Modification and evaluation of tools for pharmaceutical care of patientswith schizophrenia in non-psychiatric hospitals
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Creator 1. Kanchana Hattasin
2. Sayam Kaewvichit
3. Wirat Niwatananun
4. Chidchanok Ruengorn
Title Modification and evaluation of tools for pharmaceutical care of patientswith schizophrenia in non-psychiatric hospitals
Publisher Research and Development Office, Prince of Songkla University
Publication Year 2018
Journal Title Songklanakarin Journal of Science and Technology
Journal Vol. 40
Journal No. 3
Page no. 550
Keyword pharmaceutical care tools, schizophrenia, antipsychotic medications, extrapyramidal symptoms
URL Website http://rdo.psu.ac.th/sjstweb/index.php
ISSN 0125-3395
Abstract Nowadays, the hospital pharmacists in Thailand still lack the tools for pharmaceutical care of patients with schizophrenia.The objectives of this study were to modify and evaluate four tools for the care of schizophrenic patients. The PharmacyMental Status Examination, the Modified Simpson Angus Scale, the Modified Barnes Akathisia Rating Scale, and the ModifiedAbnormal Involuntary Movement Scale were modified from the original tools by selecting the items related to the context ofpharmaceutical care provided by hospital pharmacists. The evaluation methods were also modified. All of them were modified bytwo experienced psychiatrists and one experienced pharmacist. A total of 156 volunteer patients were involved in the evaluationof the modified tools. The results showed that all tools had acceptable content validity and internal consistency using the itemobjectivecongruence index and Cronbach's alpha coefficient, respectively. The concurrent validity represented by Spearman rhovalues indicated that all tools had a strong relationship with the original tools. The inter-rater reliability represented by quadraticweightedkappa values showed at least good agreement between the experienced psychiatrist and pharmacist. It can be concludedthat all modified tools had good validity and reliability and would be useful for routine work of hospital pharmacists in nonpsychiatrichospital settings.
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