{"title":"Health Belief Model Interventions in Pre-exposure Prophylaxis (PrEP): Untapped intervention in the pharmacy arena.","authors":"Alina Cernasev, Holly Angell, Karen Derefinko, Santosh Kumar, Theodore Cory","doi":"10.1016/j.sapharm.2025.09.005","DOIUrl":"https://doi.org/10.1016/j.sapharm.2025.09.005","url":null,"abstract":"<p><p>The human immunodeficiency virus (HIV) epidemic continues to be a major public health crisis in the United States. Although pre-exposure prophylaxis (PrEP) has emerged as an effective tool to prevent HIV transmission, its uptake and adherence remain suboptimal, especially among high-risk populations. This article explores how the Health Belief Model (HBM) can serve as a guiding framework for pharmacists and other healthcare professionals to enhance PrEP delivery and patient engagement. Recent literature highlights persistent barriers to PrEP use, including stigma, perceived risk, misinformation, and healthcare access challenges. The five core components of the HBM-perceived severity, perceived susceptibility, perceived benefits, perceived barriers, and cues to action-have been used to understand and design interventions across multiple health behaviors. Studies suggest these components are useful in explaining patient behavior and provider limitations around PrEP, particularly in marginalized communities. While few studies directly apply HBM to PrEP adherence, evidence from related fields supports its predictive power. The HBM offers a promising lens through which pharmacy-based interventions can be developed to address patient beliefs, reduce stigma, and increase PrEP uptake and adherence. Pharmacists, given their accessibility and trusted role in the community, are uniquely positioned to lead these efforts. Incorporating culturally responsive, HBM-informed strategies in pharmacy practice can significantly improve health outcomes in populations most affected by HIV.</p>","PeriodicalId":48126,"journal":{"name":"Research in Social & Administrative Pharmacy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From global standards to local realities: Understanding the Granada Statements in pharmacy practice research.","authors":"Gizem Gülpınar, Aysel Pehlivanlı, Zaheer-Ud-Din Babar","doi":"10.1016/j.sapharm.2025.09.004","DOIUrl":"https://doi.org/10.1016/j.sapharm.2025.09.004","url":null,"abstract":"<p><strong>Introduction: </strong>The Granada Statements were developed to improve the quality and visibility of pharmacy practice research by encouraging consistency in reporting. However, little is known about how these guidelines are interpreted in low- and middle-income countries (LMICs), where professional roles and services may differ. Examining these perspectives can highlight both barriers and opportunities for wider uptake.</p><p><strong>Aim: </strong>This study explored how clinical and social pharmacy researchers perceive the Granada Statements, focusing on the challenges, enablers, and strategies that could enhance their application in resource-limited contexts.</p><p><strong>Method: </strong>A qualitative design was adopted, using focus group discussions with researchers in Türkiye. Data were thematically analyzed through collaborative coding and interpretation. Special attention was given to the Statements' key areas, including terminology, journal selection, perceptions of relevance, and proposed improvements.</p><p><strong>Results: </strong>Participants regarded the Statements as a useful framework for clarifying expectations, promoting consistency, and stimulating dialogue about research quality. Barriers included difficulties applying standardized terminology in evolving service contexts, challenges in translating technical terms, undervaluation of LMIC research, financial constraints in open access publishing, and discouraging peer review experiences. Suggested enablers included templates, illustrative examples, modular adoption, culturally sensitive glossaries, and training with editors. A global classification framework for benchmarking pharmacy practice was also proposed.</p><p><strong>Conclusion: </strong>This study shows that the Granada Statements have the potential to act not only as reporting guidance but also as a framework for more intentional, theory-driven, and globally relevant pharmacy practice research. Flexibility, contextual sensitivity, and institutional support are key to achieving this vision.</p>","PeriodicalId":48126,"journal":{"name":"Research in Social & Administrative Pharmacy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chelsea Felkai, Jamie-Lee Carew, David Newby, Joyce Cooper, Hayley Croft
