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Biomedical subjects

B A Berger

Publications and source records attributed to B A Berger.

24 records · Page 2Linked to original sources
PubMedDate not supplied

Readiness for change: implications for patient care.

The strategic position of pharmacists within the community allows frequent interactions with many patients, thus making pharmacists potentially valuable resources for assisting patients in making behavioral changes regarding adherence to treatment. The Transtheoretical Model is a behavior-change model that provides a functional approach through which pharmacists can help patients to reach specific behavioral goals. The model is described and stage-specific examples of patient-pharmacist dialogue are provided to show how the model may be used to promote progression through the stages.

Chronic Disease↗
PubMedDate not supplied

Pharmacists' readiness for rendering pharmaceutical care.

OBJECTIVE: During the 1970s and 1980s, Prochaska and DiClemente developed the Transtheoretical Model (TTM) of Change to explain, predict, and change multiple human behaviors. This study applied the TTM to measure pharmacists' readiness for rendering pharmaceutical care. It also identified and measured factors that facilitate rendering pharmaceutical care and factors that are barriers, as well as the strength of these factors for each stage of readiness. DESIGN: Data were collected using an instrument developed following the work of Prochaska. Pharmacists completed this survey at the 1996 APhA Annual Meeting & Exposition. RESULTS: The results support the theory behind the TTM; that is, with any behavior change, individuals will fall into several stages of readiness for change, and the vast majority will not be ready to take action within the next six months. Also consistent with the theory, the cons of engaging in a behavior tended to be more salient for individuals in the precontemplation/contemplation stages than for those in the action/maintenance stages. Individuals in administrative positions are more likely to engage in behavior that leads to submitting documentation for compensation. CONCLUSION: Continuing education efforts must address the needs identified in each stage of readiness.

Adult↗
PubMedDate not supplied

Patient treatment adherence. Facility design and counseling skills.

OBJECTIVE: To describe the essential facility characteristics for a model patient counseling area: (1) activities that should be accommodated by the facility; (2) special environmental and interior design features, with a discussion of their impact on the healthcare provider-patient interaction; (3) storage and equipment requirements; and (4) determination of space requirements for the counseling area. A second objective is to suggest a strategy to follow when justifying an adherence clinic. DATA SOURCE: Primary and secondary sources of literature were reviewed in the areas of pharmacy, psychology, and architecture to identify design specifications for the patient counseling area. CONCLUSIONS: The design of a counseling area can indirectly affect the quality of the interaction between the patient and healthcare provider, primarily in terms of its effect on communication. The key features that should be included in the design of the area are different levels of privacy (visual and auditory), "soft" interior decoration, and accommodation of people with disabilities. There are several design-related barriers to communication that should be avoided in the facility. The space required for a counseling area is dependent upon the scope of services provided--approximately 100-130 square feet may be necessary.

Ambulatory Care Facilities↗