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Community pharmacists' perceptions on providing fall prevention services: a mixed-methods study.
| Content Provider | Europe PMC |
|---|---|
| Author | Gemmeke, Marle Koster, Ellen S. Rodijk, Eline A. Taxis, Katja Bouvy, Marcel L. |
| Abstract | Background Pharmacists may contribute to fall prevention particularly by identifying and deprescribing fall risk-increasing drugs (FRIDs) in patients with high fall risk. Objective To assess community pharmacists’ perceptions on providing fall prevention services, and to identify their barriers and facilitators in offering these fall prevention services including deprescribing of FRIDs. Setting A mixed-methods study was conducted with Dutch pharmacists. Method Quantitative (ranking statements on a Likert scale, survey) and qualitative data (semi-structured interviews) were collected. Out of 466 pharmacists who were invited to participate, 313 Dutch pharmacists ranked statements, about providing fall prevention, that were presented during a lecture, and 205 completed a survey. To explore pharmacists’ perceptions in-depth, 16 were interviewed. Quantitative data were analysed using descriptive statistics. All interviews were audiotaped and transcribed verbatim. The capability opportunity motivation-behaviour model was applied to interpret and analyse the findings of qualitative data. Main outcome measure Community pharmacists’ views on providing fall prevention. Results Pharmacists stated that they were motivated to provide fall prevention. They believed they were capable of providing fall prevention by FRID deprescribing. They perceived limited opportunities to contribute. Major barriers included insufficient multidisciplinary collaboration, patient unwillingness to deprescribe FRIDs, and lack of time. Facilitators included goal-setting behaviour, financial compensation, and skilled communication. Conclusion Despite the complex decision-making process in medication-related fall prevention, community pharmacists are motivated and feel capable of providing fall prevention. Opportunities for pharmacists to provide fall prevention services should be enhanced, for example by implementing multidisciplinary agreements.Supplementary InformationThe online version contains supplementary material available at 10.1007/s11096-021-01277-4. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8642357&blobtype=pdf |
| ISSN | 22107703 |
| Journal | International Journal of Clinical Pharmacy [Int J Clin Pharm] |
| Volume Number | 43 |
| DOI | 10.1007/s11096-021-01277-4 |
| PubMed Central reference number | PMC8642357 |
| Issue Number | 6 |
| PubMed reference number | 34121152 |
| e-ISSN | 22107711 |
| Language | English |
| Publisher | Springer International Publishing |
| Publisher Date | 2021-06-13 |
| Publisher Place | Gewerbestrasse 11, Cham, Ch 6330, Switzerland |
| Access Restriction | Open |
| Rights License | Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. © The Author(s) 2021 |
| Subject Keyword | Accidental falls Community pharmacy services Decision making Deprescriptions Pharmacists |
| Content Type | Text |
| Resource Type | Article |
| Subject | Toxicology Pharmacology Pharmacy Pharmacology (medical) Pharmaceutical Science |