{"title":"Common ailment and non-prescription medication-related problems faced by people with intellectual disability; findings from medication reviews provided by pharmacists.","authors":"Chelsea Felkai, Jamie-Lee Carew, David Newby, Joyce Cooper, Hayley Croft","doi":"10.1016/j.sapharm.2025.09.001","DOIUrl":"https://doi.org/10.1016/j.sapharm.2025.09.001","url":null,"abstract":"<p><strong>Background: </strong>Pharmacists in Australia play a significant role in managing non-prescription medicines and common ailments. The aims of this research were to describe the medication related issues people with intellectual disability face with their common ailments and non-prescription medications and document the recommendations made by pharmacists as part of the medication review process.</p><p><strong>Method: </strong>A retrospective analysis of medication review reports from credentialed pharmacists performed for a person with intellectual disability between January 2020 and January 2024.</p><p><strong>Results: </strong>A total of 80 reports were analysed with an average of 6.6 common ailments and 8.0 non-prescription medications per individual with ID. The credentialed pharmacists identified an average of 3.6 issues related to their common ailment or non-prescription medication.</p><p><strong>Conclusion: </strong>People with intellectual disability have significant issues managing common ailments and non-prescription medicines, that could potentially be more appropriately managed in the primary care setting.</p>","PeriodicalId":48126,"journal":{"name":"Research in Social & Administrative Pharmacy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laksmi Maharani, Adi Yugatama, Dedik Sulistiawan, Shu-Chun Lee
{"title":"Development and psychometric evaluation of knowledge, attitude, and behavior questionnaire on fall risk-increasing drugs (KABQ-FRID).","authors":"Laksmi Maharani, Adi Yugatama, Dedik Sulistiawan, Shu-Chun Lee","doi":"10.1016/j.sapharm.2025.08.013","DOIUrl":"https://doi.org/10.1016/j.sapharm.2025.08.013","url":null,"abstract":"<p><strong>Background: </strong>Fall risk-increasing drugs (FRIDs) increase the risks of falls, injuries, and fractures among older adults. However, limited evidence exists on how older adults perceive and manage FRID use, particularly in Indonesia.</p><p><strong>Objective: </strong>This study developed and psychometrically evaluated a questionnaire for assessing knowledge, attitudes, and behaviors (KABs) related to FRID use (hereafter KABQ-FRID) among older adults.</p><p><strong>Methods: </strong>KABQ-FRID was developed through a three-stage process. The first stage involved defining a conceptual framework and generating items based on a literature review, team discussions, and expert meeting. The second stage included an expert panel review and assessment of face validity. The third stage involved psychometric testing with 100 older adults receiving medications from a public health center in Surakarta City, Indonesia. Data analysis included Mokken scale analysis, confirmatory factor analysis (CFA), construct validity assessment, and reliability testing.</p><p><strong>Results: </strong>The final KABQ-FRID comprised 21 items across 3 dimensions: knowledge (7 items), attitude (5 items), and behavior (9 items). Psychometric evaluation demonstrated acceptable scalability for all items (Loevinger's H ≥ 0.30) and strong reliability (Cronbach's α > 0.7; intraclass correlation coefficient >0.9). CFA results revealed a χ<sup>2</sup>/df of 2.0, suggesting a reasonable model fit; all dimensions exhibited satisfactory loadings. Construct validity testing demonstrated strong convergent validity; 90.5 % of the items had a correlation coefficient of >0.4, and 100 % of the items had stronger correlations within their dimensions than with other constructs.</p><p><strong>Conclusion: </strong>KABQ-FRID is a reliable and valid instrument for assessing KAB related to FRID use among community-dwelling older adults.</p>","PeriodicalId":48126,"journal":{"name":"Research in Social & Administrative Pharmacy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pilot of a pharmacist-delivered habit-based intervention to support medication adherence in primary care.","authors":"Matthew Witry, James Hoehns, L Alison Phillips","doi":"10.1016/j.sapharm.2025.09.003","DOIUrl":"https://doi.org/10.1016/j.sapharm.2025.09.003","url":null,"abstract":"<p><strong>Purpose: </strong>Informed by the Extended Common Sense Model, this study aimed to pilot a pharmacist-led intervention to promote medication adherence through habit formation compared to standard education.