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开发与评估一项药房技师教育培训项目以改善农村社区非处方助听器的可及性

Developing and assessing a pharmacy technician educational training program to improve access to over-the-counter hearing aids in rural communities.

临床研究耳科IF 2.3Q3

文献信息

中文摘要

背景: 美国农村地区的成年人缺乏获得听力保健服务的机会。针对听力损失人群的服务不足进一步加剧了听力损失带来的影响,包括社会隔离、孤独感和认知衰退。
目的: 本研究有两个主要目标。第一是开发一项药房技师教育培训项目,旨在支持居住在农村社区的听力损失成年人,尤其是使用非处方助听器(OTC HAs)。第二是报告与药房工作人员和听力学家进行的焦点小组讨论和访谈的结果。这些参与者在审阅培训内容后被询问了对该药房技师教育培训的印象。
方法: 开发了一项教育培训项目,包括教学、模拟和体验式组成部分。培训的第一部分包括观看在线模块。这些模块改编自最初为药剂师设计的类似课程——社区药房可及药物专家倡导听力(CHAMP)。其他学习组成部分包括在线讨论和真实世界体验,包括练习进行听力筛查和OTC HA使用指导。获取了来自焦点小组讨论和与药房工作人员及听力学家访谈的定性数据,以收集他们对所开发教育培训的印象。
结果: 一名药剂师、12名药房技师和9名听力学家给出了他们对教育培训的印象。评论被归纳为八个主题,既关注培训的积极方面,也包含改进建议。尽管存在一些担忧,药房工作人员和听力学家认为该培训有价值、设计良好,并且对于帮助农村社区的听力损失成年人很重要。
结论: 本研究中概述的药房技师教育培训有可能改善OTC HAs的使用,并帮助减轻听力损失的负面影响。未来工作将评估该培训的有效性。

英文摘要

BACKGROUND: Adults across rural regions of the United States lack access to hearing healthcare. Inadequate services for those with hearing loss further exacerbate the implications of hearing loss including social isolation, loneliness, and cognitive decline.
OBJECTIVES: There were two primary objectives of this study. The first was to develop a pharmacy technician educational training program designed to support adults with hearing loss who live in rural communities, particularly with the use of Over-the-Counter Hearing Aids (OTC HAs). The second was to report the outcomes of focus group discussions and interviews with pharmacy staff and audiologists. These participants were asked about their impressions of the pharmacy technician educational training after reviewing its content.
METHODS: An educational training program was developed that included didactic, simulated and experiential components. The first section of the training included viewing online modules. These modules were revised from a similar course originally designed for pharmacists, Championing Hearing Using Accessible Medication Experts at the Community Pharmacy (CHAMP). Other learning components included online discussions and real-world experiences, including practice conducting hearing screenings and OTC HA orientations. Qualitative data from focus group discussions and interviews with pharmacy staff and audiologists were obtained to garner their impressions of the developed educational training.
RESULTS: One pharmacist, 12 pharmacy technicians and nine audiologists gave their impressions of the educational training. Comments were organized into eight themes focusing on both positive aspects of the training and suggestions for improvement. Despite some concerns, pharmacy staff and audiologists thought the training was valuable, well designed, and important for helping adults with hearing loss in rural communities.
CONCLUSIONS: The educational training for pharmacy technicians outlined in this study has the potential to improve the use of OTC HAs and help mitigate the negative implications of hearing loss. Future work will assess the effectiveness of the training.