Assessing Student Perceptions of Blended and Online Learning Courses in Pharmacoeconomics, Management, and Leadership.

Objective. Blended learning combines traditional face-to-face education with online instruction. This learner-centered approach has been shown to improve student engagement, critical thinking, and performance outcomes. The objective of this study was to assess and trend student pharmacist perceptions of blended and online learning used to teach pharmacy management, leadership, and economics within a Doctor of Pharmacy (PharmD) curriculum.Methods. Qualitative methods were employed using in-depth, semistructured interviews. Second- and third-year student pharmacists were recruited by purposeful and snowball sampling and interviewed to a point of saturation. The interview guide was based on social cognitive theory. Themes identified through initial deductive thematic analysis were categorized by the three domains of social cognitive theory: cognitive, behavioral, and environmental factors. The coding team additionally analyzed the transcripts using inductive thematic analysis to ensure no themes outside of social cognitive theory were missed.Results. Twenty students were interviewed. Themes reveal perceptions that blended learning facilitated greater understanding of course material, increased motivation among learners, provided more flexibility in workload completion, and was a more enjoyable way to learn compared to traditional didactic instruction. Furthermore, blended learning offered additional distinct advantages over traditional and online-only pedagogies.Conclusion. Student pharmacists perceived blended and online learning positively and acceptable for the delivery of a pharmacy course on management, leadership, and economics over traditional didactic instruction. Blended learning may enhance innovation, leadership, management, and economics content delivery and the student learning experience.

Pharmacy students' opinions of direct-to-consumer advertising: a pilot study at one university.

BACKGROUND: Direct-to-consumer advertisement (DTCA) of prescription medications has become an important informational source for health care consumers. As future health care professionals on the front line of potential communication and dispensing of products emerging from DTCA, it is important to elicit the attitudes of student-pharmacists. OBJECTIVES: This study aims to (1) evaluate the validity of the DTCA attitudinal questionnaire using Rasch rating scale analysis and (2) investigate the attitudes of pharmacy students toward DTCA and determine whether these attitudes were associated with years of pharmacy education and demographic characteristics. METHODS: This investigation used a cross-sectional print-based questionnaire to evaluate the attitudes of pharmacy students toward DTCA of prescription medications. The 16-item questionnaire included items addressing the attitudes of pharmacy students toward DTCA with respect to patients' knowledge of medications, pharmacists' interaction with patients, and overall consumer judgment of medical prescriptions. Analyses included Rasch analysis and a multiple linear regression. RESULTS: A total of 243 students submitted usable questionnaires (85% response rate). Item response categories were collapsed from 5 categories to 3, and 4 items were removed to achieve acceptable Rasch model fit. Pharmacy students demonstrated little difficulty in agreeing with the statements suggesting that DTCA helps patients take a more active role in health care and had the most difficulty in agreeing with items suggesting that DTCA may lead to inappropriate prescribing to satisfy patient requests. Students' overall support for DTCA was the only variable that predicted the questionnaire score (P<.001). CONCLUSIONS: In conclusion, the Rasch analysis evaluated the psychometric properties of the instrument and identified the necessity to adapt the questionnaire from previous iterations to adequately fit the student population. Future research should examine factors that contribute to the variance in attitudes toward DTCA among a larger and more heterogeneous population.

Impact of pharmacist interventions on seeking of medical care by migraineurs.

OBJECTIVES: To determine the impact of a pharmacist-led educational intervention on the seeking of medical care from physicians by patients with migraine and identify barriers to migraine care and lapsing from this care. DESIGN: Prospective, multigroup, quasiexperimental. SETTING: Duquesne University in Pittsburgh, November 2004 through June 2005. PARTICIPANTS: 100 university employees and students. Information from the initial interview was used to divide the patients into four groups: (1) not a migraineur, (2) migraineur who is currently consulting a physician for care of headaches (current consulter), (3) migraineur who has not consulted with a physician for more than 12 months concerning headaches (lapsed consulter), and (4) migraineur who has never consulted a physician regarding headache (never consulter). INTERVENTIONS: Verbal counseling by a pharmacist and written education on migraine, as well as self-administered questionnaires. MAIN OUTCOME MEASURES: Participants' physician consultation rates, perceived barriers to physician consultation, and perceived reasons for lapsing from care. RESULTS: Of the 100 headache sufferers who participated in the study, 82 met International Headache Society criteria for migraine, of whom 22 were never consulters and 20 were lapsed consulters. Cross-tabulation and chi-square statistics did not reveal any statistically significant differences between the never-consulter control and intervention groups for 3-month physician consultation rates or intention to seek consultation during the next 6 months; however, 64% of never consulters contacted their physician or expressed intentions to do so after the intervention. The top three barriers to physician consultation identified were misidentifying migraines as headaches (50%), satisfaction with current treatment (45%), and inconvenience of physician consultation (41%). The top three reasons for lapsing from care were reduced frequency of headache (40%), self-identification of effective therapy (40%), and physician-directed effective therapy (30%). Cross-tabulation and chi-square statistics revealed one significant difference among student/employee groups in their identification of barriers. CONCLUSION: This study identified barriers associated with migraineur physician consultation behavior and reasons for lapses in care. The role of pharmacists in encouraging migraineur physician consultation should be further examined.

