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Concept Development and Use of an Automated Food Intake and Eating Behavior Assessment Method

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Toward enhanced nutritional interventions in community pharmacies: personal attitude construct analysis.

Ryota Kumaki¹, Momoko Hatamoto^2,3, Rina Iida²

¹Department of Social Pharmacy, Showa University Graduate School of Pharmacy (Currently known as Department of Social Pharmacy, Showa Medical University Graduate School of Pharmacy), 1-5-8, Hatanodai, Shinagawa-ku, Tokyo, 142-8555, Japan. r.kumaki@pharm.showa-u.ac.jp.

Journal of Health, Population, and Nutrition

|August 12, 2025

Summary

Community pharmacies can improve nutritional interventions by establishing structured frameworks and optimizing roles for pharmacists and registered dietitians. Enhanced training and patient awareness are key to better outcomes.

Keywords:

Community pharmacy Lifestyle-related diseases Malnutrition Nutritional intervention Personal attitude construct analysis Registered dietitians

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Area of Science:

Pharmacy Practice
Public Health Nutrition
Healthcare Professional Development

Background:

Limited nutritional counseling services are offered by community pharmacies.
Registered dietitians' expertise is underutilized despite their increasing presence in pharmacies.
There's a need to enhance nutritional interventions within community pharmacy settings.

Purpose of the Study:

To identify necessary knowledge and skills for nutritional interventions in community pharmacies.
To explore ways to improve the utilization of registered dietitians in community pharmacies.
To determine strategies for enhancing nutritional interventions for patients with malnutrition and lifestyle-related diseases.

Main Methods:

An interview survey was conducted with 15 participants: pharmacists (health support pharmacies and those working with dietitians) and registered dietitians in community pharmacies.
The Personal Attitude Construct analysis technique was employed.
Interview data were thematically analyzed to identify intervention points and challenges.

Main Results:

Five themes emerged regarding intervention points for patients: patient perception, information needs, perception correction, feasible suggestions, and intervention considerations.
Four themes highlighted challenges: establishing intervention flow, healthcare provider education, patient outreach, and institutional reform.
Key areas for improvement include patient assessment, intervention strategies, and addressing systemic barriers.

Conclusions:

A structured intervention framework, enhanced healthcare provider training, increased patient awareness, and institutional reforms are crucial for effective nutritional interventions.
Clarifying the roles and required competencies of pharmacists and registered dietitians can optimize their contribution.
These improvements are essential for delivering effective nutritional counseling and improving patient health outcomes.