Innovations in pharmacyPub Date : 2025-11-06eCollection Date: 2025-01-01DOI: 10.24926/iip.v16i3.6702
Yiyu Chen, Angeline Carlson, Jon Schommer, David Stenehjem, Dongmu Zhang
{"title":"Real-world treatment patterns among advanced non-small cell lung cancer patients in the US.","authors":"Yiyu Chen, Angeline Carlson, Jon Schommer, David Stenehjem, Dongmu Zhang","doi":"10.24926/iip.v16i3.6702","DOIUrl":"10.24926/iip.v16i3.6702","url":null,"abstract":"<p><p><b>Objectives</b>: The rapid evolution of the treatment landscape for non-small cell lung cancer (NSCLC) indicates a need to assess real-world treatment patterns in clinical practice in the US. This study aims to describe treatment patterns and patient characteristics, taking into account new drug entities and newly emerging biomarkers for NSCLC. <b>Methods</b>: A descriptive cohort study was conducted using a specialized electronic health record data for NSCLC. Patients who initiated NSCLC treatment following diagnosis of advanced NSCLC (stage IIIB/IIIC/IV) from 01/01/2015-12/31/2021 were identified. Baseline characteristics and treatment patterns were described; continuous variables were described as mean and standard deviation (SD) and categorical variables as proportions. <b>Results</b>: Of 8,811 patients identified with advanced NSCLC, 67.9% had non-squamous cell carcinoma, 22.5% had squamous cell carcinoma, and 9.6% had an unknown histology. The majority of patients (78.7%) were treated at community hospitals, while 13.4% were treated at academic centers, and 7.9% had an unknown treatment setting. Most patients (59.0%) were aged 65 years or older, and 47.3% were female. There were 22 patients (0.2%) with documentation of NSCLC but no identified guideline-recommended line of therapy (LoT). Among all patients, 51.6% received a second line of therapy (LoT2), and 26.4% received third-line therapy (LoT3). For stage IIIB/IIIC patients, the five most common first-line therapies (LoT1), accounting for 83.2% of all LoT1, included traditional platinum-based chemotherapy or pembrolizumab. In stage IV patients, the five most common LoT1, comprising 64.4% of all LoT1, were pembrolizumab either as monotherapy or combined with other platinum-based chemotherapeutic agents. <b>Conclusions</b>: Traditional platinum-based chemotherapy was the most common LoT1 for stage IIIB/IIIC patients, while the extensive use of immunotherapy (IO) was found in stage IV patients and in later lines of treatment in stage IIIB/IIIC patients. Results indicate that new evidence regarding treatment patterns is rapidly adopted into practice and medication therapy management.</p>","PeriodicalId":501014,"journal":{"name":"Innovations in pharmacy","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Innovations in pharmacyPub Date : 2025-10-27eCollection Date: 2025-01-01DOI: 10.24926/iip.v16i3.6187
Julie H Oestreich, Racheal Hendershot, Susan J Lewis, Jason W Guy
{"title":"Pathfinder: a modified collaborative game for learning and team development.","authors":"Julie H Oestreich, Racheal Hendershot, Susan J Lewis, Jason W Guy","doi":"10.24926/iip.v16i3.6187","DOIUrl":"10.24926/iip.v16i3.6187","url":null,"abstract":"<p><p><b>Introduction:</b> Games and other active learning techniques provide engaging, situation-based experiences that allow for immediate feedback and student empowerment. However, many games require significant time commitments and remain burdensome for faculty to integrate easily across other topics. <b>Description of Innovation:</b> The authors modified a leadership activity to create a Pathfinder<sup>®</sup> game for recruitment and educational purposes. The highly cooperative and interactive maze design embeds a quiz to retrieve knowledge. Participants are tasked with finding their way out of a square maze on the floor, physically moving throughout the maze and answering quiz questions as they correctly navigate a pre-determined path known only by the gamemaster. Previous implementations of the Pathfinder<sup>®</sup> game include in-class learning, team-building, and prospective student recruitment. At the end of the game, one class of students were surveyed to gather feedback. <b>Findings:</b> The descriptive survey gathered 36 student responses of which 75% agreed or strongly agreed that the game enhanced their learning experience, while 86% of students felt the game was fun and/or engaging. The game provides a low stakes mechanism for students to assess their knowledge and practice team building and communication. Importantly, Pathfinder<sup>®</sup> is highly adaptable to other disciplines/content areas and requires a relatively low amount of preparation time. However, adequate physical space is needed for successful implementation. <b>Summary:</b> Pathfinder<sup>®</sup> is an interactive game that provides an opportunity for participants to work on communication and knowledge retention in an engaging and highly adaptable format that can be modified for virtually any topic or discipline.</p>","PeriodicalId":501014,"journal":{"name":"Innovations in pharmacy","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Innovations in pharmacyPub Date : 2025-10-24eCollection Date: 2025-01-01DOI: 10.24926/iip.v16i3.6591
Muhammad Ahmer Raza, Shireen Aziz
{"title":"Pharmacist roles across the space mission pathway.","authors":"Muhammad Ahmer Raza, Shireen Aziz","doi":"10.24926/iip.v16i3.6591","DOIUrl":"10.24926/iip.v16i3.6591","url":null,"abstract":"<p><p>The advancement of human space exploration presents unprecedented healthcare challenges, and heightens the need for specialized pharmaceutical care across the distinct timelines of a space mission. Despite growing interest in integrating pharmacists into space healthcare, their roles remain largely generalized, not tailored to the specific demands of pre-mission preparation, in-mission operations, and post-mission recovery. Each phase introduces unique challenges, including microgravity, radiation, and the constraints of long-duration missions, which can compromise drug stability, alter pharmacokinetics, and impact astronaut health. This commentary addresses these gaps, proposing a timeline-based approach to pharmacist involvement in space missions to ensure tailored healthcare delivery at every stage. These approaches will not only enhance astronaut health and mission outcomes but will also contribute to advancing healthcare practices on Earth. Future efforts should focus on operationalizing these frameworks to optimize pharmacotherapy in space exploration.</p>","PeriodicalId":501014,"journal":{"name":"Innovations in pharmacy","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Innovations in pharmacyPub Date : 2025-10-22eCollection Date: 2025-01-01DOI: 10.24926/iip.v16i3.6766
Bridget Boatemaa Boahen, Mark Anum Nortey
{"title":"Practices of community pharmacists toward adolescent-friendly sexual and reproductive health services: A cross-sectional study in Ghana.","authors":"Bridget Boatemaa Boahen, Mark Anum Nortey","doi":"10.24926/iip.v16i3.6766","DOIUrl":"10.24926/iip.v16i3.6766","url":null,"abstract":"<p><p><b>Background:</b> Adolescents face significant barriers in accessing sexual and reproductive health services (SRHS), despite being a critical population group with unique healthcare needs. As accessible healthcare providers, community pharmacists can play an essential role in delivering adolescent-friendly SRHS (AFSRHS). Evidence on their actual practices in this area, however, especially in Ghana, remains limited. This study assessed the practices of community pharmacists toward adolescent-friendly SRHS and explored factors influencing their practices in four regions of Ghana. <b>Methods:</b> An analytical cross-sectional study was conducted among 357 licensed community pharmacists in the Ashanti, Bono, Bono East, and Ahafo regions of Ghana. Data were collected using a structured, self-administered electronic questionnaire between January and March 2023. Descriptive statistics were used to summarize the data, while logistic regression analysis was conducted to identify factors associated with good practices related to AFSRHS. <b>Results:</b> Out of 357 pharmacists approached, 192 participated, yielding a response rate of 54%. The proportion of pharmacists demonstrating good practices related to AFSRHS was 45.3% (95% CI: 38.1%-52.6%). Although a majority (52.1%) reported treating adolescents with respect and confidentiality, only 47.4% strongly agreed that their facilities maintained adequate stocks of contraceptives and reproductive health commodities. Notably, 46.4% of pharmacists lacked referral formats for adolescents needing specialized care, and 34.4% admitted to never receiving post-graduate training on adolescent SRHS. Logistic regression analysis revealed no statistically significant association between pharmacists' practices and socio-demographic or professional factors (p > 0.05). <b>Conclusions:</b> There are gaps in the provision of adolescent-friendly SRHS by community pharmacists, particularly regarding training, referral systems, and community engagement. Strengthening the role of pharmacists in adolescent SRHS will require targeted capacity-building interventions and policy integration.</p>","PeriodicalId":501014,"journal":{"name":"Innovations in pharmacy","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Innovations in pharmacyPub Date : 2025-10-17eCollection Date: 2025-01-01DOI: 10.24926/iip.v16i3.6347
Diane M Calinski, Diana J Dawes, Martin G Dawes, Yousif B Rojeab, David F Kisor
