Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel
Journal cover image

Influence of time stress and other variables on counseling by pharmacists about antiretroviral medications.

Publication ,  Journal Article
Smith, SR; Golin, CE; Reif, S
Published in: American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
June 2004

The medication counseling practices of pharmacists caring for patients with HIV infection and the factors influencing their counseling behaviors regarding antiretroviral medications were examined.A questionnaire was mailed in February 2000 to pharmacist-managers of 573 ambulatory care pharmacies providing medications to beneficiaries of the North Carolina AIDS Drug Assistance Program. The frequency of and attitudes about adherence counseling for patients with HIV infection; the time allocated, spent, and needed to provide high-quality care to these patients; and pharmacists' time pressure and time stress were measured.Of the 573 questionnaires mailed, 440 (77%) were usable. Fifty-nine percent of pharmacists reported that they did not have enough time to provide adherence counseling to patients receiving antiretroviral medications, and 45% reported that most of their patients did not receive such counseling. Time-stressed pharmacists were significantly less likely to perform 12 of 22 counseling behaviors, including discussing adverse effects (13% versus 24%, p < 0.0089), drug interactions (13% versus 31%, p < 0.0001), and what to do if a dose is missed (8% versus 23%, p < 0.0001). Multivariate analysis revealed that time stress, perceived skill and interest in adherence counseling, and job satisfaction were significantly associated with the counseling index.Time pressure and other barriers appeared to limit the care that some pharmacists offered to patients with HIV infection. Pharmacist age, job satisfaction, and perceived skill and interest in adherence counseling influenced the comprehensiveness of the counseling pharmacists provided for patients receiving antiretroviral medications.

Duke Scholars

Published In

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists

DOI

EISSN

1535-2900

ISSN

1079-2082

Publication Date

June 2004

Volume

61

Issue

11

Start / End Page

1120 / 1129

Related Subject Headings

  • Workload
  • Time Factors
  • Pharmacology & Pharmacy
  • Pharmacists
  • Patient Education as Topic
  • Patient Compliance
  • Middle Aged
  • Male
  • Job Satisfaction
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Smith, S. R., Golin, C. E., & Reif, S. (2004). Influence of time stress and other variables on counseling by pharmacists about antiretroviral medications. American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists, 61(11), 1120–1129. https://doi.org/10.1093/ajhp/61.11.1120
Smith, Scott R., Carol E. Golin, and Susan Reif. “Influence of time stress and other variables on counseling by pharmacists about antiretroviral medications.American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists 61, no. 11 (June 2004): 1120–29. https://doi.org/10.1093/ajhp/61.11.1120.
Smith SR, Golin CE, Reif S. Influence of time stress and other variables on counseling by pharmacists about antiretroviral medications. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 2004 Jun;61(11):1120–9.
Smith, Scott R., et al. “Influence of time stress and other variables on counseling by pharmacists about antiretroviral medications.American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists, vol. 61, no. 11, June 2004, pp. 1120–29. Epmc, doi:10.1093/ajhp/61.11.1120.
Smith SR, Golin CE, Reif S. Influence of time stress and other variables on counseling by pharmacists about antiretroviral medications. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 2004 Jun;61(11):1120–1129.
Journal cover image

Published In

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists

DOI

EISSN

1535-2900

ISSN

1079-2082

Publication Date

June 2004

Volume

61

Issue

11

Start / End Page

1120 / 1129

Related Subject Headings

  • Workload
  • Time Factors
  • Pharmacology & Pharmacy
  • Pharmacists
  • Patient Education as Topic
  • Patient Compliance
  • Middle Aged
  • Male
  • Job Satisfaction
  • Humans