A scoping literature review of pharmacy-based opioid misuse screening and brief interventions

Rao, Deepika; M, None Mercy; McAtee, Christine; Ford, James H.; Shiyanbola, Olayinka O.

doi:10.1016/j.sapharm.2023.05.003

Cited by 3 publications

(3 citation statements)

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“…We conducted a scoping review of pharmacy-based opioid misuse SBI and identified a few pilot-stage interventions and exploratory observational studies on this topic as well as two main research gaps [ 14 ]. While pharmacists were surveyed in development of these SBI, patient perspectives were not explored.…”

Section: Introductionmentioning

confidence: 99%

“…While pharmacists were surveyed in development of these SBI, patient perspectives were not explored. Issues regarding private space, stigma, and method (in-person or digital) of the intervention as well as comfort with a pharmacist providing such interventions, all of which can impact SBI effectiveness, were not studied [ 14 ]. Patient-centered interventions that include individual patient preferences and values are holistic, respect patient’s autonomy, and empower them to make decisions about their own care [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…Using a patient-centered approach to SBI development begins with exploring patient preferences and needs regarding participation. Our review also identified five qualitative studies that explored pharmacist perspectives regarding opioid misuse SBI but only one of the five studies had high credibility and trustworthiness [ 14 ]. There is a lack of in-depth, contextual information about pharmacist and patient perspectives of SBI, which is a significant limitation in development of effective interventions.…”

Section: Introductionmentioning

confidence: 99%

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Patient and pharmacist perspectives on opioid misuse screening and brief interventions in community pharmacies

Rao,

Ford,

Shiyanbola

2024

Addict Sci Clin Pract

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Background Pharmacy-based screening and brief interventions (SBI) offer opportunities to identify opioid misuse and opioid safety risks and provide brief interventions that do not overly burden pharmacists. Currently, such interventions are being developed without patient input and in-depth contextual data and insufficient translation into practice. The purpose of this study is to qualitatively explore and compare patient and pharmacist perceptions and needs regarding a pharmacy-based opioid misuse SBI and to identify relevant SBI features and future implementation strategies. Methods Using the Consolidated Framework for Implementation Research, we conducted semi-structured interviews with 8 patients and 11 pharmacists, to explore needs and barriers to participating in a pharmacy-based SBI. We recruited a purposive sample of English-speaking patients prescribed opioids for chronic or acute pain and pharmacists practicing in varied pharmacies (small independent, large-chain, specialty retail) settings. We used an inductive content analysis approach to analyze patient interview data. Then through a template analysis approach involving comparison of pharmacist and patient themes, we developed strategies for SBI implementation. Results Most patient participants were white, older, described living in suburban areas, and were long-term opioid users. We identified template themes related to individual, interpersonal, intervention, and implementation factors and inferred applications for SBI design or potential SBI implementation strategies. We found that patients needed education on opioid safety and general opioid use, regardless of opioid use behaviors. Pharmacists described needing patient-centered training, protocols, and scripts to provide SBI. A short-self-reported screening and brief interventions including counseling, naloxone, and involving prescribers were discussed by both groups. Conclusions Through this implementation-focused qualitative study, we identified patient needs such as opioid safety education delivered in a private and convenient format and pharmacist needs including training, workflow integration, protocols, and a time-efficient intervention for effective pharmacy-based SBI. Alternate formats of SBI using digital health technologies may be needed for effective implementation. Our findings can be used to develop patient-centered pharmacy-based SBI that can be implemented within actual pharmacy practice.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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