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Barriers and facilitators experienced in delivering alcohol screening and brief interventions in community pharmacy: a qualitative evidence synthesis.
Smith, Alexander; Buchanan, Ryan; Parkes, Julie; Stone, Helen; Tan, Qian Yue; Ibrahim, Kinda.
Afiliación
  • Smith A; School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, United Kingdom.
  • Buchanan R; National Institute for Health and Care Research Applied Research Collaboration Wessex, University of Southampton, Southampton SO16 7NP, United Kingdom.
  • Parkes J; Department of Hepatology, University Hospital Southampton NHS Trust, Southampton SO16 6YD, United Kingdom.
  • Stone H; School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, United Kingdom.
  • Tan QY; Department of Hepatology, University Hospital Southampton NHS Trust, Southampton SO16 6YD, United Kingdom.
  • Ibrahim K; National Institute for Health and Care Research Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Trust, Southampton SO16 6YD, United Kingdom.
Int J Pharm Pract ; 32(1): 5-20, 2024 Feb 15.
Article en En | MEDLINE | ID: mdl-37936557
BACKGROUND: Following increases in deaths due to alcohol during the COVID-19 pandemic, there have been renewed calls to increase resources in alcohol screening and brief intervention (SBI). Research has shown that community pharmacy could be a promising setting for SBI. This review aimed to investigate the barriers and facilitators to SBI delivery in community pharmacy to inform its further development. METHODS: A systematic search of four databases (MEDLINE, EMBASE, CINAHL, and PsycINFO) was conducted in October 2021 to identify relevant published qualitative or mixed-method studies. Relevant qualitative data were extracted from the included studies and a framework synthesis was performed using the Capability-Opportunity-Motivation-Behaviour (COM-B) model. RESULTS: Two thousand two hundred and ten articles were screened and nine studies were included in the review (seven in the United Kingdom and two in Australia). Identified barriers and facilitators to delivering SBI corresponded to all components of the COM-B model. Facilitators included non-confrontational communication skills, aligning SBI with existing pharmacy services and pharmacist role legitimacy. Barriers included multiple demands on staff time, a lack of staff experience with screening tools, and staff concerns of causing offence. Using the Behaviour Change Wheel (BCW), we propose five elements of a pharmacy SBI to address identified barriers. CONCLUSIONS: Research into SBI in community pharmacy is limited in comparison to other healthcare settings and this review provides an understanding of the barriers and facilitators to the delivery of SBI in community pharmacy from a behavioural perspective. Through the use of COM-B and BCW, our findings could inform the development of future pharmacy-based SBI.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Farmacias / Intervención en la Crisis (Psiquiatría) Límite: Humans Idioma: En Revista: Int J Pharm Pract Asunto de la revista: FARMACIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Farmacias / Intervención en la Crisis (Psiquiatría) Límite: Humans Idioma: En Revista: Int J Pharm Pract Asunto de la revista: FARMACIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido