The role of pharmacists in community education to promote responsible self-medication in Indonesia: an application of the spiral educational model
| Main Authors: | Setiadi, Antonius Adji Prayitno, Wibowo, Yosi Irawati , Brata, Cecilia, Halim, Steven Victoria, Wardhani , Susilo Ari, Sunderland, Bruce |
|---|---|
| Format: | Article PeerReviewed application/pdf |
| Terbitan: |
Springer
, 2020
|
| Subjects: | |
| Online Access: |
http://repository.ubaya.ac.id/37925/1/The%20role%20of%20pharmacists.pdf https://www.springer.com/journal/11096 http://repository.ubaya.ac.id/37925/ |
Daftar Isi:
- Background: Community empowerment is one key strategy to improve the health of Indonesians. In 2015, the Government initiated the ‘Smart Use of Medications Campaign’ to empower Indonesians to practice responsible self-medication. Analysis of a pilot training program established in 2016 identified that improvements were needed in the content and organisation of the module. Objective: To evaluate a revised module (applying a spiral model approach) to guide community training as part of the ‘Smart Use of Medications Campaign’. Setting: The Ngawi District, Indonesia in May 2018. Method: Eight pharmacists (trainers) and 39 community representatives (participants) were involved in the training based on the revised module. The module adopted the spiral approach and consisted of three progressive steps: (1) understanding basic concepts of information on the label/package of one medication product; (2) re-enforcing that concept to understand medication classification (applied using three products); and (3) expanding the concept to understand medication classification (applied using a pack of 40 products). Pre-/post-test scores were used, and Focus Group Discussions were conducted to explore the participants' knowledge gain. Main outcome measure: participants’ and trainers’ views on the spiral process. Result Participants’ mean overall knowledge gain increased from 12.53/15 to 13.44/15 (p = 0.001). Six focus groups of participants and two focus groups of trainers perceived that both trainers and participants found the spiral model better facilitated understanding, as it involved step-by-step learning. They also indicated the importance of the role of pharmacists as suitably qualified trainers as well as the development of appropriate training aids/media and arrangements. Conclusion: Training based on the spiral model has the potential to be implemented in community training to improve self-medication literacy among the Indonesian public. Support from pharmacists as well as the relevant national and professional bodies is essential for successful implementation of the training.