Guidelines on Caring for Individuals With Visual Impairment at the Pharmacy to Promote Inclusive Care: An Interdisciplinary Delphi Consensus

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-09-30 DOI:10.1111/jep.70288

Théodora Merenda, Stéphanie Patris

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引用次数: 0

Abstract

Background

Individuals with visual impairment encounter considerable challenges in managing their treatments, which stem from difficulties in identifying medications, as well as reading and recalling information. Despite the implementation of various management strategies, errors remain prevalent and have the potential to compromise health. Consequently, pragmatic recommendations have been formulated in French for community pharmacists to enhance the quality of care for this vulnerable population.

Aim and Objective

To build an interdisciplinary consensus on guidelines for the care of individuals with visual impairment, with the aim of promoting their inclusion in healthcare.

Method

A consensus-building Delphi survey was conducted between May and October 2024 by a European panel of experts. The interdisciplinary panel consisted of ophthalmologists with a specialisation in low vision, orthoptists, ergotherapists, psychologists, and community pharmacists. The recommendations were encoded in the form of an online questionnaire on the LimeSurvey platform. The experts were invited to indicate their degree of agreement on a nine-point Likert scale. Descriptive statistics were produced using IBM® SPSS 29 Advanced software. This process was repeated until a consensus was reached between all the experts.

Results

A total of four rounds of the Delphi method were required by the panel of ten experts to evaluate the initial set of 32 recommendations. In conclusion, an introduction to the guidelines and 30 recommendations, which have been grouped into six main categories, were validated.

Conclusion

The consensus process has facilitated the consolidation of recommendations and ensured their relevance, thereby enabling the dissemination of high-quality content to French-speaking community pharmacists to support their practice and promote health equity.

Abstract Image

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在药房照顾有视力障碍的个人以促进包容性护理的指南：跨学科德尔菲共识。

背景：视力障碍患者在管理治疗方面遇到相当大的挑战，这些挑战源于识别药物的困难，以及阅读和回忆信息的困难。尽管实施了各种管理战略，但错误仍然普遍存在，并有可能损害健康。因此，以法语为社区药剂师制定了实用的建议，以提高对这一弱势群体的护理质量。目的和目标：就视力障碍患者的护理准则建立跨学科共识，目的是促进将他们纳入医疗保健。方法：由欧洲专家小组于2024年5月至10月进行共识德尔菲调查。这个跨学科小组由低视力专业的眼科医生、矫形医生、角疗师、心理学家和社区药剂师组成。这些建议以在线调查问卷的形式编码在石灰调查平台上。专家们被邀请在9分李克特量表上表明他们的同意程度。使用IBM®SPSS 29 Advanced软件进行描述性统计。这一过程不断重复，直到所有专家达成共识为止。结果：由10名专家组成的小组总共需要4轮德尔菲法来评估最初的32条建议。最后，对准则的导言和30项建议进行了验证，这些建议分为六个主要类别。结论：协商一致进程促进了建议的整合并确保了建议的相关性，从而能够向讲法语的社区药剂师传播高质量的内容，以支持他们的做法并促进卫生公平。

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

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.