Exploratory research in clinical and social pharmacy最新文献

{"title":"Research self-efficacy in early-career pharmacists: Tool validation and correlation with personal attributes","authors":"Aline Hajj ,&nbsp;Hala Sacre ,&nbsp;Chadia Haddad ,&nbsp;Jenny Elia ,&nbsp;Joya El Ghawi ,&nbsp;Lina Haidar ,&nbsp;Lama Dimachkieh ,&nbsp;Mahmoud Nasrallah ,&nbsp;Jihan Safwan ,&nbsp;Deema Rahme ,&nbsp;Sukaina Basma ,&nbsp;Salameh Pascale","doi":"10.1016/j.rcsop.2025.100693","DOIUrl":"10.1016/j.rcsop.2025.100693","url":null,"abstract":"<div><h3>Introduction</h3><div>Self-efficacy in research and personal characteristics of pharmacists are necessary to lead and implement pharmaceutical research strategies. This study primarily aimed to confirm the validity of the Research Self-Efficacy Scale (RSES) among early-career pharmacists; a secondary objective was to assess participants' perspectives on research self-efficacy while considering personal characteristics, such as strategic thinking and leadership.</div></div><div><h3>Methods</h3><div>Using an exploratory factor analysis and internal consistency measure, the RSES scale validity and reliability were assessed among Lebanese early-career pharmacists. Its association with personal attributes, such as global self-efficacy, leadership, and strategic thinking, was also assessed through correlation with validated measures.</div></div><div><h3>Results</h3><div>The RSES scale was found to be valid and reliable. Pharmacists from foreign universities scored higher on the RSES compared to their counterparts from Lebanese institutions. Additionally, a positive correlation was found between self-efficacy, generalized self-efficacy, and strategic thinking scores, while differences between universities and year of study did not reach statistical significance.</div></div><div><h3>Conclusion</h3><div>This study demonstrated that the RSES is a valid and reliable tool for assessing research self-efficacy among early-career pharmacists in Lebanon. Several strategies could be implemented at the institutional and national levels to strengthen self-efficacy and cultivate a sustainable research environment. These include enhancing educational frameworks, integrating research opportunities, and fostering international collaborations. Future research using this validated scale will be instrumental in evaluating the effectiveness of such interventions.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"21 ","pages":"Article 100693"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736979","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":"Implementation priorities in Australian community pharmacy: A semi-structured survey of Australian pharmacists","authors":"Veronika Seda,&nbsp;Stephen R. Carter,&nbsp;Rebekah J. Moles,&nbsp;Carl R. Schneider","doi":"10.1016/j.rcsop.2025.100683","DOIUrl":"10.1016/j.rcsop.2025.100683","url":null,"abstract":"<div><h3>Background</h3><div>Australian community pharmacy is undergoing transformation, with pharmacists increasingly contributing to primary care and providing professional services. Implementation science offers structured approaches to support the scalable and sustainable delivery of healthcare. However, most Australian research to date has been exploratory in nature.</div></div><div><h3>Objective</h3><div>To identify key factors influencing the implementation of professional services in Australian community pharmacies and develop a community pharmacist implementation importance scale (CPIIS).</div></div><div><h3>Methods</h3><div>A semi-structured national survey was conducted among Australian community pharmacists, guided by the Consolidated Framework for Implementation Research (CFIR) and Cochrane's twelve key implementation dimensions. Descriptive statistics summarised demographics and workplace practices. Exploratory factor analysis (EFA) examined perceived importance of implementation elements, and correlation analyses explored associations with pharmacist and practice characteristics.</div></div><div><h3>Results</h3><div>Data from 108 eligible respondents were analysed. Pharmacists reported delivering over 9000 services in the previous 14 days, with dose administration aids (67 %) and absence from work certificates (55 %) being most common. EFA identified two key dimensions: “Inner” and “Outer” contexts, with internal factors, such as staffing, workflow, and resource availability, rated as more important. Pharmacist experience was associated with a decrease in the perceived importance of the outer context. The model demonstrated good fit and internal consistency.</div></div><div><h3>Conclusions</h3><div>Australian community pharmacists currently provide an extensive number and range of professional services. Internal operational factors are prioritised for service implementation. CPIIS offers a practical tool to evaluate the priorities of community pharmacists for implementation of professional services.</div><div><strong>Ethics registration:</strong> Ethics approval from the University of Sydney Ethics and Human Research Committee was obtained [2021/170].