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Establishing a community pharmacy-based fall prevention service - An implementation study.

Marle Gemmeke1, Ellen S Koster1, Nathalie van der Velde2

  • 1Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences (UIPS), Faculty of Science, Utrecht University, Utrecht, the Netherlands.

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Summary

Community pharmacists can help prevent falls in older adults. A pilot program showed medication changes but faced implementation barriers like time constraints, hindering widespread adoption.

Keywords:
Community pharmacyElderlyFall preventionFall risk-increasing drugsImplementation

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Area of Science:

  • Gerontology
  • Pharmaceutical Sciences
  • Implementation Science

Background:

  • Community pharmacists possess the potential to play a role in fall prevention strategies.
  • Current practice integration of fall prevention services within community pharmacies is limited.

Purpose of the Study:

  • To evaluate the implementation of a novel fall prevention service delivered through community pharmacies.
  • To identify barriers and facilitators influencing the adoption of pharmacy-based fall prevention interventions.

Main Methods:

  • A three-month pilot study involved a fall risk screening and medication review service in nine pharmacies.
  • Online training was provided; patients aged 70+ using multiple medications were included.
  • Quantitative data on interventions and qualitative interviews assessed implementation.

Main Results:

  • Ninety-one consultations were conducted, leading to medication adaptations for 32 patients.
  • Patient-reported fall efficacy scores improved significantly (p=0.047), while knowledge scores remained unchanged (p=0.86).
  • Key barriers included time constraints and lack of staff/collaboration; training and patient engagement were facilitators.

Conclusions:

  • The community pharmacy fall prevention service demonstrated potential through medication adjustments and recommendations.
  • Sustained implementation is challenged by identified barriers, necessitating strategies to overcome them.
  • Further research is needed to optimize and integrate these services into routine pharmacy practice.