{"title":"Clinical pharmacogenetics: A feasibility study of pharmacy students using a clinical decision support system during their didactic training.","authors":"Diane M Calinski, Diana J Dawes, Martin G Dawes, Yousif B Rojeab, David F Kisor","doi":"10.24926/iip.v16i3.6347","DOIUrl":"10.24926/iip.v16i3.6347","url":null,"abstract":"<p><p><b>Background</b>: Pharmacogenetic testing in clinical practice is feasible and cost-effective, and positively impacts healthcare quality and costs. Integrating pharmacogenetics into the pharmacy setting has shown promise in improving medication safety, effectiveness, and efficiency. Implementation across health care settings, however, continues to be limited. Pharmacy students' ability to utilize pharmacogenetic information in their decision-making processes may be enhanced with a software-based clinical decision support system (CDSS). <b>Aims</b>: To evaluate the feasibility of incorporating a pharmacogenetic CDSS into pharmacy student education. To evaluate the impact of a CDSS compared with usual decision-making methods (UDM) on appropriateness of medication selection and efficiency of pharmacy students' medication decision-making. <b>Methods</b>: A cross-sectional study design was employed, including a controlled crossover trial with two intervention arms, CDSS and UDM, and a nested qualitative study to explore student perceptions. Fifty-one third-year pharmacy students were recruited and participated in two clinical scenarios, alternating between CDSS and UDM methods. Performance outcomes were assessed based on the appropriateness of therapeutic recommendations and the efficiency of therapeutic decision making. An online survey was conducted to gather students' feedback on using the CDSS. <b>Results</b>: In Scenario 1 (antiplatelet therapy), 89% of students in the CDSS group selected the optimal drug (ticagrelor) compared to 39% in the UDM group (p<0.001). In Scenario 2 (behavioral health therapy), 50% of students in the CDSS group chose the optimal drug versus 41% in the UDM group, and students in the CDSS group chose fewer drugs (4 drugs) than students in the UDM group (10 drugs). For both scenarios, students in the CDSS group used only the CDSS as a resource, while the UDM group used multiple resources. The survey revealed high student satisfaction, with 94% of the students finding the CDSS useful. <b>Conclusions</b>: The study demonstrates that, compared to UDM, a CDSS improves the appropriateness and efficiency of pharmacy students' therapeutic recommendations. Integrating a CDSS into pharmacy education can enhance students' competency in utilizing pharmacogenetic information, advancing personalized medicine and optimizing patient care.</p>","PeriodicalId":501014,"journal":{"name":"Innovations in pharmacy","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148202018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Innovations in pharmacyPub Date : 2025-10-17eCollection Date: 2025-01-01DOI: 10.24926/iip.v16i3.6536
Karen Dahri, Louise Lau, Michael Legal, Sean P Spina, Sean K Gorman
{"title":"Allocation and prioritization of hospital pharmacist clinical services in British Columbia.","authors":"Karen Dahri, Louise Lau, Michael Legal, Sean P Spina, Sean K Gorman","doi":"10.24926/iip.v16i3.6536","DOIUrl":"10.24926/iip.v16i3.6536","url":null,"abstract":"<p><p><b>Background</b>: Clinical pharmacists are a limited resource in British Columbia (BC). Few studies have been conducted to explore hospital clinical pharmacist allocation. It is unclear how pharmacy leaders prioritize the allocation of their pharmacist staff to provide clinical services at their sites. <b>Objectives</b>: To characterize how hospital pharmacy leaders allocate their pharmacists within their sites. <b>Methods</b>: This qualitative study used key informant interviews of hospital pharmacy leaders in BC, Canada. Seven questions were included in the interview guide, asking participants about their philosophy for organizing clinical pharmacist coverage, exploring the adequacy of current staff levels, asking about barriers and enablers, and looking at the use of quality assurance mechanisms. <b>Results</b>: Sixteen participants were interviewed. The data yielded five themes: clinical staff allocation, barriers to providing optimal pharmacy services, clinical work prioritization, staff training and recruitment, and quality assurance. <b>Conclusions</b>: Pharmacy leaders in BC consider a variety of factors in allocating their clinical staff. While funding is an important factor in human resource allocation, even with adequate funding, there is a lack of adequately trained staff to fill available positions. Future exploration is needed to determine the best method of pharmacist allocation in relation to patient outcomes and to identify novel ways to support training of clinical pharmacists.</p>","PeriodicalId":501014,"journal":{"name":"Innovations in pharmacy","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Innovations in pharmacyPub Date : 2025-10-17eCollection Date: 2025-01-01DOI: 10.24926/iip.v16i3.6629
Michael J Peeters, Wade Lee-Smith, David D Allen, Christopher Giuliano
{"title":"Academic conference posters: A systematic review.","authors":"Michael J Peeters, Wade Lee-Smith, David D Allen, Christopher Giuliano","doi":"10.24926/iip.v16i3.6629","DOIUrl":"10.24926/iip.v16i3.6629","url":null,"abstract":"<p><p><b>Introduction</b>: Many faculty, postgraduate trainees, and students present posters to disseminate their research and engage in professional development. While reputable journals have formal guidance and rigor to their manuscript publication process, posters can vary more in quality. Both add value to the literature, but it is less clear what literature exists on the content and value of scholarly posters. We aimed to review the literature on academic-style posters. <b>Methods</b>: We systematically searched 10 education, psychology, and health-sciences databases to identify journal articles describing academic-style posters. Titles and abstracts were screened with articles sorted into categories. One author initially sorted, and another author reviewed/confirmed how each article was sorted. In this mixed-methods systematic review, categories were then examined either using qualitative thematic-analysis or quantitative content-analysis, wherein two authors independently reviewed each included article. <b>Results</b>: Our search yielded 3570 articles. The 439 remaining after title/abstract screening represented a range of professions/disciplines, mostly from health-professions. We inductively sorted articles into five categories: Poster Guidance, Poster Quality Rubrics, Posters within education, Technology Integration with Posters, and Posters as Supportive Aids. An overarching theme of posters as Science-based Visual Communication was observed across all five categories and integrated to enhance the overall description of posters (i.e., complementary). <b>Conclusion</b>: Visual Communication and Scientific Rigor were vital to poster quality, assessment rubrics had little psychometric evidence, and posters used in education settings appeared numerous and a promising pedagogical aid. These insights can be used to further improve assessment of posters and ultimately professional development of students/trainees/faculty.</p>","PeriodicalId":501014,"journal":{"name":"Innovations in pharmacy","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Innovations in pharmacyPub Date : 2025-10-17eCollection Date: 2025-01-01DOI: 10.24926/iip.v16i3.6868
Shanna O'Connor, Austin Manuell, Kylie Anderson, Jillian Songstad, Emily Tisler, Tucker Wieneke, Hyunjun Cho, Jacob Ford, Jeremy Daniel
{"title":"Evaluation of burnout among pharmacy technicians in South Dakota.","authors":"Shanna O'Connor, Austin Manuell, Kylie Anderson, Jillian Songstad, Emily Tisler, Tucker Wieneke, Hyunjun Cho, Jacob Ford, Jeremy Daniel","doi":"10.24926/iip.v16i3.6868","DOIUrl":"10.24926/iip.v16i3.6868","url":null,"abstract":"<p><p><b>Background:</b> Healthcare workers experience high rates of stress and burnout related to their working conditions. Several cross-sectional studies have been conducted that focus on pharmacist burnout, but the literature assessing burnout among pharmacy technicians is limited, especially in rural areas. <b>Objective:</b> The objective of this study was to assess burnout among pharmacy technicians in community and health-system pharmacies in South Dakota. <b>Methods:</b> This observational mixed methods, student-led study assessed the prevalence of pharmacy technician burnout in South Dakota. A 26-item survey including questions measuring burnout using a modified Oldenburg Burnout Inventory (OLBI) and modified Copenhagen Burnout Inventory (CBI) was sent to pharmacy technicians across South Dakota. Based on responses, a literature-based presentation was created and presented to a focus group that provided feedback on potential interventions. <b>Results:</b> The survey received 270 responses (21.4%) and four pharmacy technicians participated in the focus group. Overall, pharmacy technicians in both community and health-system settings reported low-to-moderate burnout. Common stressors reported in both ranking and open response included inadequate staffing, workload, mistreatment from patients, work environment/collegiality, management support, and pay. Interventions suggested in open response included improved scheduling, management changes, breaks, non-pay benefits/use of PTO, and increased pay. <b>Conclusion:</b> Pharmacy technicians in this sample are experiencing rates of burnout consistent with those seen in published studies. Data collected regarding stressors and suggested interventions provides insight into potential interventions to help improve working conditions and decrease burnout among pharmacy technicians.