Engaging Student Pharmacists in Social Determinants of Health and Health Equity Through Photovoice

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OBJECTIVE: This study aimed to evaluate the impact of an interactive photovoice activity on the perceptions of social determinants of health (SDOH) and health equity among first professional year student pharmacists.

METHODS: This study used a mixed-methods exploratory approach at 4 institutions. All students completed a standardized intervention using a prerecorded lecture, active learning using photovoice, and an in-depth debriefing session. The photovoice responses and reflections were analyzed through a deductive approach using content analysis with the applied frameworks of Rolfe's reflection model and the social-ecological model. A presurvey/postsurvey assessed the students' perceptions of SDOH and health equity. Paired sample t tests were conducted to assess the prechange and postchange.

RESULTS: A total of 349 students participated; most students reflected at the "what" level (97.7%), whereas 65% reached the "now what" level. Students identified more SDOH factors at the institutional/community level (75.9%) than at the individual/interpersonal level (59.4%) or the society/policy level (28.0%); 191 (55%) students had matchable survey data. A statistically significant improvement was found in the comprehension of health equity concepts (4 items), perceptions of health disparities and system response (4 items), awareness of structural factors impacting equity (3 items), and readiness for inclusivity behavior (3 items).

CONCLUSION: A structured teaching and learning activity allowed deeper reflections among student pharmacists. Student perception of the basic terminologies and the impact of beliefs on health care improved after the photovoice assignment. Although students became aware of the SDOH, they had difficulty identifying the structural or upstream factors when addressing SDOH.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:88

Enthalten in:

American journal of pharmaceutical education - 88(2024), 3 vom: 15. März, Seite 100666

Sprache:

Englisch

Beteiligte Personen:

Connor, Sharon E [VerfasserIn]
Abrons, Jeanine [VerfasserIn]
Borja-Hart, Nancy [VerfasserIn]
Haack, Sally [VerfasserIn]
Jonkman, Lauren [VerfasserIn]
Maerten-Rivera, Jaime [VerfasserIn]
Prescott, Gina M [VerfasserIn]

Links:

Volltext

Themen:

Active learning
Health equity
Journal Article
Photovoice
Social determinants of health
Students, Pharmacy

Anmerkungen:

Date Completed 18.03.2024

Date Revised 18.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ajpe.2024.100666

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368191214