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      Educational intervention to improve pharmacist knowledge to provide care for transgender patients

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          Abstract

          Background:

          Most pharmacists have not received formal training or education in the provision of care for transgender patients. Nonetheless, pharmacists have the potential to be valuable partners in the care of transgender patients, and a continuing education course might be valuable in addressing this knowledge gap.

          Objective:

          The aim of this study was to examine the impact of a three-hour continuing education course in improving the knowledge of pharmacists to provide pharmaceutical care for transgender patients.

          Methods:

          A quasi-experimental, one-group pre-test/post-test study design was used to measure the impact of a three-hour continuing pharmacy education course on the knowledge of pharmacists on transgender care. The course was divided into three units: (1) Transgender Patient Care Introduction, (2) General Health Issues of Transgender Patients, and (3) Gender Affirming Hormone Therapy. A total of 68 pharmacists participated in the study, of which 54 completed both the pre- and post-test. An ANOVA was used to compare differences in knowledge in the group before and after the educational intervention.

          Results:

          The majority of the participating pharmacists were cisgender, heterosexual women who had not received any formal training related to transgender care. Participants demonstrated the largest increase in execution score in the third unit, with a percent improvement of 25.22% (pre-test 45.06%, post-test 70.28%; p<0.001). The average total execution score was 52.15% in the pre-test and 72.89% (p< 0.001) in the post-test.

          Conclusions:

          Pharmacists benefited from a three-hour continuing education course with an increase in knowledge regarding transgender patient care and hormone therapy for gender affirmation. As this study only evaluated the effect in short term memory, further studies are needed to assess long term impact of the continuing education course on transgender care knowledge.

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          Most cited references34

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          The Use of Cronbach’s Alpha When Developing and Reporting Research Instruments in Science Education

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            Best Practices for Developing and Validating Scales for Health, Social, and Behavioral Research: A Primer

            Scale development and validation are critical to much of the work in the health, social, and behavioral sciences. However, the constellation of techniques required for scale development and evaluation can be onerous, jargon-filled, unfamiliar, and resource-intensive. Further, it is often not a part of graduate training. Therefore, our goal was to concisely review the process of scale development in as straightforward a manner as possible, both to facilitate the development of new, valid, and reliable scales, and to help improve existing ones. To do this, we have created a primer for best practices for scale development in measuring complex phenomena. This is not a systematic review, but rather the amalgamation of technical literature and lessons learned from our experiences spent creating or adapting a number of scales over the past several decades. We identified three phases that span nine steps. In the first phase, items are generated and the validity of their content is assessed. In the second phase, the scale is constructed. Steps in scale construction include pre-testing the questions, administering the survey, reducing the number of items, and understanding how many factors the scale captures. In the third phase, scale evaluation, the number of dimensions is tested, reliability is tested, and validity is assessed. We have also added examples of best practices to each step. In sum, this primer will equip both scientists and practitioners to understand the ontology and methodology of scale development and validation, thereby facilitating the advancement of our understanding of a range of health, social, and behavioral outcomes.
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              Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7

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                Author and article information

                Contributors
                Journal
                Pharm Pract (Granada)
                Pharm Pract (Granada)
                Pharmacy Practice
                Centro de Investigaciones y Publicaciones Farmaceuticas
                1885-642X
                1886-3655
                Oct-Dec 2020
                14 December 2020
                : 18
                : 4
                : 2061
                Affiliations
                PharmD. School of Pharmacy, University of Puerto Rico . San Juan, (Puerto Rico). jurynelliz.rosa@ 123456upr.edu
                PharmD. School of Pharmacy, University of Puerto Rico . San Juan, (Puerto Rico). edgar.carlo@ 123456upr.edu
                PharmD. School of Pharmacy, University of Puerto Rico . San Juan, (Puerto Rico). andres.rodriguez1@ 123456upr.edu
                EdD. Associate Professor, Director of Curriculum and Institutional Effectiveness. School of Pharmacy, University of Puerto Rico . San Juan, (Puerto Rico). jonathan.hernandez12@ 123456upr.edu
                PhD, MS. Associate Professor. School of Pharmacy, University of Puerto Rico . San Juan, (Puerto Rico). darlene.santiago@ 123456upr.edu
                MA. Founder. Puerto Rico LGBTQ Services Directory damian.cabrera@ 123456upr.edu
                PhD, MPHE, MCHES. Associate Professor, Director Community-Oriented Primary Care Program. Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University . Washington, DC (United States). carlosrd@ 123456gwu.edu
                PharmD, MSc, BCPS. Associate Professor. School of Pharmacy, University of Puerto Rico . San Juan, (Puerto Rico). kyle.melin@ 123456upr.edu
                Author information
                https://orcid.org/0000-0003-4545-1545
                https://orcid.org/0000-0003-1475-9424
                https://orcid.org/0000-0002-9755-4370
                https://orcid.org/0000-0002-7624-2730
                https://orcid.org/0000-0001-5802-9381
                https://orcid.org/0000-0002-7377-6497
                https://orcid.org/0000-0001-6333-0654
                https://orcid.org/0000-0002-4698-8021
                Article
                pharmpract-18-2061
                10.18549/PharmPract.2020.4.2061
                7739511
                33343770
                ba91d519-b480-42d3-aede-465ed1f518ff
                Copyright: © Pharmacy Practice and the Authors

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY-NC-ND 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 02 July 2020
                : 06 December 2020
                Funding
                Funded by: National Center on Minority Health and Health Disparities
                Award ID: R25 MD007607
                Funded by: National Center on Minority Health and Health Disparities
                Award ID: HiREC S21MD001830
                Categories
                Original Research

                pharmacists,pharmaceutical services,education, pharmacy, continuing,transgender persons,transsexualism,sexual and gender minorities,healthcare disparities,cultural competency,educational measurement,controlled before-after studies,puerto rico

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