Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    A Model for Assessment and Referral of Clients with Bowel Symptoms in Community Pharmacies

    235605_235605.pdf (1.261Mb)
    Access Status
    Open access
    Authors
    Sriram, Deepa
    McManus, Alexandra
    Emmerton, Lynne
    Parsons, Richard
    Jiwa, Moyez
    Date
    2015
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Sriram, D. and McManus, A. and Emmerton, L. and Parsons, R. and Jiwa, M. 2015. A Model for Assessment and Referral of Clients with Bowel Symptoms in Community Pharmacies. Current Medical Research and Opinion. 32 (4): pp. 661-667.
    Source Title
    Current Medical Research and Opinion
    DOI
    10.1185/03007995.2015.1135113
    School
    Curtin Medical School
    Remarks

    This is an Author's Original Manuscript of an article published by Taylor & Francis in Current Medical Research and Opinion on 03/02/2016 available online at http://www.tandfonline.com/10.1185/03007995.2015.1135113

    URI
    http://hdl.handle.net/20.500.11937/27442
    Collection
    • Curtin Research Publications
    Abstract

    BACKGROUND: To expedite diagnosis of serious bowel disease, efforts are required to signpost patients with high-risk symptoms to appropriate care. Community pharmacies are a recognised source of health advice regarding bowel symptoms. This study aimed to examine the effectiveness of a validated self-administered questionnaire, Jodi Lee Test (JLT), for detection, triage and referral of bowel symptoms suggestive of carcinoma, in pharmacies. METHOD: 'Usual Practice' was monitored for 12 weeks in 21 pharmacies in Western Australia, documenting outcomes for 84 clients presenting with bowel symptoms. Outcome measures were: acceptance of verbal advice from the pharmacist; general practitioner consultation; and diagnosis. Trial of the JLT involved staff training in the research protocol and monitoring of outcomes for 80 recruited clients over 20 weeks. Utility of the JLT was assessed by post-trial survey of pharmacy staff. RESULTS: Significantly more referrals were made by staff using the JLT than during Usual Practice: 30 (38%) vs 17 (20%). Clients' acceptance of referrals was also higher for the intervention group (40% vs 6%). Two-thirds of pharmacy staff agreed that the JLT could be incorporated into pharmacy practice, and 70% indicated they would use the JLT in the future. CONCLUSION: A pre-post design was considered more appropriate than a randomised control trial due to an inability to match pharmacies. Limitations of this study were: lack of control over adherence to the study protocol by pharmacy staff,\; no direct measure of client feedback on the JLT; and loss to follow-up. The JLT was effective in prompting decision-making by pharmacy staff and inter-professional care between pharmacies and general practice, in triage of clients at risk of bowel cancer.

    Related items

    Showing items related by title, author, creator and subject.

    • Early detection of bowel disease in symptomatic patients attending community pharmacies
      Sriram, Deepa (2016)
      With evidence that a substantial number of individuals manage symptoms without seeking medical help, a pharmacy service with symptom management guided by a screening tool should assist in the triage of clients with ...
    • Development and validation of a clinical decision-making aid for screening bowel symptoms in community pharmacies
      Sriram, Deepa; McManus, Alexandra; Emmerton, Lynne; Parsons, Richard; Jiwa, Moyez (2014)
      Rationale, aims and objectives: Bowel symptoms are common, and community pharmacies are an ideal setting for health advice about these symptoms. The aim of this study was to develop and validate a questionnaire for use ...
    • A strategy for recruiting subjects to test an innovation in community pharmacy
      Jiwa, Moyez; Hughes, Jeffery; Sriram, Deepa; Cecchele, G.; Cooke, J.; Ng, N.; Hewitt, Vivien (2011)
      Background: Innovations that help the pharmacist identify which patients with lower bowel symptoms should be referred to a doctor may reduce delayed presentation to medical practitioners. This study reports several methods ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.