Background: The Student Perceptions of Physician-Pharmacist Interprofessional Clinical Education (SPICE) instrument\ncontains 10 items, 3 factors (interprofessional teamwork and team-based practice, roles/responsibilities for collaborative\npractice, and patient outcomes from collaborative practice), and utilizes a five-point response scale (1 = strongly\ndisagree, 5 = strongly agree). Given the SPICE instrumentââ?¬â?¢s demonstrated validity and reliability, the objective of\nthis study was to evaluate whether it was capable of measuring changes in medical (MS) and pharmacy studentsââ?¬â?¢\n(PS) perceptions following an interprofessional education (IPE) experience.\nMethods: In this prospective cohort study, MS and PS completed the SPICE instrument before and after participation\nin a predefined IPE experience. Descriptive statistics were used to characterize students and pre-post responses.\nIndependent samples t tests and Fisherââ?¬â?¢s Exact tests were used to assess group difference in demographic variables.\nMann Whitney U tests were used to assess between-group differences in item scores. Wilcoxon Signed-Rank tests\nwere used to evaluate post-participation changes in item scores. Spearman correlations were calculated to assess\nassociations between ordinal demographic variables and item scores, and whether the number of clinic visits\ncompleted was associated with post-test responses. Paired samples t tests were used to calculate mean score\nchanges for each of the factors.\nResults: Thirty-four MS and 15 PS were enroled. Baseline differences included age (25.3. Ã?± 1.3 MS vs. 28.7 Ã?± 4.4 PS;\np = 0.013), years full-time employment (0.71 Ã?± 0.97 MS vs. 4.60 Ã?± 4.55 PS; p < 0.001), and number of prior IPE rotations\n(1.41 Ã?± 1.74 MS vs. 3.13 Ã?± 2.1 PS; p < 0.001). Two items generated baseline differences; 1 persisted post-participation:\nwhether MS/PS should be involved in teamwork (3.91 MS vs. 4.60 PS; p < 0.001). For all students, significant mean score\nincreases were observed for role clarity (ââ?¬Å?my roleââ?¬Â [3.72 vs. 4.11; p = 0.001] and ââ?¬Å?othersââ?¬â?¢ rolesââ?¬Â [3.87 vs. 4.17; p = 0.001]),\nimpact of teamwork on patient satisfaction (3.72 vs. 4.34; p < 0.001), and ideal curricular location for IPE (4.06 vs.\n4.34; p = 0.002). Significant increases were observed for all three factors (teamwork, p = 0.003; roles/responsibilities\nand patient outcomes, p < 0.001).\nConclusions: This study demonstrated the SPICE instrumentââ?¬â?¢s ability to measure changes in perception for medical\nand pharmacy students exposed to an IPE experience, both at the individual item level and at the factor level.
Loading....