J. Douglas Thornton, Nina Z.Y. Smith, Olajumoke A. Olateju, Matthew A. Wanat, Alia M. Altaie, Tyler J. Varisco
{"title":"Pharmacist intervention to improve controlled substance dispensing and use practices in Texas: A pilot study","authors":"J. Douglas Thornton, Nina Z.Y. Smith, Olajumoke A. Olateju, Matthew A. Wanat, Alia M. Altaie, Tyler J. Varisco","doi":"10.1016/j.japhpi.2024.100019","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Pharmacists play an important role in preventing and addressing opioid-related harm; as such, efforts to encourage and improve their participation are valuable. Face-to-face peer-pharmacist-delivered academic detailing targeted at community pharmacists may serve a role to support best practices in dispensing controlled substances (CS).</div></div><div><h3>Objectives</h3><div>The objectives of the project were to (1) develop and pilot an academic detailing intervention, (2) determine the feasibility of delivering the intervention, and (3) determine which knowledge and practice should be emphasized during the education. This information would drive refinements to the project before it was expanded.</div></div><div><h3>Methods</h3><div>Educational content and materials were developed based on previous research on dispensing practices and on delivering academic detailing. A pharmacist trainer visited community pharmacists to deliver education and to collect data about knowledge and practices surrounding CS dispensing. The community pharmacists were also offered drug disposal products for distribution to patients.</div></div><div><h3>Results</h3><div>A total of 53 community pharmacies in Fort Bend County, TX, were identified as potential targets for the intervention. Seven were determined to be ineligible and the pharmacists in 33 pharmacies consented to participation. Before the intervention, 60.6% of the participating pharmacists reported feeling uncomfortable filling CS and disposal of leftover CS was infrequently addressed with patients. Most pharmacies did not use drug disposal systems before intervention and most pharmacies were interested in receiving free drug disposal envelopes through the intervention.</div></div><div><h3>Conclusion</h3><div>An educational intervention was developed and pilot tested. The pilot showed the intervention’s feasibility and suggested which educational content needed to be abridged to accommodate community pharmacists’ busy practices. Plans were made to scale up the intervention to include more peer pharmacists and community pharmacies.</div></div>","PeriodicalId":100737,"journal":{"name":"JAPhA Practice Innovations","volume":"1 4","pages":"Article 100019"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JAPhA Practice Innovations","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2949969024000125","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Background
Pharmacists play an important role in preventing and addressing opioid-related harm; as such, efforts to encourage and improve their participation are valuable. Face-to-face peer-pharmacist-delivered academic detailing targeted at community pharmacists may serve a role to support best practices in dispensing controlled substances (CS).
Objectives
The objectives of the project were to (1) develop and pilot an academic detailing intervention, (2) determine the feasibility of delivering the intervention, and (3) determine which knowledge and practice should be emphasized during the education. This information would drive refinements to the project before it was expanded.
Methods
Educational content and materials were developed based on previous research on dispensing practices and on delivering academic detailing. A pharmacist trainer visited community pharmacists to deliver education and to collect data about knowledge and practices surrounding CS dispensing. The community pharmacists were also offered drug disposal products for distribution to patients.
Results
A total of 53 community pharmacies in Fort Bend County, TX, were identified as potential targets for the intervention. Seven were determined to be ineligible and the pharmacists in 33 pharmacies consented to participation. Before the intervention, 60.6% of the participating pharmacists reported feeling uncomfortable filling CS and disposal of leftover CS was infrequently addressed with patients. Most pharmacies did not use drug disposal systems before intervention and most pharmacies were interested in receiving free drug disposal envelopes through the intervention.
Conclusion
An educational intervention was developed and pilot tested. The pilot showed the intervention’s feasibility and suggested which educational content needed to be abridged to accommodate community pharmacists’ busy practices. Plans were made to scale up the intervention to include more peer pharmacists and community pharmacies.
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