</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"21 ","pages":"Article 100683"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145584377","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":"Healthcare providers' perspectives on collaboration of care for acute cystitis in women and the role of the community pharmacy: A qualitative study","authors":"Marle Gemmeke ,&nbsp;Maureen C. Jansen ,&nbsp;Thomas G.H. Kempen ,&nbsp;Marcel L. Bouvy","doi":"10.1016/j.rcsop.2025.100694","DOIUrl":"10.1016/j.rcsop.2025.100694","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute cystitis (AC) is generally treated in primary care by general practitioners. Support from the community pharmacy may relieve the GP's workload and increase accessibility of care for women.</div></div><div><h3>Aim</h3><div>To explore healthcare providers' (HCPs') perspectives on the collaboration of care for AC and investigate their views on possibilities for task shifting towards community pharmacy.</div></div><div><h3>Method</h3><div>This qualitative study was conducted within the setting of pharmacotherapy audit meetings (PTAMs) involving general practitioners and community pharmacists. Focus group discussions were embedded in PTAMs to gain insight into participants' perspectives on the organization of care for AC and the potential role of the community pharmacies. Additionally, individual interviews were carried out with a subset of PTAM participants and other primary care professionals (e.g. assistants). Focus groups and interviews were audio-taped, transcribed verbatim and thematically analyzed.</div></div><div><h3>Results</h3><div>Five focus groups and 12 interviews were conducted; in total 57 participants were included (45 of them were working in general practice). Although HCPs were experienced in providing AC care, they reported some shortcomings in the current care process. They perceived limited advantages in shifting tasks to community pharmacies. Key barriers included time constraints within pharmacies and insufficient access to patients' medical histories. Expanding the role of community pharmacies could be supported through financial compensation for counseling, adequate training of pharmacy personnel, and strong collaboration between pharmacists and general practitioners.</div></div><div><h3>Conclusion</h3><div>Although there is room for improvement in the organization of care for AC, participants saw limited opportunities for task shifting towards community pharmacy.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"21 ","pages":"Article 100694"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737038","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":"Attributes and levels in discrete choice experiments for pharmacy services: A systematic review to inform asthma intervention design","authors":"Kanza Amalina Rosyida ,&nbsp;Susi Ari Kristina ,&nbsp;Aditya Lia Ramadona ,&nbsp;Bandana Saini","doi":"10.1016/j.rcsop.2026.100707","DOIUrl":"10.1016/j.rcsop.2026.100707","url":null,"abstract":"<div><h3>Background</h3><div>Asthma affects over 260 million people worldwide and remains poorly controlled. Pharmacists play an increasing role in management, yet evidence on which pharmacy service attributes patients value is limited.</div></div><div><h3>Objective</h3><div>This review aimed to identify and synthesize the attributes and levels used in discrete choice experiments (DCEs) for patient-centered pharmacy interventions related to asthma.</div></div><div><h3>Methods</h3><div>Following (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) PRISMA guidelines, PubMed, Scopus, and Google Scholar were searched for studies published from 1990 to 2025. Eligible studies included patients with asthma, caregivers, clinicians, or members of the general population reporting preference outcomes derived from DCEs or conjoint analyses (CA). Data on study characteristics, attribute development, pretesting, design, analytical models, and behavioral outcomes were extracted. Attributes were grouped into domains.</div></div><div><h3>Results</h3><div>Of the 3287 records, seven studies met the inclusion criteria. Attributes clustered into symptoms, exacerbations, rescue medication use, treatment risks, device convenience, costs, and service processes. Clinical outcomes, especially symptom control and exacerbation prevention, were consistently prioritized. In contrast, pharmacy-specific attributes, including pharmacist counseling, private consultations, and continuity of care, were rarely included. Methodological quality varied, with limited patient involvement in attribute development and inconsistent pretesting procedures.</div></div><div><h3>Conclusion</h3><div>Evidence emphasizes clinical outcomes rather than pharmacy service features in asthma-related DCEs. Future preference studies should incorporate pharmacy-relevant attributes and adopt more standardized, patient-informed methodologies to support patient-centered, pharmacist-led asthma interventions.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"21 ","pages":"Article 100707"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146076791","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":"Pharmacist perceptions on the presentation of social isolation and loneliness (SIL) in community pharmacy settings in Ireland – A mixed methods study","authors":"Jung-Ah Hong,&nbsp;Hebah Al-Rashed,&nbsp;Laura Rice,&nbsp;Fabian F. Sweeney","doi":"10.1016/j.rcsop.2025.100686","DOIUrl":"10.1016/j.rcsop.2025.100686","url":null,"abstract":"<div><div>Social isolation and Loneliness (SIL) represent a critical public health issue as they are strongly associated with adverse physical, mental and emotional health and wellbeing outcomes. Community pharmacies are accessible and frequently accessed healthcare locations and are potentially valuable settings for interventions designed to support patients experiencing SIL. However, a barrier to the development of community pharmacy based SIL interventions is a knowledge gap regarding nature of the presentation of SIL in this setting. This study adopts a mixed methods approach to explore this from the perspectives of practicing community pharmacists in Ireland.</div><div>Semi-structured interviews were conducted with community pharmacists practicing in Ireland (<em>n</em> = 9) followed by a national survey of practicing community pharmacists (<em>n</em> = 95 participants).</div><div>Four themes were identified from the interview data: <strong>recognition of SIL, SIL risk factors, enablers</strong> and <strong>Barriers to supporting patients experiencing SIL</strong>. Pharmacists described frequent encounters with SIL particularly among older and underrepresented patents. SIL was often recognised through the presence of pharmaceutical care issues and other indirect approaches. Pharmacists expressed a strong sense of responsibility to support patients. Barriers to supporting patients were reported such as lack of appropriate training, signposting knowledge and resource constraints. Survey findings corroborated these themes with respondents reporting frequent encounters with SIL, and needs for guidance and resourcing support.</div><div>This study highlights the potential for pharmacies to act as valuable locations for interventions supporting social connectivity. However, integration of pharmacy services into wider support and wellbeing services, appropriate resourcing, inclusion of SIL in pharmacy education, and appropriate patient informed service co-design are critical for this potential to be fully realised.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"21 ","pages":"Article 100686"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618580","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":"Development and initial content and face validation of a questionnaire to evaluate pharmacists' attitudes and practices in counselling urinary tract infection patients: A mixed methods study","authors":"Aleksandar Jovanović ,&nbsp;Milica Drobac ,&nbsp;Bojana Vidović ,&nbsp;Dušanka Krajnović ,&nbsp;Dragana Pavlović ,&nbsp;Ivana Tadić","doi":"10.1016/j.rcsop.2025.100702","DOIUrl":"10.1016/j.rcsop.2025.100702","url":null,"abstract":"<div><h3>Background</h3><div>The role of pharmacists in managing urinary tract infections (UTIs) is crucial, yet there is no instrument to assess their attitudes and practices in this area. The study aimed to develop and initially validate a questionnaire to evaluate pharmacists' attitudes and practices concerning patient counselling for UTIs, with the ultimate goal of supporting improvements in pharmacy practice and enhancing the quality of patient care.</div></div><div><h3>Methods</h3><div>The questionnaire was developed and initially validated (content and face) through a multi-phase mixed-methods approach consisting of: 1) initial item generation applying a comprehensive literature review, 2) first expert panel discussion, 3) content and cultural validation by pharmacists (focus group discussion), 4) second expert panel discussion, and 5) pretesting by the target population. The necessity, relevance, and clarity were assessed by calculating the Content Validity Ratio (CVR), Item-Level Content Validity Index (I-CVI), and Scale-Level Content Validity Index (S-CVI/Ave). Qualitative data was analyzed using an ethnographic content analysis.</div></div><div><h3>Results</h3><div>The initial questionnaire consisted of 33 items, divided into two domains: pharmaceutical practice and attitudes. After phases 2–4, all items were rated with satisfactory CVR and I-CVI values (over 0.99 and 0.83, respectively). The final phase of content validation resulted in the questionnaire final version of 25 items with S-CVI/Ave = 0.98 for relevance and S-CVI/Ave = 1 for clarity. Internal consistency analysis demonstrated high reliability for the attitudes toward antibiotics subscale (Cronbach's α = 0.850) and acceptable reliability for the attitudes toward herbal products subscale (Cronbach's α = 0.735).</div></div><div><h3>Conclusions</h3><div>The developed questionnaire is concise, easy to use and has satisfactory content and face validity. The developed questionnaire can be used to assess pharmacists' practices and attitudes in counselling patients with UTI symptoms, contributing to the identification of areas for improvement in pharmacy practice and patient safety.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"21 ","pages":"Article 100702"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022611","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":"Behind the counter, behind the discourse: The paradox of pharmacist influence in Arabic women's health online","authors":"Samar J. Melhem ,&nbsp;Hamzeh Almomani ,&nbsp;Rimal Mousa ,&nbsp;Qais Alefan ,&nbsp;Nadia Al Mazrouei ,&nbsp;Beisan A. Mohammed ,&nbsp;Iman Amrani ,&nbsp;Rula M. Darwish ,&nbsp;Razan Tubeileh ,&nbsp;Yazan AlRashadan ,&nbsp;Nailya Bulatova ,&nbsp;Ibrahim Alabbadi","doi":"10.1016/j.rcsop.2025.100697","DOIUrl":"10.1016/j.rcsop.2025.100697","url":null,"abstract":"<div><h3>Background</h3><div>Social media is now a major arena for Arabic women's health discourse in the MENA region, yet it is unclear how pharmacists' expertise influences both the accuracy and visibility of information across platforms.</div></div><div><h3>Objective</h3><div>To compare pharmacists' visibility and accuracy with other author groups and to assess how platform, sentiment, and follower dynamics shape the gap between information quality and reach.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional content analysis of 682 public Arabic-language posts on women's self-medication and over-the-counter care from Instagram, YouTube, TikTok, Threads, Facebook, and X (January 2024–March 2025). Two independent coders rated accuracy on a four-point scale and classified sentiment (κ &gt; 0.80). Engagement was summarized using the Virtual Presence Index (VPI), an equally weighted composite of standardized likes, comments, and shares/reposts. Proportional-odds ordinal logistic regression modeled predictors of higher accuracy; a non-circular binary logistic model examined determinants of high engagement (above-median VPI) with platform, author type, sentiment, topic, and linear plus quadratic log₁₀(follower count) as covariates.</div></div><div><h3>Results</h3><div>Pharmacists authored 49.6 % of posts; physicians and other health professionals contributed 37.1 %. Overall, 71.8 % of posts were rated accurate, rising to 94.1 % for pharmacist-authored content. Platform was the strongest predictor of accuracy: compared with Instagram, Facebook, YouTube, Threads, and X had higher odds of higher accuracy, with TikTok showing a smaller but significant advantage. Pharmacist authorship independently predicted higher accuracy, whereas follower count did not. For engagement, platform dominated. With X as the reference, all other platforms had lower adjusted odds of high VPI. Positive sentiment increased the likelihood of high VPI, and follower count showed a U-shaped association, with mid-sized accounts disadvantaged. After adjustment, author-type differences in visibility were modest: pharmacists' posts were more accurate but did not enjoy consistent visibility advantages, especially on highly visual, fast-scroll platforms.</div></div><div><h3>Conclusion</h3><div>In Arabic women's health discourse online, who speaks matters less for reach than where and how they speak. Pharmacists deliver the most accurate content but often remain “invisible experts” in environments that reward aesthetics and emotion over credentials. The VPI helps quantify this quality–reach gap and can guide platform-specific, culturally attuned strategies to make evidence-based voices more discoverable.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"21 ","pages":"Article 100697"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145790505","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":"Field survey on warnings to prevent drug abuse when selling over-the-counter drugs at drugstores","authors":"Kazuki Nagashima,&nbsp;Hinata Nasu,&nbsp;Yuko Sekine","doi":"10.1016/j.rcsop.2025.100690","DOIUrl":"10.1016/j.rcsop.2025.100690","url":null,"abstract":"<div><h3>Objective</h3><div>The abuse of over-the-counter (OTC) medications is increasing and has led to a rise in overdose cases. This study examined commonly misused OTC drugs, developed checklist items related to warnings provided during their sale, and conducted field surveys to compare practices based on whether products contained ingredients designated by the Ministry of Health, Labour and Welfare (MHLW), Japan.</div></div><div><h3>Methods</h3><div>An eight items checklist was developed using MHLW-specified survey items, with additional items added by the researchers. Using this checklist, a researcher evaluated OTC purchases for 25 different drugs by marking each item as positive (〇) or negative (×) from 17 drugstores.</div></div><div><h3>Results</h3><div>Across 25 products surveyed, the most common positive item was “explanation by a qualified person” (11 positives, 44 %), followed by “point-of-purchase (POP) warning displays” (9 positives, 36 %) and “display near the cash register” (8 positives, 32 %). For OTC drugs containing designated ingredients (<em>n</em> = 13), the item achievement rates were as follows: “explanation by a qualified person,” 10 positives, 77 %; “POP warning displays,” 9 positives, 69 %; “display of empty boxes,” 2 positives, 15 %; and “verbal verification of age,” 1 positive, 8 %. The aforementioned items were less likely in the case of OTC drugs without designated ingredients with potential for abuse, with the number of instances of “explanation by a qualified person” and “POP warning displays” being significantly lower (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>To intervene with targets to prevent abuse and issue warnings about OTC drugs during a sale, proactive warnings about misused OTC drugs that do not contain designated ingredients are necessary.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"21 ","pages":"Article 100690"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737039","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":"Patients' perspectives and experiences regarding medication reviews: A cross-sectional survey study","authors":"Charlotte Falke ,&nbsp;Fatma Karapinar-Çarkit ,&nbsp;Wilma Knol ,&nbsp;Marcel Bouvy ,&nbsp;Toine Egberts ,&nbsp;Thomas Kempen ,&nbsp;Marcia Vervloet ,&nbsp;Mette Heringa","doi":"10.1016/j.rcsop.2025.100692","DOIUrl":"10.1016/j.rcsop.2025.100692","url":null,"abstract":"<div><h3>Background</h3><div>Medication reviews are conducted worldwide to reduce medication-related problems. However, real-world patient perspectives and experiences remain underexplored. This study aimed to explore patients' perspectives and experiences regarding medication reviews and to assess differences across levels of polypharmacy.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey was conducted among a panel of Dutch pharmacy visitors. Topics included perspectives and experiences regarding medication reviews. Descriptive statistics were used, and Chi-square tests were used to assess differences between levels of polypharmacy (non-polypharmacy: 1–4 medications; polypharmacy: 5–9 medications; hyperpolypharmacy: ≥10 medications).</div></div><div><h3>Results</h3><div>Among 4395 respondents (median age: 71; 43 % female), 48 % were aware of the existence of medication reviews, and 85 % deemed these important. Patients valued discussing the appropriateness, efficacy, side-effects, and risks of medication more than practical medication-related issues. These perspectives were consistent across polypharmacy levels. Overall, 1176 patients (27 %) had experienced a review (non-polypharmacy: 22 %; polypharmacy: 29 %; hyperpolypharmacy: 39 %). Of these, 92 % felt able to ask questions, and 62 % felt treatment options were sufficiently discussed. Patients reported that their review resulted in better medication understanding (68 %), increased confidence in medication usage (65 %), and fewer health issues (40 %). Patients with non-polypharmacy reported improvements in follow-up agreements (9 %) and involvement of secondary healthcare providers (11 %) less frequently than those with polypharmacy (14 %/15 %) and hyperpolypharmacy (19 %/26 %).</div></div><div><h3>Conclusion</h3><div>Most patients valued medication reviews, yet only half were aware of their existence. Generally, levels of polypharmacy hardly impacted patient perspectives. Based on patients' experiences, shared decision-making, follow-ups, and multidisciplinary approaches could be better implemented in medication reviews.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"21 ","pages":"Article 100692"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736977","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":"Translation, cross-cultural adaptation and validation of the revised Patients’ Attitudes Towards Deprescribing (rPATD) questionnaire in Japanese","authors":"Mitsuaki Ishii ,&nbsp;Shoichi Masumoto ,&nbsp;Kureha Ara ,&nbsp;Keisuke Kiyomiya ,&nbsp;Hitoshi Kawazoe ,&nbsp;Sachiko Ozone ,&nbsp;Hisakazu Ohtani","doi":"10.1016/j.rcsop.2025.100685","DOIUrl":"10.1016/j.rcsop.2025.100685","url":null,"abstract":"<div><h3>Background</h3><div>Deprescribing, a structured process aimed at improving medication safety, requires an approach that aligns with the beliefs and attitudes of patients and caregivers. The revised Patients' Attitudes Towards Deprescribing (rPATD), widely used across countries and disease contexts, may be able to capture the attitudes of older adults and caregivers toward deprescribing in Japan.</div></div><div><h3>Objectives</h3><div>To translate rPATD into Japanese and assess its cultural adaptability, and to examine its applicability to older adults and caregivers in Japan.</div></div><div><h3>Methods</h3><div>rPATD was translated into Japanese using a forward-back translation process. Psychometric properties were evaluated among older adults aged 65 years or older who used community pharmacies and caregivers recruited from a web panel. Face and content validity were assessed during the translation process, construct validity was examined using exploratory factor analysis (EFA), and reliability was evaluated using Cronbach's alpha and test-retest analysis with the intra-class correlation coefficient (ICC).</div></div><div><h3>Results</h3><div>384 older adults and 219 caregivers were included in the analysis. EFA results showed that, the same as the original version, the four factors (burden, belief in appropriateness, concern about stopping, and involvement) were identified for both the older adults and caregivers. Internal consistency was confirmed for all factors related to older adults and caregivers (Cronbach's alpha &gt;0.70). Test-retest reliability was good for all factors (ICC &gt;0.75).</div></div><div><h3>Conclusions</h3><div>The Japanese version of the rPATD demonstrated good psychometric properties and might be used to assess attitudes towards deprescribing among older adults and caregivers living in Japan.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"21 ","pages":"Article 100685"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145685430","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}