Construct identification and measure development for investigating pharmacist-patient relationships.
To investigate older adults' perceptions of pharmacist-patient relationships, we identified meaningful constructs, developed measures to use in this domain, and explored associations between pairs of constructs. Data were collected via mailed survey to a systematic random sample of 500 non-institutionalized adults in the United States, aged 65 years and older, taking at least one prescription medication. The usable response rate was 66.5% (330/496). Older adults' perceptions that the pharmacist is participating in the relationship and the relationship is patient-centered had the strongest association with perceived pharmacist-patient relationship quality. Older adults' perceptions of relationship quality had a stronger association with medication-related outcome expectations and self-efficacy for medication management, as compared to older adults' perceptions of pharmacist participative behavior/patient-centeredness, patient participative behavior and pharmacist-patient interpersonal communication. Older adults' perceptions of medication-related knowledge were moderately associated with self-efficacy for medication management perceptions. These findings have important pharmacy practice implications.
Worley-Louis
Marcia M
MM
Health Sciences Center, College of Pharmacy, The University of New Mexico, 2502 Marble NE, Albuquerque, NM 87131-5691, USA. mworley@salud.unm.edu
Schommer
Jon C
JC
Finnegan
John R
JR
D000368:Aged / Q000523:psychology*; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D004521:Educational Measurement; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008960:Models, Psychological; D015588:Observer Variation; D010358:Patient Participation; D018802:Patient-Centered Care / Q000592:standards; D010595:Pharmacists / Q000523:psychology*; D011369:Professional-Patient Relations; D020377:Self Efficacy; D011795:Surveys and Questionnaires / Q000592:standards*; D014481:United States