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. 2013 Jan-Feb;9(1):4-12.
doi: 10.1016/j.sapharm.2012.02.003. Epub 2012 May 2.

Pharmacists' provision of information to Spanish-speaking patients: a social cognitive approach

Henry N Young  1 , Thomas J Dilworth, David A Mott, Elizabeth D Cox, Megan A Moreno, Roger L Brown
Affiliations

Pharmacists' provision of information to Spanish-speaking patients: a social cognitive approach

Henry N Young et al. Res Social Adm Pharm. 2013 Jan-Feb.

Abstract

Background: Hispanics with limited English proficiency face communication challenges that affect medication use and outcomes. Pharmacists are poised to help patients' use medications safely and effectively; however, scant research has explored factors that may impact pharmacists' communication with Spanish-speaking patients (SSPs).

Objective: Guided by social cognitive theory (SCT), the purpose of this study was to examine the relationships between pharmacy environmental factors, pharmacists' cognition, and pharmacists' communication with SSPs.

Methods: A cross-sectional survey used a vignette to quantify the amount of information pharmacists would provide to an SSP. Pharmacy environmental factors (language-assistance resources, Spanish-speaking staff, and number of SSPs) and pharmacists' cognition (self-efficacy beliefs and cultural sensitivity) that may influence communication also were assessed. The relationships between environmental factors, cognition, and pharmacists' communication with SSPs, including indirect relationships, were examined using composite indicator structural equation (CISE) modeling.

Results: Of the 183 respondents, most were white (91%) and male (63%) with a mean age of 47 years (SD = 12.77). The CISE modeling revealed that the number of SSPs served by the pharmacy and the pharmacist's self-efficacy in communicating with SSPs were significantly directly associated with pharmacist's provision of information to SSPs. Two environmental factors (presence of interpreter services and Spanish-speaking staff) operated indirectly through self-efficacy to significantly impact the provision of information.

Conclusions: Study findings identify both environmental factors and cognition that could contribute to pharmacists' communication behavior with SSPs. Thus, future interventions to improve pharmacists' communication with SSPs may include training pharmacists to integrate interpretative services and Spanish-speaking staff into service delivery and strengthening pharmacists' self-efficacy beliefs.

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Figures

Figure 1
Figure 1
Hypothesized model based upon Social Cognitive Theory
Figure 2
Figure 2
Composite Indicator Structural Equation Model
Figure 3
Figure 3
Composite Indicator Structural Equation Model Results
See this image and copyright information in PMC

Comment in

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