Kronik hastalıklarda davranış değişikliğini destekleme eğitimi: Avrupa'daki lisans öğrencilerine yönelik kesitsel bir anket


Mercümek B., Bektay M. Y., Pasin Ö., Brito Félix I., Marques M. M., Guerreiro M. P.

82nd FIP World Congress of Pharmacy and Pharmaceutical Sciences, Cape-Town, South Africa, 1 - 04 September 2024, pp.4-5, (Full Text)

  • Publication Type: Conference Paper / Full Text
  • Doi Number: 10.46542/pe.2024.247.172
  • City: Cape-Town
  • Country: South Africa
  • Page Numbers: pp.4-5
  • Bezmialem Vakıf University Affiliated: Yes

Abstract

Background: Chronic diseases represent a significant global health challenge, accounting for 40.5 million deaths in 2016 worldwide [1]. Addressing chronic diseases is pivotal within the framework of the UN's Sustainable Development Goals [2]. Health and other professionals are expected to support self-management of health behaviours in chronic diseases. Evidence indicates that insufficiencies in undergraduate education hinder their ability to adequately fulfil this role.

Purpose: To analyse the landscape of education at undergraduate level for increasing competences in  behaviour change support in chronic disease management, across European countries as to explore potential similarities in terms of countries and as professions.

Method: Cross-sectional survey conducted between June 2023 to January 2024 via Google forms (ethics approval 2022/298).  The survey was developed based on a transnational learning outcomes-based curriculum and disseminated to  healthcare students in European countries through national associations affiliated with their respective European umbrella association, who were represented in the research team (European Dental Students' Association-EDSA, European Medical Students' Association-EMSA, European Early Career Nurses and Nursing Students' Association-ENSA, European Pharmaceutical Students’ Association-EPSA, European Federation of Psychology Students' Associations-EFPSA). A two-step cluster algorithm analysis was utilized to categorise students into optimal groupings based on similar characteristics derived from their responses to all questionnaire items.

Results: Among all participants (n=183), 81.4% of them were female (n=149). Nursing, pharmacy and dentistry were the most common degrees of the participants (57, 31.49%, 50, 27.62%, and 39, 21.54%). Most respondents was from Southern Europe and Central and Eastern Europe subregions (67, 36.61% and 57, 31.15%). Cluster analysis determined the optimal number of clusters to be 2, and the mean scores of the obtained clusters' components showed statistical significance (p<0.001). The mean component scores of Cluster 2 were significantly higher than those of Cluster 1 (p<0.05). Based on self-report, this indicates that Cluster 2 places a greater emphasis on content related to behaviour change support within their curriculum. The majority of respondents in Cluster 2 were from the Southern Europe, whereas those in Cluster 1 were mainly from the Western Europe (p<0.001). Most respondents in Cluster 1 were Pharmacy students, while those in Clusters 2 were Nursing students (p=0.004).

Conclusion:

Our exploratory survey indicates differences in terms of behaviour change support education for subregions of Europe and degree; southern Europe and nursing degree showed less gaps in undergraduate education. These findings warrant confirmation with a larger and potentially representative sample, to guide education efforts in the field. Moreover, students’ report should be supplemented with curricular analysis, to identify specific gaps in relation to a transnational learning outcomes-based curriculum and the associated European competency framework.

Topic area: Academic pharmacy

Keywords: Behaviour change, self-management, undergraduate education, chronic diseases

References

1.    World Health Organization (WHO). Noncommunicable diseases: Mortality. The Global Health Observatory. https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/ncd-mortality. Accessed 14 June 2023.

2.    World Health Organization. (‎2021)‎. Global expenditure on health: public spending on the rise?. World Health Organization. https://apps.who.int/iris/handle/10665/350560. License: CC BY-NC-SA 3.0 IGO