Using the Theoretical Framework of Acceptability to Evaluate a Smoking Cessation Programme in Community Pharmacies
Cheryn Coleman1, Stuart G Ferguson1, Rosie Nash1
1Tasmanian School of Medicine, UTAS Health, University of Tasmania, Hobart, Tasmania, Australia.
Free nicotine replacement therapy provided by community pharmacies was positively received by pharmacists and smokers. However, perceived burden for pharmacists and cost/self-efficacy issues for smokers impacted engagement in this smoking cessation program.
Area of Science:
- Public Health
- Health Services Research
- Addiction Medicine
Background:
- Tobacco smoking cessation is vital for reducing health disparities.
- Socioeconomic disadvantage is linked to higher smoking rates.
- Improving access to cessation programs for priority populations is essential.
Purpose of the Study:
- To evaluate the engagement and acceptability of providing free nicotine replacement therapy (NRT) through community pharmacies.
- To assess the feasibility of using community pharmacies as a setting for smoking cessation interventions.
Main Methods:
- A multiphase mixed-methods design was employed.
- Community pharmacists (n=8) and smokers (n=55) participated.
- Qualitative data from semi-structured interviews with 7 pharmacists and 10 smokers were analyzed using thematic analysis.
Main Results:
- Pharmacists and smokers generally viewed the pilot program positively.
- Pharmacists perceived a considerable burden associated with the program.
- Smokers' engagement was limited by self-efficacy and opportunity costs.
Conclusions:
- Community pharmacy-based NRT provision is a viable public health intervention.
- Engagement and acceptability are influenced by practical factors and the service setting.
- Community pharmacies can play a key role in delivering smoking cessation support to priority populations.
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