Barriers and facilitators experienced in delivering alcohol screening and brief interventions in community pharmacy: a qualitative evidence synthesis
Barriers and facilitators experienced in delivering alcohol screening and brief interventions in community pharmacy: a qualitative evidence synthesis
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.
alcohol, brief intervention, clinical practice, community pharmacy, health promotion
5-20
Smith, Alexander
abeaf11c-5f9c-4b49-8273-ac46a3e9e028
Buchanan, Ryan
9499f713-f684-4046-be29-83cd9d6f834d
Parkes, Julie
a3513cd3-3837-4304-8c94-51c8e15a1f5d
Stone, Helen
16371508-00b9-420d-a327-2fa9f1d83a91
Tan, Qian Yue
6a31c582-c5f8-4d80-b466-b27da2700069
Ibrahim, Kinda
54f027ad-0599-4dd4-bdbf-b9307841a294
Smith, Alexander
abeaf11c-5f9c-4b49-8273-ac46a3e9e028
Buchanan, Ryan
9499f713-f684-4046-be29-83cd9d6f834d
Parkes, Julie
a3513cd3-3837-4304-8c94-51c8e15a1f5d
Stone, Helen
16371508-00b9-420d-a327-2fa9f1d83a91
Tan, Qian Yue
6a31c582-c5f8-4d80-b466-b27da2700069
Ibrahim, Kinda
54f027ad-0599-4dd4-bdbf-b9307841a294
Smith, Alexander, Buchanan, Ryan, Parkes, Julie, Stone, Helen, Tan, Qian Yue and Ibrahim, Kinda
(2023)
Barriers and facilitators experienced in delivering alcohol screening and brief interventions in community pharmacy: a qualitative evidence synthesis.
International Journal of Pharmacy Practice, 32 (1), .
(doi:10.1093/ijpp/riad071).
Abstract
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.
Text
riad071
- Version of Record
More information
Accepted/In Press date: 12 October 2023
e-pub ahead of print date: 4 November 2023
Keywords:
alcohol, brief intervention, clinical practice, community pharmacy, health promotion
Identifiers
Local EPrints ID: 495304
URI: http://eprints.soton.ac.uk/id/eprint/495304
ISSN: 0961-7671
PURE UUID: 3763a08a-981c-4859-9795-7b81db0ca2ed
Catalogue record
Date deposited: 08 Nov 2024 17:38
Last modified: 09 Nov 2024 02:57
Export record
Altmetrics
Contributors
Author:
Alexander Smith
Author:
Julie Parkes
Author:
Helen Stone
Author:
Qian Yue Tan
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics
