Exploring Canadian pharmacy students’ e-health literacy: a mixed methods study

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Keywords

Students, Pharmacy, Education, Pharmacy, Therapy, Computer-Assisted, Internet, Health Literacy, Telemedicine, Curriculum, Pharmacists, Surveys and Questionnaires, Qualitative Research, Canada

Abstract

Background: While much has been described about technology use by digital natives in general, understanding of pharmacy student’s knowledge and understanding of technology is lacking.


Objective: This study explores the current state of pharmacy students’ self-rated digital health literacy in British Columbia, Canada, and seeks to identify future opportunities for technology training in pharmacy education and in practice.  


Methods: A mixed methods design using surveys and semi-structured interviews was conducted. An online, validated survey (eHEALS) was conducted among currently enrolled 2nd to 4th year pharmacy students at the University of British Columbia. An additional interview was offered to consenting participants to further explore the use of technology in daily lives, pharmacy practicums, and implications on future pharmacy curricula. Both quantitative and qualitative thematic analysis was done of all data.


Results: A total of 30 pharmacy students completed the eHEALS survey and 5 completed interviews. Most participants were 2nd year students (50%), were 25 years and younger (80%), and female (87%). Ranking of digital health literacy was lower than expected with participants stating they know what (87%), where (87%) and how to find (77%) health resources on the Internet. Even less students (77%) rated that they have the skills to evaluate the health resources that they find on the Internet and only 53% felt confident in using information from the Internet to make health decisions. Most students mentioned that they had limited technology related training at school and would like more training opportunities throughout their program and connect what they have learned at school to their practice.


Conclusions:  These results expose significant and surprising gaps in student understanding of technology despite modifications seen in the entry-to-practice PharmD curriculum. Regional differences and digital health literacy of practicing pharmacists are areas that require better understanding and hold significant impact as practice evolves.

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References

1. Leung V, Tharmalingam S, Cooper J, Charlebois M. Canadian community pharmacists' use of digital health technologies in practice. Can Pharm J (Ott). 2016;149(1):38-45. https://doi.org/10.1177/1715163515618679
2. Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003;348(25):2526-2534. https://doi.org/10.1056/NEJMsa020847
3. Kaushal R, Barker KN, Bates DW. How can information technology improve patient safety and reduce medication errors in children's health care? Arch Pediatr Adolesc Med. 2001;155(9):1002-1007. https://doi.org/10.1001/archpedi.155.9.1002
4. Schneider PJ. The impact of technology on safe medicines use and pharmacy practice in the US. Front Pharmacol. 2018;9:1361. https://doi.org/10.3389/fphar.2018.01361
5. Gregorio J, Ferreira TL, Cavaco A, da Silva MM, Lovis C, Lapão LV. Community pharmacies and ehealth services: barriers and opportunities for real primary healthcare integration. In: Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems, 2013.
6. Car J, Tan WS, Huang Z, Sloot P, Franklin BD. eHealth in the future of medications management: personalisation, monitoring and adherence. BMC Med. 2017;15(1):73. https://doi.org/10.1186/s12916-017-0838-0
7. Association of Faculties of Pharmacy of Canada. Informatics for Pharmacy Students E-resource. Available at: https://capsi.ca/informatics-for-pharmacy-students/ (accessed Jul 22, 2019).
8. Hincapie AL, Cutler TW, Fingado AR. Incorporating health information technology and pharmacy informatics in a pharmacy professional didactic curriculum -with a team-based learning approach. Am J Pharm Educ. 2016;80(6):107. https://doi.org/10.5688/ajpe806107
9. Vanderbush RE, Anderson HG, Fant WK, Fujisaki BS, Malone PM, Price PL, Pruchnicki MC, Sterling TL, Weatherman KD, Williams KG. Implementing Pharmacy Informatics in College Curricula: The AACP Technology in Pharmacy Education and Learning Special Interest Group. Am J Pharm Educ. 2007;71(6):117. https://doi.org/10.5688/aj7106117
10. European Pharmaceutical Students' Association. EPSA position paper on eHealth and digital skills. 2019; https://drive.google.com/file/d/0BwLOgaHkB_6lNzZJYnROT1gtcmpWTU11U0ZlS3d2NDBCS1pJ/preview (accessed Jul 22, 2019).
11. Institute of Medicine Committee on Health Literacy. In: Nielsen-Bohlman L, Panzer AM, Kindig DA, eds. Health literacy: a prescription to end confusion. Washington, DC: National Academies Press; 2004.
12. MacLure K, Stewart D. A qualitative case study of ehealth and digital literacy experiences of pharmacy staff. Res Social Adm Pharm. 2018;14(6):555-563. https://doi.org/10.1016/j.sapharm.2017.07.001
13. Kuek A, Hakkennes S. Healthcare staff digital literacy levels and their attitudes towards information systems. Health Informatics J. 2019 [Ahead of Print]. https://doi.org/10.1177/1460458219839613
14. Saleh S, Khodor R, Alameddine M, Baroud M. Readiness of healthcare providers for eHealth: the case from primary healthcare centers in Lebanon. BMC Health Serv Res. 2016;16(1):644. https://doi.org/10.1186/s12913-016-1896-2
15. Norman CD, Skinner HA. eHEALS: The eHealth Literacy Scale. J Med Internet Res. 2006;8(4):e27. https://doi.org/10.2196/jmir.8.4.e27
16. van der Vaart R, van Deursen AJ, Drossaert CH, Taal E, van Dijk JA, van de Laar MA. Does the eHealth Literacy Scale (eHEALS) measure what it intends to measure? Validation of a Dutch version of the eHEALS in two adult populations. J Med Internet Res. 2011;13(4):e86. https://doi.org/10.2196/jmir.1840
17. Britt RK, Collins WB, Wilson K, Linnemeier G, Englebert AM. eHealth literacy and health behaviors affecting modern college students: A pilot study of issues identified by the American College Health Association. J Med Internet Res. 2017;19(12):e392. https://doi.org/10.2196/jmir.3100
18. Islam MM, Touray M, Yang HC, Poly TN, Nguyen PA, Li YJ, Syed Abdul S. E-Health literacy and health information seeking behavior among university students in Bangladesh. Stud Health Technol Inform. 2017;245:122-125.
19. Dashti S, Peyman N, Tajfard M, Esmaeeli H. E-Health literacy of medical and health sciences university students in Mashhad, Iran in 2016: a pilot study. Electron Physician. 2017;9(3):3966-3973. https://doi.org/10.19082/3966
20. Brown CA, Dickson R. Healthcare students' e-literacy skills. J Allied Health. 2010;39(3):179-184.
21. University of British Columbia. PHRM161 Technology in healthcare. https://courses.students.ubc.ca/cs/courseschedule?pname=subjarea&tname=subj-course&dept=PHRM&course=161 (accessed Jul 22, 2019).
22. University of Toronto. Pharmacy informatics. 2016; https://pharmacy.utoronto.ca/wp-content/uploads/sites/default/files/upload/pharmd/PHM113H1%20Course%20Outline%202016-17.pdf (accessed Jul 22, 201.
23. University of Waterloo. Foundation and application of health informatics. https://uwaterloo.ca/pharmacy/sites/ca.pharmacy/files/uploads/files/spring_2019_class_schedule_-_final_may8.pdf. (accessed Jul 22, 2019).