A novel behaviour change learning activity for pharmacy undergraduate students

Authors

  • Delyth James Cardiff Metropolitan University, Llandaff Campus, Cardiff, Wales
  • Rowan Yemm Cardiff University, Cardiff, Wales
  • Rhian Deslandes Cardiff University, Cardiff, Wales

Keywords:

Behaviour Change, Health Psychology, Health Promotion, Health Behaviours, Novel Teaching Methods, Pharmacy Education

Abstract

Objectives: To engage students in a ‘behaviour change’ learning activity, applying health psychology theory to pharmacy practice in order to help students appreciate the challenges of behaviour change.

Methods: Year 2 pharmacy students selected one behaviour to change and kept a diary for one-week before making changes. Students then received a health psychology lecture on behaviour change models. They instigated their behaviour change and continued to document this in the diary over a further one-week. Diaries were collected after the two-week activity for thematic analysis.

Results: Of the 99 students, 61 (62%) submitted their completed diary, of whom 55 (90%) successfully implemented their behaviour change. These were categorised into four areas: diet, exercise, liquid consumption, and other. The remaining 10% provided reasons for not changing. Ten students (16%) described their behaviour using a psychological theory.

Conclusions: Students engaged well with this novel learning activity, indicated by a high percentage diary completion. They demonstrated a clear appreciation of behaviour change within a real life context and its perceived relevance to pharmacy practice.

Author Biographies

Rowan Yemm, Cardiff University, Cardiff, Wales

School of Pharmacy & Pharmaceutical Sciences

Rhian Deslandes, Cardiff University, Cardiff, Wales

School of Pharmacy & Pharmaceutical Sciences

References

Agomo, C.O. (2012). The role of community pharmacists in public health; a scoping review of literature. Journal of Pharmaceutical Health Services Research, 3(1), 25-33

Alpar, S.E., Senturan, L., Karabacak, U. & Sabuncu, N. (2008). Change in the health promoting lifestyle behaviour of Turkish University nursing students from beginning to end of nurse training. Nurse Education in Practice, 8, 382-388

Bell, K. & Cole, B.A. (2008). Improving medical students’ success in promoting health behaviour change: A curriculum evaluation. J Gen Intern Med, 23(9), 1503-6

Braun, V. & Clarke, V. (2006) Using thematic analysis in psychology, Qualitative Research in Psychology, 3(2), 77-101. doi:10.1191/1478088706qp063oa

Chisholm, A., Hart, J., Lam, V. & Peters, S. (2010). Current challenges of behaviour change talk for medical professionals and trainees. Patient Education & Counselling, 87(3), 389-394.

Chisholm, A., Hart, J., Mann, K. & Peters, S. (2014). Development of a behaviour change communication toll for medical students: The ‘Tent Pegs’ booklet. Patient Education & Counselling, 94, 50-60

DeGeeter, M., Taylor, S.R., Wilson, J.A., Rodgers, P.T. & Leadon, K.I. (2016). Student pharmacists perceptions of therapeutic lifestyle change (TLC) counselling abilities and personal health status. Currents in Pharmacy Teaching and Learning, 8, 750-756

Department of Health (2005). Choosing Health through Pharmacy: A programme for pharmaceutical health 2005-2015 (online). Available at: http://webarchive. nationalarchives.gov.uk/20130124065735/http://www.dh. gov.uk/prodconsumdh/groups/dh_digitalassets/@dh/ @en/documents/digitalasset/dh_4107496.pdf. Accessed 26th January, 2018

GPhC [General Pharmaceutical Council]. (2011). Future Pharmacists: Standards of initial education and training for pharmacists. Available at: https://www.pharmacy regulation.org/sites/default/files/GPhC_Future_ Pharmacists.pdf. Accessed 6th November, 2017

Kember J., Hodson K. & James D.H. (2017). The public’s perception of the role of Community Pharmacists in Wales. International Journal of Pharmacy Practice, doi:10.1111/ijpp.12375.

