A pharmacist-led mobile pop-up clinic: Development and pilot implementation outcomes

Area of Science:

• Implementation Science
• Mobile Health
• Pharmacy Practice

Background:

• Mobile health clinics offer a cost-effective healthcare solution, with pharmacists ideally positioned to lead these services.
• Implementation science (IS) principles are crucial for designing effective healthcare delivery models for underserved populations.
• This study applied IS to develop and evaluate a pharmacy-led mobile pop-up clinic.

Purpose of the Study:

• To develop a novel pharmacist-led mobile pop-up clinic.
• To assess the clinic's appropriateness, adoption, acceptability, feasibility, and fidelity using implementation outcomes.

Main Methods:

• The Consolidated Framework for Implementation Research (CFIR) guided model design and mitigation strategies.
• Community stakeholder interviews evaluated appropriateness; questionnaires assessed acceptability and feasibility.
• Fidelity was measured using a checklist; debriefing sessions informed evaluation.

Main Results:

• The mobile pop-up clinic demonstrated positive outcomes, with community stakeholders supporting its appropriateness.
• 100% adoption was achieved for the site, collaborators, and services.
• High acceptability was reported by patients (75% "very acceptable") and volunteers (88.9% "completely acceptable"); feasibility was confirmed by volunteers, though fidelity was variable.

Conclusions:

• The application of empirically supported frameworks like CFIR and Proctor Implementation Outcomes Framework led to positive results.
• This pharmacy-led mobile pop-up clinic pilot successfully demonstrated the value of IS in healthcare delivery.