Weight management in community pharmacy: what do the experts think?

Um, Irene S.; Armour, Carol; Krass, Ines; Gill, Timothy; Chaar, Betty

doi:10.1007/s11096-013-9761-4

Cited by 36 publications

(42 citation statements)

References 16 publications

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“…Health care professionals’ work environment was perceived to be detrimental to delivering opportunistic behaviour change interventions ( Environmental context and resources ). Consistent with previous literature, time and workload pressures were cited as hampering health care professionals’ opportunities to engage in conversations about behaviour change (Elwell, Povey, Grogan, Allen, & Prestwich, ; Elwell, Powell, Wordsworth, & Cummins, ; Um et al ., ). Additionally, findings suggest that across all disciplines behaviour change interventions are not given sufficient priority as part of clinical practice.…”

Section: Discussionmentioning

confidence: 97%

‘It's difficult, I think it's complicated’: Health care professionals’ barriers and enablers to providing opportunistic behaviour change interventions during routine medical consultations

Keyworth

Epton

Goldthorpe

et al. 2019

British J Health Psychol

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Objectives Internationally, public health strategies encourage health care professionals to deliver opportunistic behaviour change interventions. The present study: (1) examines the barriers and enablers to delivering interventions during routine consultations, and (2) provides recommendations for the design of interventions to increase delivery of opportunistic behaviour change interventions. Design Qualitative interview study. Methods Twenty‐eight semi‐structured interviews were conducted with patient‐facing health care professionals. The Behaviour Change Wheel informed a framework analysis in which findings were mapped onto the Theoretical Domains Framework (TDF). Intervention functions and behaviour change techniques (BCTs) targeting each TDF domain were identified. Results Health care professionals understood the importance of opportunistic behaviour change interventions (beliefs about consequences), but were sceptical about their capabilities to facilitate behaviour change with patients (beliefs about capabilities). Some clinicians were unwilling to discuss behaviours perceived as unrelated to the patient's visit (social/professional role and identity). Discipline‐specific tasks were prioritized, and delivering interventions was perceived as psychologically burdensome. One‐to‐one contact was favoured over busy hospital settings (environmental context and resources). Seven intervention functions (training, restriction, environmental restructuring, enablement, education, persuasion, and modelling) and eight BCT groupings (antecedents, associations, comparison of outcomes, covert learning, feedback and monitoring, natural consequences, reward and threat, and self‐belief) were identified. Conclusions Across disciplines, health care professionals see the value of opportunistic behaviour change interventions. Barriers related to workload, the clinical environment, competence, and perceptions of the health care professional role must be addressed, using appropriate intervention functions and BCTs, in order to support health care professionals to increase the delivery of interventions in routine practice. What is already known on this subject? Brief, opportunistic interventions can be a cost effective way of addressing population health problems. Public health policies compel health care professionals to deliver behaviour change interventions opportunistically. Health care professionals do not always deliver interventions opportunistically during routine medical consultations; however the barriers and enablers are currently unclear. What does this study add? This is the first study to examine cross‐disciplinary barriers and enablers to delivering opportunistic behaviour change interventions. Across diverse professional groups, working in different medical professions, participants saw the value of delivering opportunistic behaviour change interventions. Targeting key theoretical domains that are shared across professional groups may be useful for increasing the delivery of opportunistic behaviour change...

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Section: Discussionmentioning

confidence: 97%

‘It's difficult, I think it's complicated’: Health care professionals’ barriers and enablers to providing opportunistic behaviour change interventions during routine medical consultations

Keyworth

Epton

Goldthorpe

et al. 2019

British J Health Psychol

View full text Add to dashboard Cite

show abstract

“…However, it is clear that there is an urgent need for a practice model which is systematically developed from a theoretical base, considers the views of key stakeholder groups (e.g. customers, physicians, nurses, pharmacists), and is feasibility tested and evaluated in terms of effectiveness and cost effectiveness [38]. Such an approach is in line with the UK Medical Research Council Framework for Complex Interventions [39].…”

Section: Discussionmentioning

confidence: 99%

Promoting weight management services in community pharmacy: perspectives of the pharmacy team in Scotland

et al. 2015

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“…The study designs varied across all of the included studies. There were five pre‐/post‐studies, two RCTs, one non‐randomised retrospective comparison and one prospective cohort study …”

Section: Resultsmentioning

confidence: 99%

“…Four studies had challenges with follow‐up as the patient dropout range varied widely from 8.3% to 79% (see Table ) . Four studies included some formal training of pharmacists in the administration of the weight management programme to patients . Four studies were not generalizable to other patient populations or pharmacies because only one pharmacy was involved or the patient demographic characteristics were too narrow (ex.…”

Section: Resultsmentioning

confidence: 99%