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, 20 (5), 1121-1132

Investigating Strategies Used by Hospital Pharmacists to Effectively Communicate With Patients During Medication Counselling


Investigating Strategies Used by Hospital Pharmacists to Effectively Communicate With Patients During Medication Counselling

Bernadette A M Chevalier et al. Health Expect.


Background: Medication counselling opportunities are key times for pharmacists and patients to discuss medications and patients' concerns about their therapy. Communication Accommodation Theory (CAT) describes behavioural, motivational and emotional processes underlying communication exchanges. Five CAT strategies (approximation, interpretability, discourse management, emotional expression and interpersonal control) permit identification of effective communication.

Objective: To invoke CAT to investigate communication strategies used by hospital pharmacists during patient medication counselling.

Design: This was a theory-based, qualitative study using transcribed audiorecordings of patients and hospital pharmacists engaged in medication counselling.

Setting and participants: Recruited pharmacists practised in inpatient or outpatient settings. Eligible patients within participating pharmacists' practice sites were prescribed at least three medications to manage chronic disease(s).

Main outcome measures: The extent to which pharmacists accommodate, or not, to patients' conversational needs based on accommodative behaviour described within CAT strategies.

Results: Twelve pharmacists engaged four patients (48 total interactions). Exemplars provided robust examples of pharmacists effectively accommodating or meeting patients' conversational needs. Non-accommodation mainly occurred when pharmacists spoke too quickly, used terms not understood by patients and did not include patients in the agenda-setting phase. Multiple strategy use resulted in communication patterns such as "information-reassurance-rationale" sandwiches.

Discussion and conclusions: Most pharmacists effectively employed all five CAT strategies to engage patients in discussions. Pharmacists' communication could be improved at the initial agenda-setting phase by asking open-ended questions to invite patients' input and allow patients to identify any medication-related concerns or issues.

Keywords: Communication Accommodation Theory (CAT); communication; hospital pharmacist; patient.

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    1. Adherence to long‐term therapies—evidence for action. World Health Organization Web site. Published January, 2003. Accessed February 1, 2017.
    1. Kaplan JE, Keeley RD, Engel M, Emsermann C, Brody D. Aspects of patient and clinician language predict adherence to antidepressant medication. J Am Board Fam Pract. 2013;26:409‐420. - PubMed
    1. Hojat M, Louis DZ, Markham FW, Wender R, Rabinowitz C, Gonnella JS. Physicians’ empathy and clinical outcomes for diabetic patients. Acad Med. 2011;86:359‐364. - PubMed
    1. Zolnierek KB, Dimatteo MR. Physician communication and patient adherence to treatment: a meta‐analysis. Med Care. 2009;47:826‐834. - PMC - PubMed
    1. Storm M, Siemsen IM, Laugaland K, Dyrstad DN, Aase K. Quality in transitional care of the elderly: Key challenges and relevant improvement measures. Int J Integr Care. 2014;14:e013. - PMC - PubMed

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