Opinions of a Small Sample of Pharmacists About Pharmacy Setting and Patient Adherence to Antiretroviral Therapy

Kibicho, Jennifer; Owczarzak, Jill; Pinkerton, Steven D.

doi:10.18553/jmcp.2012.18.6.446

Cited by 8 publications

(9 citation statements)

References 30 publications

(38 reference statements)

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“…8 The barriers to providing ART adherence support reported in our study were similar to those found in two qualitative studies, particularly around job time-stress and desires for additional training. 7,8 Our data is consistent with this published literature, and our study also adds valuable insight from the patient’s perspective, because ART adherence support that is provided by pharmacists may be interpreted differently by their patients.…”

Section: Discussionsupporting

confidence: 89%

A Qualitative Study Examining HIV Antiretroviral Adherence Counseling and Support in Community Pharmacies

Cocohoba

Comfort²,

Kianfar³

et al. 2013

JMCP

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OBJECTIVE To use qualitative research methods to obtain an in-depth understanding of how antiretroviral therapy (ART) adherence support and counseling is provided in HIV-focused community pharmacies. To determine relevant facilitators and barriers around adherence support from both patient’s and pharmacist’s perspectives. METHODS Qualitative research study of patients who patronize and pharmacists employed at HIV-focused pharmacies in the San Francisco Bay Area. Participants were recruited using flyers at HIV clinics, community-based organizations, and using newsletter blurbs. Transcripts were analyzed using grounded theory methods to determine emergent themes in the data. RESULTS 19 eligible patients with a self-reported diagnosis of HIV, taking their current ART regimen for at least 3 months, and who obtained their ART from a community pharmacy in the San Francisco Bay Area were included. 9 pharmacists employed at 13 different pharmacy locations frequented by participants were interviewed. Emergent themes included descriptions of pharmacy adherence counseling and support, roles and responsibilities regarding medication adherence, barriers to providing adherence support, and feeling connected as a facilitator to adherence support relationships. CONCLUSION Pharmacists provide diverse types of ART adherence support and are uniquely positioned to help clients manage their medications. Additional training on developing relationships with patients and advertising regarding their adherence services may further the role of community pharmacists in supporting antiretroviral adherence.

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Section: Discussionsupporting

confidence: 89%

A Qualitative Study Examining HIV Antiretroviral Adherence Counseling and Support in Community Pharmacies

Cocohoba

Comfort²,

Kianfar³

et al. 2013

JMCP

View full text Add to dashboard Cite

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“…9 Several studies conducted in North America and Europe have reported that once community pharmacists have identified nonadherent patients from the pharmacy records of prescription refills, most will first intervene by discussing the issue with their patients. [9][10][11][12][13][14][15] However, they face numerous challenges, including the lack of close monitoring, lack of accurate measures of patient adherence, the very busy pharmacy environment and limited patient interest. 9,10,13,[16][17][18] A study by Rickles et al 9 showed that community pharmacists face difficulties with identifying, monitoring and intervening in cases of suspected nonadherence.…”

Section: Lucie Blaismentioning

confidence: 99%

Monitoring and managing medication adherence in community pharmacies in Quebec, Canada

et al. 2020

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Background: Community pharmacists have direct access to prescription refill information and regularly interact with their patients. Therefore, they are in a unique position to promote optimal medication use. Objectives: To describe how community pharmacists in Quebec, Canada, identify nonadherent patients, monitor medication use and promote optimal medication adherence. Methods: An invitation to complete a web-based survey was published online through different platforms, including a Facebook pharmacists’ group, an electronic newsletter, a pharmacy network forum and e-mail. The survey included questions on participant characteristics, methods used by pharmacists to identify nonadherent patients and monitor medication use and interventions they used to promote medication adherence. Results: In total, 342 community pharmacists completed the survey. The participants were mainly women (71.6%), staff pharmacists (56.7%) and aged 30 to 39 years (34.2%). The most common method to identify nonadherent patients was to check gaps between prescription refills (98.8%). The most common intervention to promote adherence was patient counselling (82.5%). The most common barriers to identifying nonadherent patients were lack of time (73.1%) and lack of prescription information (65.8%), whereas the most common barriers to intervening were anticipation of a negative reaction from their patients (91.2%) and lack of time (64%). Conclusion: Lack of time and lack of prescription information are frequent challenges encountered by community pharmacists regarding effective monitoring and management of patients with poor medication adherence. Pharmacists could benefit from electronic tools based on prescription refills that would provide quick and easily interpretable information on their patients’ medication adherence. Can Pharm J (Ott) 2020;153:xx-xx.

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“…In the Southern part of Nigeria, a similar project was implemented where HIV care practitioners, working in 181 community pharmacies, provided differentiated care for nearly six thousand clients [8]. Studies have shown that community-based pharmacists involved in HIV specialized care resulted in more face-to-face interactions with patients thus, providing them with opportunity to reinforce the relevance of ART medication adherence and identify patients who needed additional social support [9][10][11]. These positive findings underscore the strategic importance of shifting HIV care to the community pharmacy settings.…”

Section: Introductionmentioning

confidence: 99%

Community Pharmacy Based Model for HIV Care and Services: Attitudes and Perceptions of Practitioners in Jos, Nigeria

Dapar

Joseph

Damun

et al. 2019

I-SRR

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Background: Differentiated care is an innovative multi-dimensional strategy for improving access to HIV care and treatment outcomes. However, its successful implementation depends on attitudes and perceptions of practitioners. Objectives: This study assessed the attitudes and perception of community pharmacists on HIV differentiated care and services. Methods: This was a cross-sectional survey of community pharmacists in Jos, Plateau state, Nigeria. The portion of the study reported in this paper consisted of a 10 items Likert questions to assess attitudes and perceptions of community pharmacists on differentiated HIV care and Dapar et al.; ISRR, 8(2): 1-10, 2019; Article no.ISRR.51502 2 services. The Statistical Package for Social Sciences version 20 was used to manage data. The reliability of the instrument was calculated using Cronbach's alpha. Descriptive statistics were presented as tables and figures. Results: Seventy-three 73 community pharmacists completed our questionnaire out of 110 distributed, giving a response rate of 66.4%. Mean age of respondents was 37.7+7.8 years. Cronbach's alpha for internal consistency of the perception scale was 0.9 indicating good reliability of the instrument. Overall, respondents had a positive perception regarding suitability and benefits of differentiated HIV care and services in community pharmacies. Highest agreement was to the perception that differentiated care would encourage collaboration between community pharmacies and the rest of the health system. Conclusion: Willingness and positive perceptions of community pharmacists about the suitability and benefits of providing HIV differentiated care and services were identified. Original Research Article

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Opinions of a Small Sample of Pharmacists About Pharmacy Setting and Patient Adherence to Antiretroviral Therapy

Cited by 8 publications

References 30 publications

A Qualitative Study Examining HIV Antiretroviral Adherence Counseling and Support in Community Pharmacies

A Qualitative Study Examining HIV Antiretroviral Adherence Counseling and Support in Community Pharmacies

Monitoring and managing medication adherence in community pharmacies in Quebec, Canada

Community Pharmacy Based Model for HIV Care and Services: Attitudes and Perceptions of Practitioners in Jos, Nigeria

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