% 20% 10% 0%
Page 43 and 44: Average of responses 100 90 80 70 6
Page 45 and 46: Average rating on a four point scal
Page 47 and 48: maternal health services and the Co
Page 49 and 50: 4.2.7 Changes in pharmacy behaviour
Page 51 and 52: predetermined training calendar: mo
Page 53 and 54: measures impact of incontinence on
Page 55 and 56: In the follow-up survey, there was
Page 57 and 58: • Did not find incontinence clini
Page 59 and 60: Her mother’s dementia, coupled wi
Page 61 and 62: pharmacy staff report increased con
Page 63 and 64: period with a national recruitment
Page 65 and 66: o of a data base of training partic
Page 67 and 68: health education and working in par
Page 69 and 70: 6 RECOMMENDATION AND IMPLEMENTATION
Page 71 and 72: 7 BIBLIOGRAPHY Adair, G., (1984). T
Page 73: Rosenstock, I. M. (1974). Historica

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