Exploratory research in clinical and social pharmacy最新文献

{"title":"Enhancing holistic patient care of black individuals diagnosed with HIV and comorbid chronic conditions","authors":"Marc Fleming ,&nbsp;Saharnaz Nedjat ,&nbsp;Jon C. Schommer ,&nbsp;Crystal K. Hodge","doi":"10.1016/j.rcsop.2025.100607","DOIUrl":"10.1016/j.rcsop.2025.100607","url":null,"abstract":"<div><h3>Background</h3><div>Pharmacists can play a crucial role in delivering the holistic care model. Research suggests that HIV-positive African American patients particularly benefit from this approach compared to other communities. Typically, pharmacists in community pharmacy settings are limited in their access to a patient's medical record, preventing holistic care delivery.</div></div><div><h3>Objectives</h3><div>This study addressed the impact of access to medical records on a holistic patient care approach among pharmacists engaged in medication therapy management.</div></div><div><h3>Methods</h3><div>This was a sub-analysis of a randomized controlled trial of the impact of community pharmacist access to medical records during MTM for African Americans diagnosed with HIV and multimorbidity with hypertension (HTN) and/or type 2 diabetes mellitus (DM). A random sample was selected of 30 participants (15 in the intervention arm with access to medical records and 15 in the control arm) who completed at least seven study visits between 2019 and 2021. A quantitative content analysis of the study pharmacist visit notes was conducted to identify themes of pharmacist interventions. The percentages of the theme's repetitions were compared across study groups using the Fisher exact test.</div></div><div><h3>Results</h3><div>Thirteen themes were extracted from the pharmacists' visit notes. The intervention group demonstrated a higher repetition of themes concerning any disease, medicine, exercise/weight/diet, sexual, sleeping, smoking, alcohol/marijuana, vaccination, will/power of attorney, food/ housing, and depression/stress. Themes related to career goals and recommending consultation with a provider were repeated more in the control group. The two study groups had statistically significant differences in the percentages of repetition of seven themes.</div></div><div><h3>Conclusion</h3><div>Access to medical records enables pharmacists to focus more on mental health, lifestyle, and social determinants of health.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"18 ","pages":"Article 100607"},"PeriodicalIF":1.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antibiotic dispensing practices in community pharmacies: Implications for antimicrobial stewardship in resource-constrained settings","authors":"Abdullah Al Masud ,&nbsp;Ramesh Lahiru Walpola ,&nbsp;Malabika Sarker ,&nbsp;Muhammad Asaduzzaman ,&nbsp;Md. Saiful Islam ,&nbsp;Ayesha Tasnim Mostafa ,&nbsp;Zubair Akhtar ,&nbsp;Alamgir Kabir ,&nbsp;Holly Seale","doi":"10.1016/j.rcsop.2025.100606","DOIUrl":"10.1016/j.rcsop.2025.100606","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Over-the-counter antibiotic sales in community-pharmacies significantly drive antimicrobial resistance (AMR) in low- and middle-income countries (LMICs) due to inappropriate use and early treatment discontinuation. In Bangladesh, community pharmacies, which dispense 56.6 % of antibiotics without prescriptions, serve as the first health-seeking touchpoint, yet conventional stewardship strategies often overlook these informal providers, heightening AMR risks. This study examines drug-sellers' understanding and practices towards antibiotic dispensing and compares their symptomatic-treatment practices with Bangladesh's Standard Treatment Guidelines (STGs) to understand the extent of antibiotic misuse.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A cross-sectional survey in two urban and two rural areas of Bangladesh involved 120 drug-sellers from 30 randomly selected pharmacies per site. Knowledge was compared between drug-sellers with pharmacy-dispensing training and those without training, and their suggested treatments for two simulated health-symptoms—upper respiratory-tract and gastrointestinal infections—were evaluated against STGs to determine the extent of misuse.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Most drug-sellers were aged 41–50 years (35.0 %), with 39.2 % holding a bachelor's degree or higher, and 65.8 % having pharmacy-dispensing training. The overall knowledge score on antibiotic use and AMR was moderate at 60.2 % (5–7 out of 10), with 32.5 % scoring ≤4, indicating poor knowledge; trained drug-sellers scored significantly better (&lt;em&gt;p&lt;/em&gt; = 0.008). Over half (57.5 %) were unaware of antibiotic dispensing policies, though most (75.8 %) acknowledged the link between AMR and antibiotic use. For simulated upper respiratory-tract infections, 54.2 % recommended single antibiotic-90.8 % Watch, 9.2 % Access (per WHO-AWaRe classification)-with 66.2 % of these prescriptions deviating from guidelines due to inappropriate selection or dosage. For gastrointestinal infections, 55.8 % recommended single antibiotic (40.3 % Watch, 59.7 % Access), with 82.1 % deviated from the guidelines. Additionally, 26.7 % recommended two antibiotics (51.6 % Watch, 48.4 % Access), all of which were inconsistent with guideline recommendations. For both simulated symptoms, no significant difference was observed in drug sellers' treatment practices based on their knowledge level.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This study highlights the need for context-specific policies and regulatory measures in informal healthcare settings. While improving drug-sellers' knowledge is vital for antimicrobial stewardship in LMICs like Bangladesh, it alone is insufficient due to market competition, weak regulation, and patient-driven demand. Thus, curbing inappropriate antibiotic use at the community level requires stronger enforcement and multifaceted, context-tailored interventions—including public awareness, targeted training, and market-responsive stra","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"19 ","pages":"Article 100606"},"PeriodicalIF":1.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143941909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmacy and physician assistant students experience benefits from an interprofessional education experience incorporating motivational interviewing training","authors":"Shane Desselle ,&nbsp;Joy Moverley ,&nbsp;Jamila Beckford ,&nbsp;Anh Vo ,&nbsp;Karen Sarpong ,&nbsp;Irene Bugriyev","doi":"10.1016/j.rcsop.2025.100605","DOIUrl":"10.1016/j.rcsop.2025.100605","url":null,"abstract":"<div><h3>Background</h3><div>While interprofessional education (IPE) has become commonplace, incorporation of motivational interviewing (MI) using standardized patients (SPs) has been rare, particularly use of a multi-pronged strategy of engagement among pharmacy and physician assistant students.</div></div><div><h3>Objective</h3><div>The aim of this study was to determine the impact of an IPE MI training intervention that employed students in teams interacting with standardized patients (SPs); specifically, the intervention impact on MI self-efficacy, professional identity formation (PIF) and attitudes toward interprofessional care.</div></div><div><h3>Methods</h3><div>First-year PharmD students (PGY1) and second-year physician assistant students (PA-S2) underwent a three-hour didactic class session featuring lecture and video simulations followed by an activity where teams of 6–8 students interacted with 5 different standardized patients (SPs). The educational intervention also featured a group debriefing session and written reflection prompted by answering several questions about how they fared with the SPs. Students' completed pre- and post- intervention surveys featuring standardized instrumentation measuring self-efficacy to engage in MI, professional identity formation, and attitudes toward interprofessional education.</div></div><div><h3>Results</h3><div>Students did not achieve substantive gains in MI self-efficacy, yet reported significant improvements in professional identity formation and attitudes toward interprofessional education. Qualitative comments from the post-intervention survey were positive for interprofessional integration and team dynamics (<em>n</em> = 14), though both PGY1 and PA-S2 students commented that academic year concordance, i.e., matching a PGY1 with a PA-S1, in future simulations could improve self-efficacy and confidence.</div></div><div><h3>Conclusions</h3><div>An IPE event featuring lecture, interaction with SPs, and an opportunity for mutual self-reflection on one another's roles in patient care might be beneficial to include in pharmacy and PA curriculum, even while such endeavors might be further enhanced using a longitudinal approach.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"18 ","pages":"Article 100605"},"PeriodicalIF":1.8,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving organizational preparedness for community pharmacy-based naloxone and opioid counseling services in both urban and rural environments","authors":"Ammar Abdulrahman Jairoun ,&nbsp;Moyad Shahwan ,&nbsp;Abeer M. Al-Ghananeem","doi":"10.1016/j.rcsop.2025.100604","DOIUrl":"10.1016/j.rcsop.2025.100604","url":null,"abstract":"","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"18 ","pages":"Article 100604"},"PeriodicalIF":1.8,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of diabetes mellitus medication-taking behavior among first- and second-generation Australians of Chinese heritage: A nationwide cross-sectional study","authors":"Olumuyiwa Omonaiye ,&nbsp;Alemayehu Mekonnen ,&nbsp;Christopher Gilfillan ,&nbsp;Rosemary Wong ,&nbsp;Bodil Rasmussen ,&nbsp;Elizabeth Holmes-Truscott ,&nbsp;Kevin Mc Namara ,&nbsp;Elizabeth Manias ,&nbsp;Jerry Lai ,&nbsp;Julie Considine","doi":"10.1016/j.rcsop.2025.100600","DOIUrl":"10.1016/j.rcsop.2025.100600","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate the association of health literacy, illness perceptions, and beliefs about medications on medication-taking behavior among first- and second-generation Australians of Chinese heritage living with type 2 diabetes mellitus (T2DM).</div></div><div><h3>Method</h3><div>A nationwide cross-sectional online survey of (<em>N</em> = 455) of whom 196 responded, was conducted among adults (≥18 years) with T2DM of Chinese heritage residing in Australia. Participants were recruited via direct invitation (national registry and specialist clinic). Data collection utilized four validated questionnaires: The Brief Medication Questionnaire, Beliefs about Medicines Questionnaire Specific (BMQ-Specific), Brief Illness Perception 9 Questionnaire (BIPQ), and a 12-item short-form health literacy (HL) questionnaire (HLS-SF12). Bivariate and multivariate analyses were conducted to explore the factors associated with medication-taking.</div></div><div><h3>Results</h3><div>Overall, 27 % of participants reported missing diabetes medication(s) in the past week, with access barriers most cited (38 %), followed by belief (27 %) and recall (24 %) barriers. Median scores for health literacy, illness perception and beliefs about medications showed problems with health literacy (General Health Literacy Index, median [IQR] =31.94 [26.39ꟷ38.89], a moderate threat to illness perception (BIPQ:= 38.56 ± 10.52) and higher perceived necessity of taking diabetes medications relative to concern (BMQ-Specific Necessity: = 3.80 [3.20<img>4.20]; BMQ-Specific Concern: = 3.00 [2.50<img>3.67]). Better medication-taking was seen in people with high necessity beliefs and with low concerns in the use of medications. Health literacy and illness perceptions were not significantly associated with medication-taking behavior.</div></div><div><h3>Conclusion</h3><div>Medication beliefs play a role in sub-optimal medication-taking behavior among Chinese adults with T2DM. Increased attention needs to be placed on examining and enhancing understanding of diabetes medications while addressing concerns among individuals of Chinese backgrounds to better understand the complexities of medication-taking behavior. Culturally relevant clinical discussion and structured diabetes education may support the development of health promoting medication beliefs potentially supporting optimal medication-taking behavior.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"18 ","pages":"Article 100600"},"PeriodicalIF":1.8,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143854831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nocebo effect in inhaler use: Patients' beliefs and treatment adherence","authors":"Eduardo Garcia-Pachon ,&nbsp;María J. Soler-Sempere ,&nbsp;Sandra Ruiz-Alcaraz ,&nbsp;Ana Ibarra-Macia ,&nbsp;Marina Belendez-Vazquez","doi":"10.1016/j.rcsop.2025.100602","DOIUrl":"10.1016/j.rcsop.2025.100602","url":null,"abstract":"<div><h3>Background</h3><div>The nocebo effect refers to the experience of nonspecific symptoms attributed to medical treatments, which cannot be explained by the pharmacological effects of the medication. This phenomenon, where symptoms are incorrectly linked to a treatment, can have significant implications for treatment adherence and may lead to increased patient demand for medical assistance.</div></div><div><h3>Objective</h3><div>To ascertain the frequency and types of nocebo effects attributed to inhaler use, along with the associated factors.</div></div><div><h3>Methods</h3><div>An interview was conducted to inquire about adverse effects attributed to inhalers. Additionally, questionnaires on beliefs about medications, general and specific to inhalers, and perceived sensitivity to medications scale were administered. Adherence to inhaled therapy was established using the inhaler adherence test and the electronic prescription refill rate at the pharmacy.</div></div><div><h3>Results</h3><div>A total of 134 patients were included, among whom 21 (16 %) attributed symptoms to inhalers that were considered to be due to the nocebo effect. Patients experiencing nocebo-related symptoms exhibited greater concerns about using inhalers, heightened sensitivity to drug effects, and lower therapeutic adherence.</div></div><div><h3>Conclusions</h3><div>A significant proportion of patients receiving inhaler therapy associate negative symptoms that are not reasonably attributable to the inhalers themselves. Patients prone to attributing nonspecific symptoms to inhalers differ in their beliefs about medications and exhibit lower therapeutic adherence compared to others.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"18 ","pages":"Article 100602"},"PeriodicalIF":1.8,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-care methods use for acne treatment among health science students","authors":"Sari Taha ,&nbsp;Manal Taha ,&nbsp;Sa’ed H. Zyoud","doi":"10.1016/j.rcsop.2025.100601","DOIUrl":"10.1016/j.rcsop.2025.100601","url":null,"abstract":"<div><h3>Introduction</h3><div>The use of self-care methods, such as over-the-counter (OTC) products and complementary and alternative medicine (CAM), is common along the acne care pathway. This study aimed to explore self-care methods for acne and assess their associations with acne severity.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted among university students in health programs. Convenience sampling was used to invite participants to complete a survey containing sociodemographic, clinical, and self-care-related questions. Acne diagnosis and severity were evaluated by a physician via the Global Acne Grading System (GAGS). A multivariate regression model was used to analyze the associations between variables.</div></div><div><h3>Results</h3><div>The final sample comprised 190 participants, with 24.2 % males and 70.8 % females. Most participants had mild acne (77.4 %) and reported positive family histories (82.1 %). Approximately one-third used OTC products (31.1 %), and nearly two-thirds used CAM (62.6 %). The most frequently used OTC products were facial cleansers (48.2 %), followed by creams and moisturizers (30.7 %) and cleansing soap (21.1 %). A lack of acne severity was the primary reason for the use of CAM. Social media (46.7 %) and the internet (46.2 %) were the most frequently reported sources of information. Acne severity was associated with OTC product use (<em>p</em> <em>=</em> 0.009) and the duration of acne (<em>p</em> &lt; 0.001). Furthermore, OTC product use was associated with receiving a professional diagnosis (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>This study identified the most common OTC products and CAM used in acne and demonstrated an association between OTC product use and acne severity. Future studies should explore discussions on self-care methods in clinical consultations and the timing of using these methods throughout the care pathway. Integrating shared decision-making in clinical practice and tailoring educational interventions to patient preferences and communication channels may encourage the safe and effective use of self-care methods.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"18 ","pages":"Article 100601"},"PeriodicalIF":1.8,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799783","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":"Benefits and challenges associated with implementation and ongoing use of automated dispensing cabinet for medicines: A scoping review","authors":"Yoo Young Jung ,&nbsp;Áine Walsh ,&nbsp;Jig Patel ,&nbsp;Kit Lai","doi":"10.1016/j.rcsop.2025.100599","DOIUrl":"10.1016/j.rcsop.2025.100599","url":null,"abstract":"<div><div>When deciding whether to adopt a digital healthcare technology, there is a need to fully grasp the benefits as well as understand any potential challenges from the outset, to enable appropriate mitigations to be considered as part of implementation plans. Automated dispensing cabinets (ADCs) have been increasingly used in hospitals as a means of streamlining medicines use workflows, facilitating medicine management, saving costs, and improving patient safety. Manufacturers commonly reference the benefits of ADCs but rarely outline the challenges. It is important that senior leaders in healthcare understand both the benefits and challenges of ADCs prior to implementation, to ensure the technology is implemented in areas where the benefits can be most maximally achieved and the challenges mitigated in so far as possible. A scoping review methodology was used to map existing literature focussing on the benefits and challenges of ADC use with medicines. Following a preliminary search to identify key terms, extensive literature searches were conducted in Medline, PubMed, CINAHL, Embase, Global Health, and Web of Science. Among 234 articles identified from the search, 54 articles were included for full data extraction. Extracted information included publication date and origin, study aims &amp; objectives, study setting, medication distribution model, technology infrastructure, overarching category, area of focus, and key findings. The findings were discussed in terms of implications for broad trends and future research directions. Although results indicate that there is an abundance of published literature on benefits and challenges associated with ADC use with medicines, there are only a handful of UK studies. Differences in settings, distribution models, workflows and technology infrastructure limit the overall ability to generalise findings. Further UK-based studies carried out in different settings with varying levels of technological infrastructure is imperative to not only track the impact of ADCs but also to inform practice to ensure the continued delivery of benefits. Further studies focusing particularly on the impact of stock optimisation and the management of CDs (Controlled drugs) would be key areas of focus.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"18 ","pages":"Article 100599"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143806962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and barriers to medication self-management for patients with multiple long-term conditions transitioning from hospital to home","authors":"Malin Olsen Syversen ,&nbsp;Mikas Glatkauskas ,&nbsp;Liv Mathiesen ,&nbsp;Marianne Lea ,&nbsp;Berit Gallefoss Denstad ,&nbsp;Karin Svensberg","doi":"10.1016/j.rcsop.2025.100598","DOIUrl":"10.1016/j.rcsop.2025.100598","url":null,"abstract":"<div><h3>Background</h3><div>Being a patient with multiple long-term conditions (MLTCs) often entails a need for complex medication treatment, which poses a challenge to medication self-management. Medication self-management during transition of care is often hindered by challenges such as inadequate communication, which increases the risk of medication errors and adverse outcomes.</div></div><div><h3>Aim</h3><div>Identify facilitators and barriers to medication self-management for patients with MLTCs transitioning from hospital to home.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted in patient's homes 1–2 weeks after hospital discharge. Interviews were transcribed and analysed by qualitative deductive content analysis using the Taxonomy of Every Day Self-management Strategies (TEDSS) framework. The data collection continued until enough information power and meaning saturation was reached.</div></div><div><h3>Results</h3><div>Twenty-one patients and three next of kin participated. Numerous facilitators and barriers to medication self-management were identified within all seven TEDSS domains, which varied extensively between individuals. Resource and process strategies were the most frequently discussed domains, while health behaviour and social interaction strategies were less frequently discussed. Key facilitators identified were access to resources that support medication self-management and knowing the medication's purpose. Key barriers included patients perceiving medications as burdensome or not recognising the importance of their medications.</div></div><div><h3>Conclusions</h3><div>This study highlights the complex and wide spectre of facilitators and barriers to medication self-management for patients with MLTCs transitioning from hospital to home. In clinical practice, patients' medication self-management could be supported through a holistic approach adapted to the individual patient's daily life, including improved care coordination and patient empowerment.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"18 ","pages":"Article 100598"},"PeriodicalIF":1.8,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792295","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":"Geriatric patients' views on a pharmacist-led follow-up programme after discharge from hospital","authors":"Sofia Svahn ,&nbsp;Gisselle Gallego ,&nbsp;Maria Gustafsson ,&nbsp;Marcia Håkansson Lindqvist","doi":"10.1016/j.rcsop.2025.100597","DOIUrl":"10.1016/j.rcsop.2025.100597","url":null,"abstract":"<div><h3>Background</h3><div>Medication-related problems (MRPs) are common during transitions of care and can lead to hospital readmissions. This patient safety issue is especially pronounced among geriatric patients. In a randomised controlled trial (RCT), the effect of a pharmacist-led follow-up programme after discharge from hospital for people ≥75 years in the north of Sweden was investigated. One of the components in the programme was telephone calls to study participants, to find and manage MRPs.</div></div><div><h3>Objective</h3><div>To explore study participants' views on follow-up telephone calls by a clinical pharmacist in the RCT.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with participants who had received an intervention in the RCT. The interviews were transcribed verbatim and thematically analysed.</div></div><div><h3>Results</h3><div>In total, nine participants were interviewed. Four main themes were generated: 1. Experiences of the telephone counselling by the clinical pharmacist, 2. Acceptability of receiving telephone follow-up from a clinical pharmacist, 3. Communication with health care providers, and 4. Medication management and views about medications.</div></div><div><h3>Conclusions</h3><div>The study revealed varying perceptions of the clinical pharmacists' telephone calls, with participants expressing diverse experiences and preferences regarding the service. Most participants said they considered the content relevant and comprehensible in the conversations. The effect of the follow-up programme may have improved if the role of the clinical pharmacist had been explained in more detail to the participants and if the service would have had a more person-centred focus. More research is needed regarding how to best support geriatric patients with their medication treatment in transitions of care.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"18 ","pages":"Article 100597"},"PeriodicalIF":1.8,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143806963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}