Effectiveness of Pharmacy Student-Led Health Education in Adults Experiencing Homelessness

Beggs, Ashton E.; Karst, Allison C.

doi:10.1353/hpu.2016.0125

Cited by 8 publications

(6 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Beggs et al. demonstrated that pharmacy-led chronic disease education improved medical knowledge for PWLEH ( 16 ). The pharmacists in our study identified a need for further diabetes education while providing care for other medical conditions like mental health and substance use disorders.…”

Section: Discussionmentioning

confidence: 99%

Pharmacists’ role in diabetes management for persons with lived experience of homelessness in Canada: A qualitative study

McSweeney¹,

Campbell²,

Grewal³

et al. 2022

Front. Clin. Diabetes Healthc.

View full text Add to dashboard Cite

IntroductionPersons with lived experience of homelessness face many challenges in managing diabetes, including purchasing and storing medications, procuring healthy food and accessing healthcare services. Prior studies have found that pharmacy-led interventions for diabetes improved A1C, and lowered blood pressure and cholesterol in general populations. This study evaluated how select pharmacists in Canada have tailored their practices to serve persons with lived experiences of homelessness with diabetes.MethodsWe conducted a qualitative descriptive study using open-ended interviews with inner-city pharmacists in select Canadian municipalities (Calgary, Edmonton, Vancouver, and Ottawa). We used NVivo qualitative data analysis software to facilitate thematic analysis of the data, focusing on how pharmacists contributed to diabetes care for persons with lived experience of homelessness.ResultsThese pharmacists developed diabetes programs after discovering an unmet need in the population. Pharmacists have the unique ability to see patients frequently, allowing tailored education and hands-on assistance with diabetes management. These pharmacists provided extra-ordinary care like financial and housing resources and many of them were uniquely embedded within other services for persons with lived experience of homelessness (i.e. housing and social work supports). Pharmacists reported struggling with balancing optimal medical care for individuals with the financial constraints of running a business.ConclusionPharmacists are vital members of the diabetes care team for persons with lived experience of homelessness. Government policies should support and encourage unique models of care provided by pharmacists to improve diabetes management for this population.

show abstract

Section: Discussionmentioning

confidence: 99%

Pharmacists’ role in diabetes management for persons with lived experience of homelessness in Canada: A qualitative study

McSweeney¹,

Campbell²,

Grewal³

et al. 2022

Front. Clin. Diabetes Healthc.

View full text Add to dashboard Cite

show abstract

“…The second aspect of this pilot study is to assess the feasibility of utilizing APPE pharmacy students in performing transition of care activities, hence improve and sustain pharmacy patient care services. Several literature and organizations voiced concern about resources limitation when extending pharmacy services, especially for clinical activities such as medication reconciliation, the transition of care, patient education, care coordination ( Hume et al, 2012 , Couture et al, 2016 , Scott et al, 2017 ) Abundance of studies described successful experiences in employing Pharmacy extenders such as residents, APPE and IPPE students and pharmacy technicians to deliver discrete functions that match their level of knowledge and training ( Dalal et al, 2010 , Dang et al, 2012 , Hayes and Hutchison, 2013 , Stebbins et al, 2013 , Szkiladz et al, 2013 , Adams et al, 2015 , Beggs and Karst, 2016 , Church et al, 2016 , Albano 2017, Hertig et al, 2017 , Rogers et al, 2017 , Vavra et al, 2018 , Plakogiannis et al, 2019 , O'Reilly et al, 2020 , Suen et al, 2020 ). Indeed, students in this study were able to implement a simple and structured transition of care program at no excess cost while ensuring such service is offered to patients at high risk of readmission.…”

Section: Discussionmentioning

confidence: 99%

“…Pharmacy interns in the advanced pharmacy practice experience (APPE) program can assist during their internship year while practicing their knowledge and skills learned during the theoretical and introductory practical pharmacy courses. Several studies have demonstrated that APPE students can deliver effective medication-related education at levels comparable to certified pharmacists ( Dalal et al, 2010 , Lai et al, 2011 , Dang et al, 2012 , Dang et al, 2012 , Shiyanbola et al, 2012 , Hayes and Hutchison, 2013 , Stebbins et al, 2013 , Szkiladz et al, 2013 , Vanderwielen et al, 2014 , Adams et al, 2015 , Beggs and Karst, 2016 , Church et al, 2016 , Albano 2018 , Hertig et al, 2017 , Rogers et al, 2017 , Plakogiannis et al, 2019 , O'Reilly et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Student-Led discharge counseling program for High-Risk medications in a teaching hospital in Saudi Arabia: A pilot study

