Pharmacists’ Attitudes and Perceived Barriers about Community Pharmacy-Based Cardiovascular Risk Screening Services
Background: Community pharmacies are considered as ideal settings to provide cardiovascular risk screening (CRS). However, little is known about pharmacists’ views on providing such services in developing countries including Iran. In the present study, we evaluated the pharmacists’ attitudes and perceived barriers to providing CRS services.
Methods: In a cross-sectional study, a questionnaire in three sections was developed by the investigators (attitudes, perceived barriers, and demographics). Five likert items (5 points bipolar scale) were designed to evaluate pharmacists’ attitudes about their professional role in providing CRS services in community pharmacies. Seven likert items were designed to assess the pharmacists’ perceived importance of possible barriers to providing the services. The study tool was distributed among a convenient sample of 500 pharmacists, who had participated in a national continuing education event.
Results: The response rate was 44% and descriptive statistics and Chi squared test were used to analyze data. Results showed that 70.4% participants had an overall positive attitude to providing CRS services. Pharmacists who were pharmacy owner and pharmacist-in-charge simultaneously were more positive about providing CRS services. Lack of regulatory policy and compensation mechanism, limited physical space in pharmacy and time limitation were reported to be the most important barriers to providing CRS services (> 50% rated as highly important). Low human resource and time limitation were significantly associated with negative attitudes (P: 0.02 and 0.001, respectively).
Conclusion: The Iranian pharmacists’ attitudes seem to be positive about providing CRS services; however, their perceived barriers should be addressed prior to CRS service implementation.
Joyce AW, Sunderland VB, Burrows S, McManus A, Howat P, Maycock B. Community pharmacy’s role in promoting healthy behaviours. J Pharmacy Prac Res 2007;37:42-4.
Krass I, Mitchell B, Clarke P, et al. Pharmacy diabetes care program: analysis of two screening methods for undiagnosed type 2 diabetes in Australian community pharmacy. Diabetes Res Clin Pract 2007;75:339- 47.
El Hajj MS, Hamid Y. Breast cancer health promotion in Qatar: a survey of community pharmacists’ interests and needs. Int J Clin Pharm 2011;33:70-9.
Ayorinde AA, Porteous T, Sharma P. Screening for major diseases in community pharmacies: a systematic review. Int J Pharm Pract 2013; 21(6):349-61.
Peterson GM, Fitzmaurice KD, Kruup H, Jackson SL, Rasiah RL. Cardiovascular risk screening program in Australian community pharmacies. Pharm World Sci 2010;32:373-80.
Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet 2013;380:2095-2128.
Berger JS, Jordan CO, Lloyd-Jones D, Blumenthal RS. Screening for cardiovascular risk in asymptomatic patients. J Am Coll Cardiol 2010;55:1169-77.
Hatmi Z, Tahvildari S, Motlag AG, Kashani AS. Prevalence of coronary artery disease risk factors in Iran: a population based survey. BMC Cardiovasc Disord 2007;7:32.
Eades CE, Ferguson JS, O’Carroll RE. Public health in community pharmacy: a systematic review of pharmacist and consumer views. BMC Public Health 2011;11:582.
Holland RW, Nimmo CM. Transitions in pharmacy practice, part 3: effecting change--the three-ring circus. Am J Health Syst Pharm 1999;56:2235-41.
Beshir SA, Hanipah MA. Knowledge, Perception, Practice and Barriers of Breast Cancer Health Promotion Activities among Community Pharmacists in Two Districts of Selangor State, Malaysia. Asian Pac J Cancer Prev 2012;13:4427-30.
Meyerson BE, Ryder PT, Richey-Smith C. Achieving pharmacy-based public health: a call for public health engagement. Public Health Rep 2013;128(3):140-3.
O’Loughlin J, Masson P, Déry V, Fagnan D. The Role of Community Pharmacists in Health Education and Disease Prevention: A Survey of Their Interests and Needs in Relation to Cardiovascular Disease. Prev Med 1999;28:324-31.
Lau WM, Pang J, Chui W. Job satisfaction and the association with involvement in clinical activities among hospital pharmacists in Hong Kong. Int J Pharm Pract 2011;19:253-63.
Murawski MM, Payakachat N, Koh-Knox C. Factors affecting job and career satisfaction among community pharmacists: a structural equation modeling approach. J Am Pharm Assoc (2003) 2008;48(5):610-20.
Brewster JM, Ashley MJ, Laurier C, et al. On the front line of smoking cessation: pharmacists’ practices and self-perception. Canadian Pharmacists Journal/Revue des Pharmaciens du Canada. 2005;138:32-8.
Thananithisak C, Nimpitakpong P, Chaiyakunapruk N. Activities and perceptions of pharmacists providing tobacco control services in community pharmacy in Thailand. Nicotine Tob Res 2008;10(5):921-5.
Björkman I, Viberg N, Rydberg L, Stälsby Lundborg C. Health promotion at Swedish pharmacies: views of the staff. Pharm Pract (Granada) 2008;6(4):211-8.
Anderson C. Health promotion in community pharmacy: the UK situation. Patient Educ Couns 2000;39:285-91.
Aquilino ML, Farris KB, Zillich AJ, Lowe JB. Smoking-Cessation Services in Iowa Community Pharmacies. Pharmacotherapy 2003;23(5):666-73.
Hassali M, Subish P, Shafie A, Ibrahim M. Perceptions and barriers towards provision of health promotion activities among community pharmacists in the State of Penang, Malaysia. Journal of Clinical and Diagnostic Research 2009;3:1562-8.
Fahimi F. Should Clinical Services Provided by Pharmacists be Compensated? IJPR 2010:1-2.
Pfleger DE, McHattie LW, Diack HL, McCaig DJ, Stewart DC. Views, attitudes and self-assessed training needs of Scottish community pharmacists to public health practice and competence. Pharm World Sci 2008;30:801-9.
Iversen L, Mollison J, MacLeod TNN. Attitudes of the general public to the expanding role of community pharmacists: a pilot study. Fam Pract 2001;18:534-6.
Sarayani A, Rashidian A, Gholami K, Torkamandi H, Javadi M. Efficacy of continuing education in improving pharmacists’ competencies for providing weight management service: Three-arm randomized controlled trial. J Contin Educ Health Prof 2012;32:163-73.
Raney EC. An Elective Course on Pharmacy-Based Health Screenings. Am J Pharm Educ 2013;77(6):131.
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