Smoking cessation counseling in Qatar: community pharmacists’ attitudes, role perceptions and practices

Hajj, Maguy Saffouh El; Nakeeb, Reem Raad Al; Alqudah, Rajaa

doi:10.1007/s11096-012-9663-x

Cited by 37 publications

(39 citation statements)

References 28 publications

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“…The majority of Qatar’s community pharmacies are staffed by only one pharmacist and one pharmacy technician at any particular shift. Lack of time is also perceived by Qatar’s pharmacists as a barrier for the provision of cognitive services including breast cancer health promotion and smoking cessation counseling 25,26. Thus, in order for Qatar’s pharmacists to spend enough time with their patients, more pharmacy technicians need to be hired and better delineation should exist between the role of pharmacy technicians and that of pharmacists.…”

Section: Discussionmentioning

confidence: 99%

Public’s attitudes towards community pharmacy in Qatar: a pilot study

Hajj¹,

Salem²,

Mansoor³

2011

PPA

110

155

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ObjectivesTo assess the public’s attitudes towards the community pharmacist’s role in Qatar, to investigate the public’s use of community pharmacy, and to determine the public’s views of and satisfaction with community pharmacy services currently provided in Qatar.Materials and methodsThree community pharmacies in Qatar were randomly selected as study sites. Patients 16 years of age and over who were able to communicate in English or Arabic were randomly approached and anonymously interviewed using a multipart pretested survey.ResultsOver 5 weeks, 58 patients were interviewed (60% response rate). A total of 45% of respondents perceived community pharmacists as having a good balance between health and business matters. The physician was considered the first person to contact to answer drug- related questions by 50% of respondents. Most patients agreed that the community pharmacist should provide them with the medication directions of use (93%) and advise them about the treatment of minor ailments (79%); however, more than 70% didn’t expect the community pharmacist to monitor their health progress or to perform any health screening. Half of the participants (52%) reported visiting the pharmacy at least monthly. The top factor that affected a patient’s choice of any pharmacy was pharmacy location (90%). When asked about their views about community pharmacy services in Qatar, only 37% agreed that the pharmacist gave them sufficient time to discuss their problem and was knowledgeable enough to answer their questions.ConclusionThis pilot study suggested that the public has a poor understanding of the community pharmacist’s role in monitoring drug therapy, performing health screening, and providing drug information. Several issues of concern were raised including insufficient pharmacist– patient contact time and unsatisfactory pharmacist knowledge. To advance pharmacy practice in Qatar, efforts may be warranted to address identified issues and to promote the community pharmacist’s role in drug therapy monitoring, drug information provision, and health screening.

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Section: Discussionmentioning

confidence: 99%

Public’s attitudes towards community pharmacy in Qatar: a pilot study

Hajj¹,

Salem²,

Mansoor³

2011

PPA

110

155

View full text Add to dashboard Cite

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“…At present, an involvement of pharmacists in tobacco cessation was encouraged by several organizations including National Health Service (NHS), the International Pharmaceutical Federation (FIP), American Society of Health System Pharmacy (ASHP) (McRobbie and McEwen, 2005, Siiskonen, September 2004, Hudmon and Corelli, 2009). However, barriers of pharmacist to provide smoking cessation counseling are lack of time and lack of knowledge and skill (Goniewicz et al, 2010, El Hajj et al, 2012.…”

Section: Effectiveness Of Tobacco Education For Pharmacy Students In mentioning

confidence: 99%

Effectiveness of Tobacco Education for Pharmacy Students in Indonesia

Kristina¹,

Thavorncharoensap²,

Pongcharoensuk³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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“…These include personal characteristics of the pharmacist, namely a perceived need for (further) training (strong direct evidence [3, 13, 59, 61]); perceived lack of interest from patients (strong direct evidence [59, 60]), perception that behavioural counselling is beyond their role (strong direct evidence [3, 13, 61]), unwillingness to put a strain on their relationships with ‘customers’ (moderate direct evidence [27, 65]), and a dislike of counselling (limited evidence [61]). They also include perceived features of the pharmacy and its local environment: lack of time (strong direct evidence [3, 13, 59–61]), lack of space – especially for consulting in private (strong direct evidence [3, 13, 61]), difficulty in identifying which customers are smokers at point of care (strong direct evidence [59, 61]), lack of support staff (limited evidence [61]), lack of specific remuneration (strong direct evidence [13, 27, 59]), other more pressing pharmacy duties, especially the high workload of dispensing (strong direct evidence [3, 27, 61, 65]), lack of ongoing relationships with customers (strong direct evidence [13, 61]), lack of opportunity to network with other primary care professionals (moderate direct evidence [3, 13]), lack of support from the manager or owner of the pharmacy (limited evidence [61]), excessive patient demand (limited evidence [65]), lack of support from a local health promotion unit (limited evidence [13]), and lack of national and/or local publicity on what extended services were available at pharmacies (limited evidence [3]).…”

Section: Resultsmentioning

confidence: 99%

What works for whom in pharmacist-led smoking cessation support: realist review

Greenhalgh

Macfarlane

Steed

2016

BMC Med

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BackgroundNew models of primary care are needed to address funding and staffing pressures. We addressed the research question “what works for whom in what circumstances in relation to the role of community pharmacies in providing lifestyle interventions to support smoking cessation?”MethodsThis is a realist review conducted according to RAMESES standards. We began with a sample of 103 papers included in a quantitative review of community pharmacy intervention trials identified through systematic searching of seven databases. We supplemented this with additional papers: studies that had been excluded from the quantitative review but which provided rigorous and relevant additional data for realist theorising; citation chaining (pursuing reference lists and Google Scholar forward tracking of key papers); the ‘search similar citations’ function on PubMed. After mapping what research questions had been addressed by these studies and how, we undertook a realist analysis to identify and refine candidate theories about context-mechanism-outcome configurations.ResultsOur final sample consisted of 66 papers describing 74 studies (12 systematic reviews, 6 narrative reviews, 18 RCTs, 1 process detail of a RCT, 1 cost-effectiveness study, 12 evaluations of training, 10 surveys, 8 qualitative studies, 2 case studies, 2 business models, 1 development of complex intervention). Most studies had been undertaken in the field of pharmacy practice (pharmacists studying what pharmacists do) and demonstrated the success of pharmacist training in improving confidence, knowledge and (in many but not all studies) patient outcomes. Whilst a few empirical studies had applied psychological theories to account for behaviour change in pharmacists or people attempting to quit, we found no studies that had either developed or tested specific theoretical models to explore how pharmacists’ behaviour may be affected by organisational context. Because of the nature of the empirical data, only a provisional realist analysis was possible, consisting of five mechanisms (pharmacist identity, pharmacist capability, pharmacist motivation and clinician confidence and public trust). We offer hypotheses about how these mechanisms might play out differently in different contexts to account for the success, failure or partial success of pharmacy-based smoking cessation efforts.ConclusionSmoking cessation support from community pharmacists and their staff has been extensively studied, but few policy-relevant conclusions are possible. We recommend that further research should avoid duplicating existing literature on individual behaviour change; seek to study the organisational and system context and how this may shape, enable and constrain pharmacists’ extended role; and develop and test theory.

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Smoking cessation counseling in Qatar: community pharmacists’ attitudes, role perceptions and practices

Abstract: Qatar community pharmacists have positive attitudes toward smoking cessation counseling. These attitudes need to be translated into action. Interventions should be implemented to overcome perceived barriers and to improve smoking cessation activities among pharmacists.

Cited by 37 publications

References 28 publications

Public’s attitudes towards community pharmacy in Qatar: a pilot study

Public’s attitudes towards community pharmacy in Qatar: a pilot study

Effectiveness of Tobacco Education for Pharmacy Students in Indonesia

What works for whom in pharmacist-led smoking cessation support: realist review

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Smoking cessation counseling in Qatar: community pharmacists’ attitudes, role perceptions and practices

Abstract: Qatar community pharmacists have positive attitudes toward smoking cessation counseling. These attitudes need to be translated into action. Interventions should be implemented to overcome perceived barriers and to improve smoking cessation activities among pharmacists.

Cited by 37 publications

References 28 publications

Public&rsquo;s attitudes towards community pharmacy in Qatar: a pilot study

Public&rsquo;s attitudes towards community pharmacy in Qatar: a pilot study

Effectiveness of Tobacco Education for Pharmacy Students in Indonesia

What works for whom in pharmacist-led smoking cessation support: realist review

Contact Info

Product

Resources

About

Public’s attitudes towards community pharmacy in Qatar: a pilot study

Public’s attitudes towards community pharmacy in Qatar: a pilot study