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Adverse drug reaction (ADR) reporting is largely dependent on spontaneous reporting by clinicians and health care teams. This in turn depends on their knowledge and attitudes. There is a need to develop sustainable, feasible and effective educational methods in order to improve ADR reporting rates. Aim: To obtain baseline information regarding knowledge, attitudes and practice (KAP) of resident clinicians working in a tertiary care teaching hospital in respect to Pharmacovigilance activity and to demonstrate the effects of an educational intervention on knowledge and attitude components. Materials and Methods: This was a prospective questionairre based interventional study. Two questionnaires were given before and after the intervention to 43 doctors across different levels of residency. Educational intervention had comprised of a 20-30 minute small group discussion on Pharmacovigilance. The questionnaire was structured to address the core objectives through 10 questions related to knowledge, 16 questions related to attitude and 2 questions related to practice. Descriptive statistics like mean, standard deviation, frequencies and percentages were used to analyze data. Statistical tests like t-test and Chi2 tests were used to examine group differences. Statistical significance was set at p<0.05. Results: The small group discussion brought about a significant change in response from before intervention to after intervention in 80% “knowledge” questions, and 46.15% “attitude” questions. The change in response to “knowledge” questions was highly significant, very significant, significant and not significant in 6 (60%), 1 (10%), 1 (10%), and 2 (20%) questions respectively. The change in response to “attitude” questions was highly significant, very significant, significant and not significant in 1 (7.69%), 2 (15.38%), 3 (23.08%), and 7 (53.85%) questions respectively. Conclusion: Our results demonstrate the need for and establish the effectiveness of educational interventions like small group discussions in improving knowledge and attitudes of resident clinicians in regards to adverse drug reaction reporting.

ip international journal of comprehensive and advanced pharmacology/ip international journal of comprehensive and advanced pharmacology

Impact of small group discussions on knowledge and attitudes of resident clinicians towards adverse drug reaction reporting in a tertiary care teaching hospital