A qualitative study of English community pharmacists’ experiences of providing lifestyle advice to patients with cardiovascular disease

Morton, Kirsty, Pattison, Helen, Langley, Chris and Powell, Rachael (2015). A qualitative study of English community pharmacists’ experiences of providing lifestyle advice to patients with cardiovascular disease. Research in social and administrative pharmacy, 11 (1), e17-e29.

Abstract

Background - Cardiovascular disease (CVD) progression is modifiable through lifestyle behaviors. Community pharmacists are ideally placed to facilitate self-management of cardiovascular health however research shows varied pharmacist engagement in providing lifestyle advice. Objective - This study explored community pharmacists' experiences and perceptions of providing lifestyle advice to patients with CVD. Methods - Semi-structured interviews were conducted with fifteen pharmacists (1 supermarket; 7 multiple; 7 independent) recruited through multiple methods from community pharmacies across the Midlands, England. A thematic analysis was conducted using a Framework approach. Results - Pharmacists categorized patients according to their perceptions of the patients' ability to benefit from advice. Many barriers to providing lifestyle advice were identified. Confidence to provide lifestyle advice varied, with pharmacists most comfortable providing lifestyle advice in conjunction with conversations about medicines. Some pharmacists felt lifestyle advice was an integral part of their role whilst others questioned whether pharmacists should give lifestyle advice at all, particularly when receiving no remuneration for doing so. Conclusion - Pharmacists viewed providing lifestyle advice as important but identified many barriers to doing so. Lifestyle advice provision was influenced by pharmacists' perceptions of patients. Professional identity and associated role conflict appeared to underpin many of the barriers to pharmacists providing lifestyle advice. Pharmacists may benefit from enhanced training to: increase their confidence to provide lifestyle advice; integrate lifestyle advice with regular pharmaceutical practice and challenge their perceptions of some patients' receptiveness to lifestyle advice and behavior change. Changes to the way UK pharmacists are remunerated may increase the provision of lifestyle advice.

Publication DOI: https://doi.org/10.1016/j.sapharm.2014.04.006
Divisions: Life & Health Sciences > Psychology
Life & Health Sciences > Applied Health Research Group
Life & Health Sciences > Chronic and Communicable Conditions
Life & Health Sciences
Life & Health Sciences > Pharmacy
Additional Information: This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/3.0/). Funded by an MRC/ESRC interdisciplinary studentship.
Uncontrolled Keywords: Cardiovascular disease,Community pharmacists,Lifestyle advice,Professional identity,Self-management,Pharmacy,Pharmaceutical Science
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Related URLs: http://www.scop ... tnerID=8YFLogxK (Scopus URL)
Published Date: 2015-01
Authors: Morton, Kirsty
Pattison, Helen ( 0000-0002-9483-4342)
Langley, Chris ( 0000-0002-0178-3778)
Powell, Rachael

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