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The Effect of Student Pharmacists as Peer Coaches on Implementation of Community Pharmacy Services
IMPLEMENTATION EVALUATION — Volume 23 — November 5, 2026
PEER REVIEWED
| Domain | Provider relationships | Software optimization | Patient engagement | Team engagement | Workflow integration | |||||
|---|---|---|---|---|---|---|---|---|---|---|
| Post | Pre | Post | Pre | Post | Pre | Post | Pre | Post | Pre | |
| Poor/needs improvement | 0 | 4 | 0 | 5 | 1 | 7 | 1 | 7 | 1 | 8 |
| Below average | 2 | 3 | 0 | 7 | 2 | 3 | 1 | 6 | 1 | 2 |
| Average | 7 | 5 | 7 | 3 | 6 | 4 | 8 | 2 | 9 | 5 |
| Above average | 6 | 5 | 4 | 2 | 5 | 4 | 6 | 3 | 4 | 3 |
| Excellent | 3 | 1 | 7 | 1 | 4 | 0 | 2 | 0 | 3 | 0 |
Figure 1. Perceived success in each of 5 Flip the Pharmacy domains before and after the student peer coaching intervention, as rated by 18 survey respondents employed at pharmacies enrolled in the More Than a Script program, North Carolina, 2025.
| Response | Overall satisfaction, % | Workflow integration, % | Knowledge, % | Readiness, % | ||||
|---|---|---|---|---|---|---|---|---|
| Post | Pre | Post | Pre | Post | Pre | Post | Pre | |
| Strongly disagree | 0 | 22.2 | 11.1 | 33.3 | 0.0 | 9.7 | 0.5 | 13.9 |
| Somewhat disagree | 11.1 | 16.7 | 5.6 | 33.3 | 0.0 | 13.9 | 4.6 | 13.4 |
| Neither agree nor disagree | 11.1 | 16.7 | 27.8 | 11.1 | 0.0 | 9.7 | 29.2 | 18.5 |
| Somewhat agree | 50.0 | 38.9 | 38.9 | 22.2 | 38.9 | 55.6 | 43.5 | 48.6 |
| Strongly agree | 27.8 | 5.6 | 16.7 | 0.0 | 61.1 | 11.1 | 22.2 | 5.6 |
Figure 2. Readiness for and attitudes toward the More Than a Script program before and after the student peer coaching intervention, as rated by 18 survey respondents employed at pharmacies enrolled in the More Than a Script program, North Carolina, 2025. “Knowledge” is a composite measure of 4 questions that assessed knowledge of More Than a Script program components among pharmacy teams. “Readiness” is a composite measure of 12 questions that assessed readiness for change among pharmacy teams. The stronger the agreement, the greater the overall satisfaction, workflow integration, knowledge, and readiness for change.
The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions.