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Community pharmacists' perceptions on providing fall prevention services: a mixed-methods study.

Marle Gemmeke1, Ellen S Koster2, Eline A Rodijk1

  • 1Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences (UIPS), Faculty of Science, Utrecht University, PO Box 80082, 3508 TB, Utrecht, The Netherlands.

International Journal of Clinical Pharmacy
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Summary

Community pharmacists are motivated and capable of fall prevention services, including deprescribing fall risk-increasing drugs (FRIDs). However, barriers like poor collaboration and time constraints limit their opportunities, necessitating enhanced support.

Keywords:
Accidental fallsCommunity pharmacy servicesDecision makingDeprescriptionsPharmacists

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Area of Science:

  • Gerontology
  • Pharmaceutical Sciences
  • Public Health

Background:

  • Community pharmacists play a role in fall prevention by identifying and deprescribing fall risk-increasing drugs (FRIDs).
  • Assessing pharmacists' perspectives is crucial for optimizing fall prevention strategies.

Purpose of the Study:

  • To evaluate community pharmacists' perceptions of providing fall prevention services.
  • To identify barriers and facilitators influencing pharmacists' engagement in fall prevention, including FRID deprescribing.

Main Methods:

  • A mixed-methods study involving 313 pharmacists (surveys/ranking) and 16 interviewed pharmacists in the Netherlands.
  • Quantitative data analyzed using descriptive statistics; qualitative data analyzed using the capability opportunity motivation-behaviour model.

Main Results:

  • Pharmacists expressed motivation and capability in fall prevention, particularly FRID deprescribing.
  • Key barriers included limited multidisciplinary collaboration, patient reluctance to deprescribe, and time constraints.
  • Facilitators identified were goal-setting, financial incentives, and effective communication skills.

Conclusions:

  • Community pharmacists are motivated and capable of medication-related fall prevention.
  • Enhancing opportunities through improved multidisciplinary collaboration and support is essential for pharmacists to effectively contribute to fall prevention services.