Student pharmacist perceptions of therapeutic lifestyle change (TLC) counseling abilities and personal health status

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• 作者：Michelle DeGeeter ; PharmD ; CDE^a ; ^{m.degeeter@wingate.edu" class="auth_mail" title="E-mail the corresponding author} ; Shawn Riser Taylor ; PharmD ; CDE^a ; Jennifer A. Wilson ; PharmD ; BCACP^b ; Philip T. Rodgers ; PharmD ; FCCP^c ; Kim I. Leadon ; MEd^c
• 关键词：Therapeutic lifestyle change (TLC) counseling ; Overweight/obesity ; Tobacco use ; Patient counseling ; Student pharmacist
• 刊名：Currents in Pharmacy Teaching and Learning
• 出版年：2016
• 出版时间：November-December 2016
• 年：2016
• 卷：8
• 期：6
• 页码：750-756
• 全文大小：233 K

文摘

Although prevalent in medical literature, there are limited data on student pharmacists’ ability to provide therapeutic lifestyle change (TLC) counseling. The objective of this study is to evaluate student pharmacists’ perceived abilities for TLC counseling and to determine if there was any correlation related to the students’ perceived personal health status.

Methods

A survey containing Likert questions about perceptions regarding TLC counseling, assessment questions on guidelines, and perceptions about personal health status was distributed electronically in February 2015 to all student pharmacists from first to fourth year at two pharmacy schools. Data analysis was completed using descriptive statistics and logistic regression. The project was approved by both universities’ institutional review boards.

Results

The survey was distributed to 1050 student pharmacists and 234 responded for a response rate of 22.3%. Greater than 70% of students reported confidence in providing general TLC counseling and this was not affected by weight of the patient; however, fewer students, 50%, were confident in providing tailored, patient-specific recommendations. Students performed well on assessment questions related to exercise and saturated fat intake; however, fewer students were able to correctly select recommended carbohydrate or sodium intake. Results show the majority of students (50–60%) report exercising and healthy eating; however, almost all students expressed a desire to improve personal health, weight, exercise, and eating habits. One correlation was significant, students with a higher BMI were associated with a greater desire to improve eating habits (p = 0.015).

Implications

The subjective data from this research show the need to further objectively evaluate student health status as well as ability to provide appropriate TLC counseling. Student pharmacists need to be adequately trained to meet Healthy People 2020 and CAPE 13 objectives.