Development and evaluation of an e-learning program on drug-related problems for community pharmacists.

Bibliographic Details
Title: Development and evaluation of an e-learning program on drug-related problems for community pharmacists.
Authors: Vogt CJ; Medical Faculty Heidelberg/Heidelberg University Hospital, Internal Medicine IX-Department of Clinical Pharmacology and Pharmacoepidemiology, Cooperation Unit Clinical Pharmacy, Heidelberg University, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany., Reuther A; Medical Faculty Heidelberg/Heidelberg University Hospital, Internal Medicine IX-Department of Clinical Pharmacology and Pharmacoepidemiology, Cooperation Unit Clinical Pharmacy, Heidelberg University, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany., Wurmbach VS; Medical Faculty Heidelberg/Heidelberg University Hospital, Internal Medicine IX-Department of Clinical Pharmacology and Pharmacoepidemiology, Cooperation Unit Clinical Pharmacy, Heidelberg University, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany., Weißenborn M; Medical Faculty Heidelberg/Heidelberg University Hospital, Internal Medicine IX-Department of Clinical Pharmacology and Pharmacoepidemiology, Cooperation Unit Clinical Pharmacy, Heidelberg University, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany., Bittmann JA; Medical Faculty Heidelberg/Heidelberg University Hospital, Internal Medicine IX-Department of Clinical Pharmacology and Pharmacoepidemiology, Cooperation Unit Clinical Pharmacy, Heidelberg University, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany., Wien K; Medical Faculty Heidelberg/Heidelberg University Hospital, Internal Medicine IX-Department of Clinical Pharmacology and Pharmacoepidemiology, Cooperation Unit Clinical Pharmacy, Heidelberg University, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany., Lampert A; Medical Faculty Heidelberg/Heidelberg University Hospital, Internal Medicine IX-Department of Clinical Pharmacology and Pharmacoepidemiology, Cooperation Unit Clinical Pharmacy, Heidelberg University, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany., Eknes EMB; Medical Faculty Heidelberg/Heidelberg University Hospital, Internal Medicine IX-Department of Clinical Pharmacology and Pharmacoepidemiology, Cooperation Unit Clinical Pharmacy, Heidelberg University, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.; Centre for Pharmacy, University Bergen, Bergen, Norway., Schäfer P; Chamber of Pharmacists Baden-Wurttemberg, Stuttgart, Germany., Seidling HM; Medical Faculty Heidelberg/Heidelberg University Hospital, Internal Medicine IX-Department of Clinical Pharmacology and Pharmacoepidemiology, Cooperation Unit Clinical Pharmacy, Heidelberg University, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany. Hanna.seidling@med.uni-heidelberg.de.
Source: International journal of clinical pharmacy [Int J Clin Pharm] 2026 Aug; Vol. 48 (4), pp. 1349-1358. Date of Electronic Publication: 2026 Mar 25.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Springer Country of Publication: Netherlands NLM ID: 101554912 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2210-7711 (Electronic) NLM ISO Abbreviation: Int J Clin Pharm Subsets: MEDLINE
Imprint Name(s): Original Publication: Dordrecht : Springer
MeSH Terms: Pharmacists*/standards , Community Pharmacy Services*/standards , Education, Pharmacy, Continuing*/methods , Drug-Related Side Effects and Adverse Reactions*/diagnosis , Drug-Related Side Effects and Adverse Reactions*/prevention & control , Computer-Assisted Instruction*/methods , Computer-Assisted Instruction*/standards , Program Evaluation*/methods , Program Development*/methods , Program Development*/standards, Humans ; Female ; Male ; Adult
Abstract: Introduction: Community pharmacists (CPs) are pivotal in the management of drug-related problems (DRPs), yet a need for additional training has been recognized.
Aim: The aim was to develop and evaluate an e-learning program to enhance pharmacists' ability to detect and manage DRPs.
Method: The e-learning program provided a self-paced learning experience with 10 modules, each focusing on a DRP. The DRPs were chosen as part of a previous Delphi consensus study. The development team, consisting of researchers, clinical pharmacists, and CPs, considered DRPs applicable if they occurred frequently and could be solved in a pharmacy. Moreover, a predefined checklist was established to guide the development of new modules and specify quality standards. Each module was structured into an educational phase (tutorials, pre- and post-knowledge quizzes, in-depth exercises), and a practical phase (documentation of anonymized patient encounters). After completing all modules, participants took a final comprehensive quiz with 2 questions per module (in total 20 questions). The program was evaluated on multiple levels: pharmacists' knowledge change, how they implemented this knowledge in practice, and their feedback. Data were analyzed descriptively. Comparison between the quizzes were calculated using the Wilcoxon test.
Results: A total of 203 pharmacists registered to participate in the study, with participation declining across modules (184 participants completed Module 1 pre-knowledge quiz vs. 119 in Module 10). Across all modules, a significant knowledge increase was observed when comparing pre- and post-knowledge-quizzes (p < 0.001). Knowledge levels remained high in the final quiz (on average 1.63 ± 0.61 correct answers). Participants documented 13,778 patient encounters, thereof 5073 encounters with at least one DRP. According to the participants, most of the DRPs (90.1%, n = 4550) could be resolved. A total of 1137 feedbacks were received. Overall, feedback was positive, with participants highlighting improved abilities to engage with patients (85.2%, n = 969) and to identify DRPs (82.0%, n = 629).
Conclusion: By bridging the gap between theoretical learning and practical application, this e-learning program improves pharmacists' skills in DRP management.
(© 2026. The Author(s).)
Competing Interests: Declarations. Competing interest: This work was financially supported by the Baden-Württemberg Chamber of Pharmacists (Germany). There are no other conflicts of interest regarding this work. Outside of the submitted work, Cathrin J. Vogt, Viktoria S. Wurmbach and Janina A. Bittmann received honoraria for lectures from the Landesapothekerkammer Baden-Württemberg (Chamber of Pharmacists in Baden-Württemberg). Patrick Schäfer received honoraria for being the author and editor of the book ‘Allgemeinpharmazie’. Hanna M. Seidling reports relationships with several research funds related to medication safety (e.g. G-BA Innovationsfonds, BMG, BMBF, BfArM, Förderinitiative Pharmazeutische Betreuung), including ongoing support for the eLearning programme (Chamber of Pharmacists, Baden-Württemberg). She also reports receiving honoraria for lectures and book chapters, travel reimbursements for congresses or meetings related to medication safety from professional organisations and publishing companies, and board membership of several organisations. Consent for participate: All participants consented to participate in the study while registering to the program. Consent to publish: N/a. Ethics approval: This study was performed in line with the principles of the Declaration of Helsinki. Ethical approval was obtained from the Medical Faculty of the University Hospital Heidelberg, with approval reference number S-607/2016.
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Contributed Indexing: Keywords: Community pharmacy; Continuing education; Drug-related problems; e-learning
Entry Date(s): Date Created: 20260325 Date Completed: 20260714 Latest Revision: 20260726
Update Code: 20260726
PubMed Central ID: PMC13369537
DOI: 10.1007/s11096-026-02111-5
PMID: 41879925
Database: MEDLINE
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