INNOVATIONS in pharmacy

Assessing the Effects of a Paired TBL Session and Patient Simulation on Pharmacy Student HIV Treatment Knowledge

Juanita A Draime

Cedarville University, School of Pharmacy

Anna M Staudt

Cedarville University, School of Pharmacy

Nicole Stute

Cedarville University, School of Pharmacy

Zachary Jenkins

Cedarville University, School of Pharmacy

DOI: https://doi.org/10.24926/iip.v11i1.2031

Keywords: HIV, human immunodeficiency virus, patient simulation, education, pharmacy, active learning

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Abstract

Description of the Problem: Pharmacists can play a crucial role in monitoring, counseling, and providing adherence checks across practice pharmacy settings; but they may not gain experience in this area until after graduating from pharmacy school.

Statement of Innovation:  Students participated in an intentionally aligned team-based learning session followed by completion of an HIV patient treatment worksheet and an HIV patient care simulation. This sequence was assessed using the HIV Treatment Knowledge Scale.

Description of the Innovation: Second-year pharmacy students (N=48, 98% response rate) participated in a baseline knowledge assessment before a four-hour HIV team-based learning (TBL) session, which included the use of an online HIV Patient Management Simulator. Students were administered the scale again post-session. Three days before the simulation, students had access to an HIV patient treatment worksheet that was required to be completed before the simulation. Ten days after the initial assessment, students participated in an HIV patient simulation where they proposed a new antiretroviral plan while also addressing monitoring, barriers, and maximizing adherence for the patient. Post-simulation, students were again administered the scale. Data were analyzed using descriptive statistics, Wilcoxon and paired t-tests, as appropriate.

Critical Analysis: A total of 48 second-year pharmacy students participated.  HIV knowledge increased significantly post-TBL (p < 0.001). Post-simulation, scores improved, but not significantly (p = 0.291). Knowledge on 15 of the 21 items on the HIV Treatment Knowledge Scale significantly improved from pre-TBL to post-simulation (p ≤ 0.025).

Next Steps: Future investigation should focus on the impact that HIV simulation training has on skills, abilities, confidence, and empathy.