Development of a hormonal contraception decision support tool for pharmacists
Canadian Pharmacists Conference ePoster Library. Yuksel N. Jun 25, 2016; 132128
Nese Yuksel
Nese Yuksel
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Abstract
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OBJECTIVES: Hormonal contraception continues to be a popular and effective method of contraception among women. With the expanded scope of practice in Alberta, pharmacists are perfectly positioned to manage the hormonal contraceptive needs of women, including initiating and adjusting hormonal contraceptives. The objective of this project is to develop a decision support tool to help pharmacists manage hormonal contraceptives in the community.,METHODS: Development of the decision support tool involved a panel of local pharmacists with expertise in women's health. Content of the tool was informed by current contraception guidelines, published literature and research team experience. The developed prototype was then reviewed by experts in the field including a pharmacist and nurse specialized in contraception, an obstetrician-gynecologist and a family physician with interest in women's health. The modified prototype was alpha tested in a small cohort of community pharmacists (n=10) for acceptability and usability.,RESULTS: The tool includes 4 sections: (1) Patient Assessment - includes screening for indications, contraindications and risk factors, (2) Initiating Hormonal Contraceptives - includes guidance in choosing among different products, (3) Patient Education - provides an educational overview for shared decision making, and (4) Managing Ongoing Therapy - includes monitoring recommendations, approaches to dealing with side effects and adjusting therapy. An appendix with available Canadian Hormonal Contraceptives is also provided.,CONCLUSIONS: An evidence based clinical decision support tool may be a useful tool for pharmacists managing hormonal contraception in the community. Future plans are to evaluate the feasibility and applicability of the tool in the community setting.
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