Bawazeer

Sales

et al. 2021

Saudi Pharmaceutical Journal

View full text Add to dashboard Cite

Discharge counseling by pharmacists reduces adverse medication events, emergency department visits, and readmissions. Studies indicate that pharmacy students in advanced pharmacy practice experiences (APPE) can deliver effective medication-related activities. An open label randomized controlled trial was conducted in adults discharged on warfarin, insulin, or both. Pharmacy students performed medication reconciliation, structured medication counseling, and follow-up calls 72-hours post-discharge. The usual care arm received traditional education. The primary outcome was the 30-day readmission rate post-discharge. Ninety-eight patients on high-risk medications were randomized to intervention (n = 51) or usual care (n = 47). The 30-day hospital readmission rate was lower in the intervention group (8/51, 15% vs. 11/47, 23%); (p = 0.48). There was no statistical difference in the time to first unplanned health care use (hazard ratio = 0.49 (95 %CI, 0.19–1.24), or the time-to-first clinic visit post-discharge (p = 0.94) between the two arms. Students identified 26 drug-related problems during reconciliation. Patients in the intervention arm reported high satisfaction with the service (mean 3.94; SD 0.11). Involving APPE students in the transition of care activities presents an excellent opportunity to minimize pharmacists' workload while maintaining patient care services.

show abstract

“…They discuss these bene ts may not have been seen in people experiencing homelessness given not understanding their social contexts and that we can learn from failed interventions. Pharmacy student-led education gams (25) Five groups of pharmacy students each developed three Bingo games focused on a primary care health topic (asthma, diabetes, hyperlipidemia, hypertension, smoking cessation). Each group delivered the content via a one-hour class offered to adults experiencing homelessness at a local outreach organization.…”

Section: Existing Programs and Interventionsmentioning

confidence: 99%

Cardiovascular disease management and healthcare delivery for people experiencing homelessness: a scoping review

Macklin,

Samson,

Zsager

et al. 2024

Preprint

View full text Add to dashboard Cite

Background:People experiencing homelessness have increased prevalence, morbidity, and mortality of cardiovascular disease (CVD), attributable to several traditional and non-traditional risk factors. While this burden is well-known, mainstream CVD management plans and healthcare delivery have not been developed with people experiencing homelessness in mind nor tailored to their unique context. The overall objective of this work was to explore and synthesize what is known about CVD management experiences, programs, interventions, and/or recommendations specifically for people experiencing homelessness. Methods: We conducted a mixed-methods systematic scoping review to combine qualitative and quantitative studies in a single review using the Arksey and O’Malley framework and lived experience participation. We performed a comprehensive search of OVID Medline, Embase, PsychINFO, CINAHL, Web of Science, Social Sciences Index, Cochrane, and the grey literature with key search terms for homelessness, cardiovascular disease, and programs. All dates, geographic locations, and study designs were included. Articles were analyzed using conventional content analysis. Results: We included 37 articles in this review. Most of the work was done in the USA. We synthesized articles’ findings into 1) barriers/challenges faced by people experiencing homelessness and their providers with CVD management and care delivery (competing priorities, lifestyle challenges, medication adherence, access to care, and discrimination), 2) seven international programs/interventions that have been developed for people experiencing homelessness and CVD management with learnings, and 3) practical recommendations and possible solutions at the patient encounter level (relationships, appointment priorities, lifestyle, medication), clinic organization level (scheduling, location, equipment, and multi-disciplinary partnership), and systems level (root cause of homelessness, and cultural safety). Conclusions: There is no ‘one-size-fits all’ approach to CVD management for people experiencing homelessness, and it is met with complexity, diversity, and intersectionality based on various contexts. It is clear, however, we need to move to more practically-implemented, community-driven solutions with lived experience and community partnership at the core. Future work includes tackling the root cause of homelessness with affordable housing, exploring ways to bring cardiac specialist care to the community, and investigating the role of digital technology as an avenue for CVD management in the homeless community. We hope this review is valuable in providing knowledge gaps and future direction for health care providers, health services research teams, and community organizations.

show abstract

Effectiveness of Pharmacy Student-Led Health Education in Adults Experiencing Homelessness

Abstract: Adults experiencing homelessness find learning from pharmacy students about health-related topics effective.

Cited by 8 publications

References 7 publications

Pharmacists’ role in diabetes management for persons with lived experience of homelessness in Canada: A qualitative study

Pharmacists’ role in diabetes management for persons with lived experience of homelessness in Canada: A qualitative study

Student-Led discharge counseling program for High-Risk medications in a teaching hospital in Saudi Arabia: A pilot study

Cardiovascular disease management and healthcare delivery for people experiencing homelessness: a scoping review

Contact Info

Product

Resources

About