Keyworth, C., Peters, S., Chisholm, A. & Hart, J. (2013). Nursing students’ perceptions of obesity and behaviour change: implications for undergraduate nurse education. Nurse Educ Today, 33(5), 481-5

Mantzourani E., Potter-Floyd G. & James D.H. (2017). Pharmacy students’ reflections on a ‘mock medicines activity: Exploring intentional and unintentional non- adherence. Pharmacy Education, 17(1), 1 – 7

McGoldrick, P.M., Pine, C.M. & Mossey, P.A. (1998). Teaching dental undergraduates behaviour change skills. Eur J Dent Educ, 2(3), 124-32

Michie, S., Abraham, C., Whittington, C., McAteer, J. & Gupta, S. (2009). Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol, 28, 690-701

Michie, S., Ashford S., Sniehotta F.S., Dombrowski S.U., Bishop, A. & French D.P. (2010). A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours: The CALO-RE taxonomy. Journal of Psychology & Health, 26(11), 1479-1498

Muscato, D., Edwards, M.S., Phillips, M.D. & Trik, J.L. (2018). Lifestyle Medicine Education Collaborative (LMEd): “Champions of Change” Medical School Leaders Workshop. American Journal of Lifestyle Journal, 12(5), 382-386. doi:10.1177/15598276187 66494

Nairn, R.G., Coverdale, J.H. & Elkind, G.S. (1995). Teaching the principles of behaviour change to medical students: evaluation of a programme. Med Educ, 29(6), 443-8

Nicholls, G. (2002) Developing Teaching and Learning in Higher Education. London: Routledge Falmer.

Perkins, E.R. (1999). Hospital doctors and health promotion: support for teaching behaviour change. Med Teach, 21(2), 180-3

Peters, E.M., Higgins-Opitz, S.B., McLean, M. and Van Wyk, J. (2006). Enhanced dietary awareness and lifestyle changes in first-year medical students following exposure to problem-based nutrition education. SA Fam Pract, 48(7), 15-15g

Peters, S., Bird, L., Ashraf, S., McNamee, P., Ng, C., Hart, J. (2013). Medical undergraduates’ use of behaviour change talk: the example of facilitating weight management. BMC Med Educ, 13(7). doi:10.1186/ 1472-6920-13-7

Prochaska J.O. & Diclemente C.C. (1986). Toward a Comprehensive Model of Change. In Treating Addictive Behaviors. Applied Clinical Psychology, (eds. W.R. Miller & N. Heather), vol.13. Springer, Boston, MA

Savage, I. (1996). Observing pharmacists at work: Quantifying the Hawthorne effect. Journal of Social and Administrative Pharmacy, 13, 8-19

Steed, L., Sohanpal, R., James, W-Y., Rivas, C., Jumbe, S., Chater, A., Todd, A.,

Edwards, E., Macnell, V., Macfarlance, F., Greenhalgh, T., Griffiths, C., Eldridge, S.,

Taylor, S. & Walton, R. (2017). Equipping community pharmacy workers as agents for health behaviour change: developing and testing a theory-based smoking cessation intervention. BMJ Open, 7, 1-12. doi: 10.1136/bmjopen- 2016-015637.

Taylor, C.A., Shaw, R.S., Dale, J. & French, D.P. (2010). Enhancing delivery of health behaviour change interventions in primary care: a meta-synthesis of views and experiences of primary care nurses. Patient Education & Counselling, 85(2), 315-322

Taylor, S.R., DeGeeter, M., Wilson, J.A., Leadon, K.I., & Rodgers, P.T. (2016). Preceptor perceptions of fourth year student pharmacists’ abilities regarding patient counselling on therapeutic lifestyle changes. Currents in Pharmacy Teaching and Learning, 8, 353-358

Turner-Wilson, A.L., Mills, A.M. & Rees, K. (2017). Can nurses rise to the public health challenge? How a novel solution in nurse education can address this contemporary question. Nurse Educ Today, 57, 65-67

White, L.L., Gazewood J.D. & Mounsey, A.L. (2007). Teaching students behaviour change skills: description and assessment of a new Motivational interviewing curriculum. Medical Teacher, 29, e67-e71. doi: 10.1080/01421590601032443

Williamson, V.K., Winn, S. & Livingstone, C.R. (1992). Public views on an extended role for community pharmacy. Int J Pharm Pract, 1, 223–229

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Published

22-12-2018

How to Cite

James, D., Yemm, R., & Deslandes, R. (2018). A novel behaviour change learning activity for pharmacy undergraduate students. Pharmacy Education, 18, p 311–318. Retrieved from https://pharmacyeducation.fip.org/pharmacyeducation/article/view/633

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Section

Research Article