</p><p><strong>Procedures: </strong>Patients new to medication were recruited in two phases. During Phase 1, the pharmacist provided standard education (control). In Phase 2, the pharmacist added a habit-formation component by completing a habit worksheet with patients. Surveys measuring medication beliefs, habit strength, and adherence were completed at baseline and 100 days later. Cues from the habit worksheets were coded and analyzed.</p><p><strong>Findings: </strong>The habit intervention group (N = 17) showed no significant difference from the control group (N = 16) in medication-taking habit strength (p = 0.37) or self-reported adherence (MARS-5) (p = 0.47) at follow-up. Habit strength was the only significant predictor of adherence (MARS-5)(p = 0.02), while necessity beliefs predicted missed doses (p = 0.03).</p><p><strong>Conclusion: </strong>High levels of habit strength and adherence may result from high baseline adherence levels. Further research should target patients with known non-adherence or without established medication routines.</p><p><strong>Clinical trial: </strong># NCT06230978.</p>","PeriodicalId":48126,"journal":{"name":"Research in Social & Administrative Pharmacy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contributing factors of pediatric medication errors involving high-alert medications: A qualitative content analysis of self-reported medication safety incidents.","authors":"Sini Kuitunen, Mari Saksa, Anna-Riia Holmström","doi":"10.1016/j.sapharm.2025.09.002","DOIUrl":"https://doi.org/10.1016/j.sapharm.2025.09.002","url":null,"abstract":"<p><strong>Background: </strong>High-alert medications can cause severe medication errors (MEs) in pediatrics. A comprehensive understanding of the factors contributing to errors is needed to establish risk management actions.</p><p><strong>Objective: </strong>To analyze incident reports involving high-alert medications and describe the contributing factors (CFs) of MEs in pediatrics.</p><p><strong>Methods: </strong>A retrospective document analysis study utilizing an abductive qualitative content analysis of self-reported medication safety incidents concerning high-alert medications at a pediatric university hospital from 2018 to 2020. Incident reports (n = 426) were first subjected to an inductive qualitative content analysis to identify and categorize CFs, then quantified by frequencies and percentages, and ultimately deductively categorized based on the elements of the Systems Engineering Initiative for Patient Safety (SEIPS) model. The analysis was first conducted by one independent researcher, then reviewed by a second researcher, and later reviewed by the entire research group.</p><p><strong>Results: </strong>A total of 933 CFs were identified, concerning 85.0 % (n = 362/426) of the incident reports. The most common main categories of CFs pertained to verifying the correct drug (11.1 %; n = 104/933), medications and pharmaceuticals (10.6 %; n = 99/933), and resourcing (10.5 %; n = 98/933). Over half of the CFs were linked to SEIPS elements involving tasks (39.6 %, n = 370) and tools and technologies (20.8 %, n = 194).</p><p><strong>Conclusions: </strong>The CFs of pediatric MEs involving high-alert medications are multifaceted and have a wide impact on the entire system design, from organizational strategies to individual tasks. Risk management actions and further studies addressing pediatric-specific challenges are required to ensure the most optimal systemic defenses, enabling proactive monitoring error-provoking conditions in clinical practice.</p>","PeriodicalId":48126,"journal":{"name":"Research in Social & Administrative Pharmacy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health Belief Profiles and Nonadherence to Oral Anticancer Medication in Cancer Survivors: A Latent Profile Analysis","authors":"Meng-Jung Wen , Olayinka Shiyanbola","doi":"10.1016/j.sapharm.2025.03.020","DOIUrl":"10.1016/j.sapharm.2025.03.020","url":null,"abstract":"","PeriodicalId":48126,"journal":{"name":"Research in Social & Administrative Pharmacy","volume":"21 11","pages":"Page e29"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144925637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Counseling in Bulgarian pharmacies –Expectation vs Perception","authors":"Hristina Lebanova , Svetoslav Stoev , Elitsa Lalkova","doi":"10.1016/j.sapharm.2025.02.073","DOIUrl":"10.1016/j.sapharm.2025.02.073","url":null,"abstract":"","PeriodicalId":48126,"journal":{"name":"Research in Social & Administrative Pharmacy","volume":"21 11","pages":"Page e24"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}