title: Do community pharmacists actively engage elderly patients in the dialogue? Results from pharmaceutical care consultations.
abstract: BACKGROUND
  Little is known about community pharmacist-patient interaction within a consultation room, particularly in terms of patient activation and engagement.
  
  
  OBJECTIVE
  To explore pharmacists' communication and attitudes while providing advanced medication-related services.
  
  
  METHODS
  A cross-sectional descriptive study, using the Roter Interaction Analysis System (RIAS) framework, to analyse a sample of audio-recorded pharmaceutical care consultations with elderly patients.
  
  
  RESULTS
  Around 15.0 per cent of pharmacists' utterances and 3.6 per cent of patients' were related to engagement with the latter during the exchange. To improve health outcomes, such as adherence to a therapeutic regime, pharmacists should augment patients' participation in the dialogue, facilitating concerns and disclosure of doubts, thus improving correct medication use behaviour.
authors.affiliation: Department of Pharmacoepidemiology and Social Pharmacy, Research Institute for Medicines and Pharmaceutical Sciences (iMed.UL), Faculty of Pharmacy, University of Lisbon, Lisboa, Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Pelicano-Romano
authors.affiliation: Department of Pharmacoepidemiology and Social Pharmacy, Research Institute for Medicines and Pharmaceutical Sciences (iMed.UL), Faculty of Pharmacy, University of Lisbon, Lisboa, Portugal.
authors.forename: Mariana R
authors.initials: MR
authors.lastname: Neves
authors.affiliation: Faculty of Pharmacy, University of Lisbon, Lisboa, Portugal.
authors.forename: Ana
authors.initials: A
authors.lastname: Amado
authors.affiliation: Department of Pharmacoepidemiology and Social Pharmacy, Research Institute for Medicines and Pharmaceutical Sciences (iMed.UL), Faculty of Pharmacy, University of Lisbon, Lisboa, Portugal.
authors.forename: Afonso M
authors.initials: AM
authors.lastname: Cavaco
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003157:Community Pharmacy Services; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D010595:Pharmacists; D011174:Portugal; D024382:Professional Role; D011369:Professional-Patient Relations
keywords: Portugal; Roter Interaction Analysis System; elderly patients; pharmaceutical care consultation; pharmacist-patient communication