</p>","PeriodicalId":501014,"journal":{"name":"Innovations in pharmacy","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148202036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health technology in Nigeria: What are Nigerian startups working on?","authors":"Julia Oluwaseyi Tanimojo, Oladotun Erastus Okediji, Aishat Adenike Adebayo, Nora Ujunwa Ugwuanyi, Samad Olatunji Garuba, Sonsochukwu Godfrey Ezedigwe, Vivian Oluchukwu Anakudo","doi":"10.24926/iip.v16i3.5896","DOIUrl":"10.24926/iip.v16i3.5896","url":null,"abstract":"<p><p>Nigeria's healthcare system continues to face significant challenges, including limited access to quality care, insufficient infrastructure, and underfunded institutions. In response, health technology startups have emerged as innovative players, offering scalable, sustainable, and impactful solutions to address these systemic barriers. This commentary explores the diverse operational models-Business-to-Consumer (B2C), Business-to-Business (B2B), and Business-to-Government (B2G)-adopted by Nigerian health technology startups and evaluates their contributions to improving healthcare access, delivery, and efficiency. Through the use of telemedicine, digital diagnostics, electronic medical records, supply chain innovations, and mobile surveillance tools, these startups are filling critical gaps in the health system. However, the sector continues to grapple with regulatory uncertainty, infrastructure deficiencies, and data privacy concerns. By analyzing case studies such as Helium Health, LifeBank, Clafiya, and Wellvis, this paper highlights the current impact and future potential of digital health solutions in Nigeria. It concludes with strategic recommendations for policy reform, infrastructure investment, and stakeholder collaboration to support the sustainable growth of health technology in the country.</p>","PeriodicalId":501014,"journal":{"name":"Innovations in pharmacy","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Innovations in pharmacyPub Date : 2025-10-17eCollection Date: 2025-01-01DOI: 10.24926/iip.v16i3.6753
Tessa Rife-Pennington, Thao Thanh Vu
{"title":"Harm reduction services for veterans in supportive housing: A pharmacist-led, interdisciplinary, street medicine approach.","authors":"Tessa Rife-Pennington, Thao Thanh Vu","doi":"10.24926/iip.v16i3.6753","DOIUrl":"10.24926/iip.v16i3.6753","url":null,"abstract":"<p><p><b>Background:</b> United States Veterans are disproportionately impacted by homelessness. Substance use, mental health conditions, and trauma increase the risk for homelessness and contribute to challenges in maintaining housing. Street Medicine utilizes a trauma-informed approach to provide low-barrier health and social services for those at risk for and experiencing homelessness. Limited evidence exists describing pharmacist roles on Street Medicine teams, including provision of harm reduction services. <b>Objective:</b> To implement a pharmacist-led Harm Reduction Program Street Medicine intervention at a supportive housing building in San Francisco, California, evaluating overall Veteran acceptance of harm reduction resources and the total number of Veterans who accepted 1) referral for infection screening, immunizations, and follow-up care, 2) referral for mental health and substance use disorder (SUD) care, and 3) pharmacist-provided harm reduction resources. <b>Methods:</b> During phase 1 (August-September 2022), Harm Reduction Program informational materials were mailed to Veteran residents. During phase 2 (October-December 2022), pharmacists called Veteran residents to offer harm reduction resources. During phase 3 (December 2022-June 2023), an interdisciplinary team (pharmacists, physicians, nurses, and a social worker) completed 6 HUD-VASH housing building visits to offer harm reduction resources. Data were prospectively collected, and descriptive statistics were used to evaluate results. <b>Results:</b> During Phase 2, most Veterans (49/72, 68.1%) were unable to be reached by telephone. Of those remaining, 16 (22.2%) declined and 7 (9.7%) accepted ≥1 resource. During Phase 3, team members met with 29/73 (39.7%) Veterans a range of 1-6 times. Twenty-three (31.5%) accepted ≥1 resource, and 6 (8.2%) declined. Through combined telephone and on-site outreach, a total of 26/73 (35.6%) Veterans accepted ≥1 resource, including referral for infection screening, immunizations, and follow-up care (n=6, 8.2%); referral for mental health and SUD care (n=6, 8.2%); and pharmacist-provided harm reduction resources (n=24, 32.9%). The harm reduction supplies most frequently accepted included naloxone (n=20, 27.4%), antibiotic ointment (n=11, 15%), alcohol pads (n=10, 13.7%), and bandages (n=10, 13.7%). <b>Conclusions:</b> Telephone-based outreach to Veterans in supportive housing was challenging, as many did not have a working phone. In-person visits increased Veteran acceptance of harm reduction services from 10% to 36%, demonstrating the value of a Street Medicine approach. Many Veterans reported mistrust of the healthcare system and were not engaged in care. Ultimately, the focus of outreach visits shifted from offering resources to building rapport, tailoring discussions to individual needs, and linking individuals to services, including a new on-site primary care/infectious disease provider. Future research should evaluate impacts on health","PeriodicalId":501014,"journal":{"name":"Innovations in pharmacy","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148202015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}