MedAlisto: A Collaborative Intervention Program with FDA-CDRR for Adverse Drug Effect Reporting Among Community Pharmacies in Davao City

Abstract

Underreporting of Adverse Drug Events (ADE) in the Philippines presents a persistent challenge, hindering the optimization of the Pharmacovigilance system. This issue is compounded by factors such as limited awareness, time constraints, and inadequate reporting methods. To address this, a study was conducted to evaluate the effectiveness of the collaborative intervention program (MedAlisto) with FDA-CDRR for ADE reporting among community pharmacies in Davao City. The study implemented a QR code system disseminated through standees, cards, and stickers across fourteen local community pharmacies. Researchers used a one-group posttest case study design and an adopted questionnaire to collect data. Statistical analyses were performed due to non-normal data distribution, including mean, Spearman rho, and Kruskal-Wallis test. Findings revealed high awareness (SD = 1.01) and moderate levels of diffidence (SD = 0.44), convenience (SD = 0.44), apprehension (SD = 0.48) , dependency (SD = 0.38), repeatability (SD = 0.41) , and liability (SD = 0.44) of consumers towards the intervention. Increased awareness and usage of cards and standees correlated with higher repeatability and liability, while stickers mainly enhanced convenience. Convenience (p= 0.012) was perceived as leading to increased apprehension (p=0.369) and dependency (p=0.100) across all tools except for diffidence, which was not linked to stickers. Dependency (p= 0.100) on standees and stickers contributed to higher convenience (p=0.012) and repeatability (p=0.136), while liability appeared independent in sticker usage. Users demonstrated similar levels of awareness (p=0.756), diffidence (p=0.311), apprehension (p=0.369), dependency (p=0.100), and repeatability (p= 0.136) regardless of the intervention. However, sticker users found the system more convenient, while standee users felt more liable for using it. While the effectiveness of interventions in influencing user behavior did not significantly vary, prioritizing sticker interventions to enhance user experience and encourage system usage may be beneficial. Efforts to address perceived liability among standee users should be explored to improve overall user satisfaction and engagement with the system.