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Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionals.


ABSTRACT:

Background

Clinicians draw on instructional approaches when training patients with anaphylaxis to use adrenaline autoinjectors, but patient use is poor. Psychological barriers to these behaviours exist but are not considered routinely when training patients to use autoinjectors. Health Psychology principles suggest exploring these factors with patients could improve their autoinjector use.

Objective

To evaluate the impact of a 90-minute workshop training clinicians in strategies and techniques for exploring and responding to psychological barriers to autoinjector use with patients. Attendees' knowledge, confidence and likelihood of using the strategies were expected to improve.

Methods

Impact was evaluated using a longitudinal mixed-method design. Twenty-nine clinicians (general and specialist nurses, general practitioners, and pharmacists) supporting patients with anaphylaxis in UK hospitals and general practice attended. Self-rated knowledge, confidence, and likelihood of using the strategies taught were evaluated online 1 week before, 1 to 3, and 6 to 8 weeks after the workshop. Clinicians were invited for telephone interview after attending to explore qualitatively the workshop impact.

Results

?2 analyses were significant in most cases (P?ConclusionTraining clinicians in psychologically informed strategies produce sustained improvements in their confidence and knowledge around patient autoinjector education, and their likelihood of using strategies in clinical practice.

Clinical relevance

Exploring psychological barriers should be part of training patients with anaphylaxis in autoinjector use.

SUBMITTER: Mahoney B 

PROVIDER: S-EPMC6688075 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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Publications

Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionals.

Mahoney Béré B   Walklet Elaine E   Bradley Eleanor E   O'Hickey Steve S  

Immunity, inflammation and disease 20190709 3


<h4>Background</h4>Clinicians draw on instructional approaches when training patients with anaphylaxis to use adrenaline autoinjectors, but patient use is poor. Psychological barriers to these behaviours exist but are not considered routinely when training patients to use autoinjectors. Health Psychology principles suggest exploring these factors with patients could improve their autoinjector use.<h4>Objective</h4>To evaluate the impact of a 90-minute workshop training clinicians in strategies a  ...[more]

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