Clinical utility of the Arabic medication-related burden quality of life (MRB-QoL) tool in hospital-based medicines optimisation services: A mixed methods feasibility study

IF 1.8 Q3 PHARMACOLOGY & PHARMACY
Sundos Q. Al-Ebrahim , Ahmad El Ouweini , Fatima Boura , Heba M. Abu Tayyem , Rami Diab , Omar Adas , Nemah Awwad , Maisam Tobeh , Fatima A.L. Salame , Sara A.L. Jabi , Ghattas Abu Dawoud , Hamzah Alzubaidi , Jeff Harrison , Timothy F. Chen , Mohammed A. Mohammed
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引用次数: 0

Abstract

Background

The Medication-Related Burden Quality of Life (MRB-QoL) Arabic version is a 31-item valid and reliable measure of medication burden on functioning and well-being in people with long-term conditions.

Aim

To evaluate the feasibility of using the Arabic MRB-QoL tool in clinical pharmacist-led medicines optimisation services in United Arab Emirates (UAE) hospitals.

Method

This non-randomised, non-controlled, feasibility study was conducted in 4 UAE hospitals, utilising a mixed-methods approach. The clinical utility of the MRB-QoL Arabic was evaluated, covering various aspects of feasibility, including acceptability, usability, benefits, facilitators, and barriers to its implementation in practice. The study comprised 3 stages: providing training for clinical pharmacists (CPs) and nurses, implementing the Arabic MRB-QoL tool, and the System Usability Scale (SUS) survey and semi-structured interviews with CPs. The usability and perceived benefits were evaluated using qualitative interviews and a Qualtrics survey. The perceived acceptability, barriers, and facilitators were explored through analysis of the interviews.

Results

Ten CPs implemented the Arabic MRB-QoL tool during routine medication reviews for 227 admitted patients. Thematic analysis of the interview transcripts identified key themes that highlighted the acceptability, usability, benefits, as well as facilitators, and barriers the CPs faced in implementing the tool in their routine clinical practice. In addition, the SUS survey showed an average score of 82.2, indicating excellent usability of the tool in facilitating medicines optimisation services.

Conclusions

This study confirmed the clinical utility of the MRB-QoL Arabic in pharmacist-led medicines optimisation services in UAE hospitals, highlighting preliminary evidence of its acceptability, usability, and benefits, as well as facilitators and barriers to implementation. By promoting patient-centred medicines optimisation, the Arabic MRB-QoL tool has the potential to help healthcare providers gain insights into patients' experiences with medicines and the key dimensions of medication burden patients encounter, optimise medicines regimens, and improve patients' quality of life.
阿拉伯语药物相关负担生活质量(MRB-QoL)工具在医院药物优化服务中的临床应用:一项混合方法可行性研究
药物相关负担生活质量(MRB-QoL)阿拉伯语版本是一个31项有效和可靠的药物负担对长期疾病患者的功能和福祉的衡量标准。目的评价阿拉伯MRB-QoL工具在阿拉伯联合酋长国(UAE)医院临床药师主导的药物优化服务中的可行性。方法采用混合方法,在阿联酋4家医院进行非随机、非对照的可行性研究。评估了阿拉伯语MRB-QoL的临床应用,涵盖了可行性的各个方面,包括可接受性、可用性、益处、促进因素和在实践中实施的障碍。该研究包括3个阶段:为临床药师和护士提供培训,实施阿拉伯语MRB-QoL工具,系统可用性量表(SUS)调查和对临床药师的半结构化访谈。可用性和感知的好处是通过定性访谈和质量调查来评估的。通过对访谈的分析,探讨了感知可接受性、障碍和促进因素。结果10个CPs在227例住院患者的常规用药评审中采用了阿拉伯语MRB-QoL工具。访谈记录的专题分析确定了重点主题,强调了可接受性、可用性、益处,以及CPs在日常临床实践中实施该工具时面临的促进因素和障碍。此外,SUS调查显示平均得分为82.2,表明该工具在促进药物优化服务方面具有出色的可用性。本研究证实了阿拉伯语MRB-QoL在阿联酋医院药剂师主导的药物优化服务中的临床应用,强调了其可接受性、可用性和益处的初步证据,以及实施的促进因素和障碍。通过促进以患者为中心的药物优化,阿拉伯语MRB-QoL工具有可能帮助医疗保健提供者深入了解患者的用药经历和患者遇到的药物负担的关键方面,优化药物方案,并改善患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
0.00%
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审稿时长
103 days
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