Assessing the use of an infographic on pre-exposure prophylaxis for Wisconsin community pharmacists

Tidd, Maeleigh; Shiyanbola, Olayinka O.; Ford, James D.; Richert, Lucas

doi:10.1016/j.japh.2022.07.010

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…Improving PrEP accessibility via community pharmacies was not judged to be a moral imperative by some pharmacists because pharmacy clients were not perceived to be at risk of acquiring HIV/HIV becuase rates were assumed to be low [ 31 ]. Other motivational barriers included experiencing opposition to PrEP delivery from colleagues [ 38 , 48 , 80 ], and concerns that increasing accessibility to PrEP would increase risky sexual behaviours [ 54 , 56 , 62 ], STIs [ 41 , 44 , 46 ], antiretroviral resistance [ 54 , 58 ] and negatively impact the use of other available cost‐effective STI preventative methods (e.g. condoms, abstinence) [ 38 ].…”

Section: Synthesis Of Resultsmentioning

confidence: 99%

Facilitators and barriers to community pharmacy PrEP delivery: a scoping review

Harrison,

Family,

Kesten

et al. 2024

J Int AIDS Soc.

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IntroductionPre‐exposure prophylaxis (PrEP) is an effective medication to reduce the risk of acquiring HIV. PrEP is available free of charge in the UK from sexual health clinics. Expanding PrEP delivery to community pharmacies holds promise and aligns with UK government goals to eliminate new cases of HIV by 2030. The aim of this scoping review was to describe the existing evidence about the barriers to and facilitators of community pharmacy oral PrEP delivery, for pharmacists and pharmacy clients, as aligned with the Capacity Opportunity, Motivation Behaviour (COM‐B) Model.MethodsFive bibliographic and five review databases were searched from inception to August 2023. Literature of any study design was included if it discussed barriers and facilitators of community pharmacy PrEP delivery. Trial registrations, protocols and news articles were excluded.ResultsA total of 649 records were identified, 73 full texts were reviewed and 56 met the inclusion criteria, predominantly from high‐income/westernized settings. Most of the included literature was original research (55%), from the United States (77%) conducted during or after the year 2020 (63%). Barriers to PrEP delivery for pharmacists included lack of knowledge, training and skills (capability), not having the necessary facilities (opportunity), concern about the costs of PrEP and believing that PrEP use could lead to risk behaviours and sexually transmitted infections (motivation). Facilitators included staff training (capability), time, the right facilities (opportunity), believing PrEP could be a source of profit and could reduce new HIV acquisitions (motivation). For clients, barriers included a lack of PrEP awareness (capability), pharmacy facilities (opportunity) and not considering pharmacists as healthcare providers (motivation). Facilitators included awareness of PrEP and pharmacist's training to deliver it (capability), the accessibility of pharmacies (opportunity) and having an interest in PrEP (motivation).DiscussionTo effectively enhance oral PrEP delivery in UK community pharmacies, the identified barriers and facilitators should be explored for UK relevance, addressed and leveraged at the pharmacy team, client and care pathway level.ConclusionsBy comprehensively considering all aspects of the COM‐B framework, community pharmacies could become crucial providers in expanding PrEP accessibility, contributing significantly to HIV prevention efforts.

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Section: Synthesis Of Resultsmentioning

confidence: 99%

Facilitators and barriers to community pharmacy PrEP delivery: a scoping review

Harrison,

Family,

Kesten

et al. 2024

J Int AIDS Soc.

View full text Add to dashboard Cite

show abstract

“…Improving PrEP accessibility via community pharmacies was not judged to be a moral imperative by some pharmacists because pharmacy clients were not perceived to be at risk of acquiring HIV/HIV rates were assumed to be low (28). Other motivational barriers included experiencing opposition to PrEP delivery from colleagues (78, 79, 84), and concerns that increasing accessibility to PrEP would increase risky sexual behaviours (60, 63, 69), STIs (29, 38, 66), antiretroviral resistance (30, 69) and negatively impact the use of other available cost-effective STI preventative methods (e.g., condoms, abstinence) (79).…”

Section: Synthesis Of Resultsmentioning

confidence: 99%

Facilitators and barriers to community pharmacy PrEP delivery: A scoping review

Harrison,

Family,

Kesten

et al. 2023

Preprint

View full text Add to dashboard Cite

IntroductionPre-exposure prophylaxis (PrEP) is an effective medication to reduce the risk of acquiring HIV. PrEP is available free of charge in the United Kingdom from sexual health clinics. Expanding PrEP delivery to community pharmacies holds promise and aligns with UK government goals to eliminate new cases of HIV by 2030. The aim of this scoping review was to describe the existing evidence about the barriers to and facilitators of community pharmacy PrEP delivery, for pharmacists and pharmacy clients, as aligned with the Capacity Opportunity, Motivation Behaviour (COM-B) Model.MethodsFive bibliographic and five review databases were searched from inception to August 2023. Literature of any study design was included if it discussed barriers and facilitators of community pharmacy PrEP delivery. Trial registrations, protocols and news articles were excluded.ResultsA total of 649 records were identified, 73 full texts were reviewed, and 56 met the inclusion criteria. Most of the included literature was original research (55%), from the United States of America (77%) conducted during or after the year 2020 (63%). Barriers to PrEP delivery for pharmacists included lack of knowledge, training and skills (capability), not having the necessary facilities (opportunity), concern about the costs of PrEP and believing that PrEP use could lead to risk behaviour’s and STIs (motivation). Facilitators included staff training (capability), time, the right facilities (opportunity), believing PrEP could be a source of profit and could reduce new HIV infections (motivation). For clients, barriers included lack of PrEP awareness (capability), pharmacy facilities (opportunity) and not considering pharmacists as healthcare providers (motivation). Facilitators included awareness of PrEP and pharmacist’s training to deliver it (capability), the accessibility of pharmacies (opportunity) and having an interest in PrEP (motivation).ConclusionTo effectively enhance PrEP delivery in UK community pharmacies, the identified barriers and facilitators should be explored for relevance in the UK and subsequently addressed and leveraged at the pharmacy team, client and care pathway level. By comprehensively considering all aspects of the COM-B framework, community pharmacies could become crucial providers in expanding PrEP accessibility, contributing significantly to HIV prevention efforts.

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Assessing the use of an infographic on pre-exposure prophylaxis for Wisconsin community pharmacists

Cited by 2 publications

References 24 publications

Facilitators and barriers to community pharmacy PrEP delivery: a scoping review

Facilitators and barriers to community pharmacy PrEP delivery: a scoping review

Facilitators and barriers to community pharmacy PrEP delivery: A scoping review

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