Survey of certified pharmacy technicians in the United States: a quality-of-worklife study.

OBJECTIVE: To describe a nationwide random sample of Certified Pharmacy Technicians (CPhTs) by various demographic and work-related characteristics, identify various worklife attitudes, and determine whether these attitudes differed by practice setting and personal characteristics of the respondents. DESIGN: Cross-sectional descriptive design. SETTING: A random sample of 3,200 CPhTs provided by the Pharmacy Technician Certification Board. INTERVENTIONS: Survey mailed in January 2004. MAIN OUTCOME MEASURES: Responses to previously validated instruments measuring quality-of-worklife attitudes, rankings of factors as probable causes of medication preparation errors, and topics for continuing education (CE) programming. RESULTS: The typical respondent was a white woman, 39 years of age, who was earning dollar 12.87 per hour. CPhTs exhibited modest levels of job satisfaction and career commitment and relatively low career turnover intention. They perceived modestly high levels of support from supervisors and coworkers, but less support from their employers. Quality-of-worklife attitudes were associated significantly with practice setting, rate of pay, and age, but not with gender and racial/ethnic background. CONCLUSION: In view of CPhTs' continuingly important role in the delivery of pharmacy care, employers of CPhTs may want to consider rewarding experienced CPhTs who have demonstrated competency and loyalty to the organization. Career ladders for CPhTs may be a viable option.

Employee knowledge of a managed pharmacy benefit in a large corporation.

Knowledge about prescription drug benefits is necessary for consumers to choose appropriate health benefits plans in a consumer-directed health plan market. The objective of this study was to describe employees' knowledge of their prescription drug benefits. A one-group, cross-sectional survey of full-time university employees with a tiered pharmacy benefit was performed. Correct responses to knowledge questions were described individually and as an aggregate index score. Respondent understanding of pharmacy benefits was low to moderate. Specifically, knowledge of pharmacy benefits was most limited with respect to formulary management, cost sharing, and financial implications of out-of-network use and the selection of a branded or generic medication. Future research should refine methods for assessing knowledge of pharmacy benefits, explore knowledge of pharmacy benefits in diverse samples, and assess the consequences associated with variations in knowledge of prescription drug benefits.

Consumers' lack of awareness on issues pertaining to their prescription drug coverage.

Prescription drug coverage is an increasingly important component of any health insurance plan. Previous research has indicated that the optimal use of health insurance by plan members is at least somewhat dependent upon their understanding of its design and inherent cost-containment features. This study employed face-to-face interviews of pharmacy patrons with at least some sort of prescription drug coverage to determine their understanding of any pharmacy plan's limitations, the use of formularies, and the concept of generic versus branded drugs, in addition to assessing their sources for obtaining information about their prescription drug plans. Most respondents were able to differentiate between generic and branded drugs, but few of them understood the other cost-containment components of their prescription drug plans. Many subjects relied on their pharmacist, rather than their employer or insurer to provide such information. Despite statistically significant contributions by income level and other demographic and health-related variables, little of the variation in knowledge of these prescription drug issues was explained.

The impact of the internet on community pharmacy practice: a comparison of a Delphi panel's forecast with emerging trends.

The purpose of this study was to forecast the impact of Internet pharmacy commerce on various stakeholders. A panel of experts assembled from a list of academicians in the social and administrative pharmaceutical sciences participated in a three-iteration Delphi procedure. Feedback from the aggregate responses of the panel was used to construct questionnaires employed in subsequent iterations of the Delphi. The panel converged to form a consensus upon a variety of issues. They forecasted the attainment of a 10-15% share in the market of prescription and over-the-counter pharmaceuticals through on-line purchases, the formation of strategic alliances among stakeholders in the drug distribution process, a shift in marketing strategies by brick-and-mortar stores, an increase in the prevalence of niching among pharmacy service providers and a subsequent growth in the implementation of cognitive services throughout the industry. With few exceptions, the forecast produced by the Delphi panel appears to be coming to fruition.