Exploring the potential extended role of community pharmacy in the management of osteoarthritis: A multi-methods study with pharmacy staff and other healthcare professionals.
community pharmacy
multi-methods
osteoarthritis
primary care
Journal
Musculoskeletal care
ISSN: 1557-0681
Titre abrégé: Musculoskeletal Care
Pays: England
ID NLM: 101181344
Informations de publication
Date de publication:
Mar 2024
Mar 2024
Historique:
revised:
13
02
2024
received:
19
01
2024
accepted:
16
02
2024
medline:
8
3
2024
pubmed:
8
3
2024
entrez:
7
3
2024
Statut:
ppublish
Résumé
Osteoarthritis is the commonest form of chronic joint pain, which patients often self-manage before seeking healthcare advice. Patients frequently seek advice from community pharmacies, and a recent policy has recommended integrating community pharmacies into long-term condition pathways. This study explored community pharmacy teams' (CPs) and other healthcare professionals' (HCPs) views on community pharmacies providing an extended role for osteoarthritis management, identifying potential barriers and facilitators to this. A multi-methods study comprising surveys of CPs and other HCPs, followed by qualitative interviews. Descriptive statistics were used in an exploratory analysis of the survey data. Qualitative data were analysed using reflexive thematic analysis and the identified barriers and facilitators were mapped to the Theoretical Domains Framework. CPs and other HCPs in the surveys and interviews reported that an extended role for osteoarthritis management could include: a subjective assessment, explaining the joint problem and its treatment, medication management and support for self-care. There was less consensus on diagnosing the problem as OA and completing an objective assessment. A key facilitator was training to deliver the role, whilst barriers were high workload and lack of access to General Practitioner medical records. Acceptable elements of an extended community pharmacy role for osteoarthritis centre around the provision of information, advice on medication and supported self-management. CPs are well placed to contribute towards evidenced-based osteoarthritis management. Feasibility testing of delivering the extended role is needed and future implementation requires training for CPs and raising public awareness of the extended role.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1873Subventions
Organisme : National Institute for Health Research Research for Patient Benefit Programme
Informations de copyright
© 2024 The Authors. Musculoskeletal Care published by John Wiley & Sons Ltd.
Références
Braun, V., & Clarke, V. (2020). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328-352. https://doi.org/10.1080/14780887.2020.1769238
Briggs, A., Houlding, E., Hinman, R., Desmond, L., Bennell, K., Darlow, B., Pizzari, T., Greig, A., Slater, H., Larmer, P., Bendrups, A., Francis-Cracknell, A., & Jordan, J. (2019). Health professionals and students encounter multi-level barriers to implementing high-value osteoarthritis care: A multi-national study. Osteoarthritis and Cartilage, 27(5), 788-804. https://doi.org/10.1016/j.joca.2018.12.024
Buchbinder, R., Jolley, D., & Wyatt, M. (2001). Volvo award winner in clinical studies: effects of a media campaign on back pain beliefs and its potential influence on management of low back pain in general practice. Spine, 26(23), 2535-2542. https://doi.org/10.1097/00007632-200112010-00005
Cork, T., & White, S. (2022). Exploring community pharmacists’ use of health literacy interventions in their everyday practice. Research in Social and Administrative Pharmacy, 18(11), 1551-7411. https://doi.org/10.1016/j.sapharm.2022.06.007
Cottrell, E., Foster, N. E., Porcheret, M., Rathod, T., & Roddy, E. (2017). GPs’ attitudes, beliefs and behaviours regarding exercise for chronic knee pain: A questionnaire survey. BMJ Open, 7(6), e014999. https://doi.org/10.1136/BMJOPEN-2016-014999
Cottrell, E., Roddy, E., Rathod, T., Porcheret, M., & Foster, N. E. (2016). What influences general practitioners’ use of exercise for patients with chronic knee pain? Results from a national survey. BMC Family Practice, 17(1), 1-15. https://doi.org/10.1186/S12875-016-0570-4/FIGURES/2
Crilly, P., Patel, N., Ogunrinde, A., Berko, D., & Kayyali, R. (2017). Community pharmacists’ involvement in research in the United Kingdom. Pharmacy, 5(4), 48. https://doi.org/10.3390/pharmacy5030048
Darlow, B., Brown, M., Hudson, B., Frew, G., Clark, J., Vincent, L., Grainger, R., Marra, C., McKinlay, E., Abbott, J. H., & Briggs, A. M. (2023). Knee osteoarthritis and the knowledgeable, trustworthy pharmacist: Patient and pharmacist perceptions of community pharmacy-based education and support. Musculoskeletal Care, 21(1), 3-15. https://doi.org/10.1002/MSC.1660
Darlow, B., Brown, M., Stanley, J., Abbott, J. H., Briggs, A. M., Clark, J., Frew, G., Grainger, R., Hood, F., Hudson, B., Keenan, R., Marra, C., McKinlay, E., Pask, A., Pierobon, A., Simmonds, S., Vincent, L., Wilson, R., & Dean, S. (2023). Reducing the burden of knee osteoarthritis through community pharmacy: Protocol for a randomised controlled trial of the Knee Care for Arthritis through Pharmacy Service. Musculoskeletal Care, 21(4), 1053-1067. https://doi.org/10.1002/MSC.1785
de Vaus, D. (2014). Chapter 6: Finding a sample. In Surveys in social research (pp. 66-92).
Evans, D. W., Breen, A. C., Pincus, T., Sim, J., Underwood, M., Vogel, S., & Foster, N. E. (2010). The effectiveness of a posted information package on the beliefs and behavior of musculoskeletal practitioners: The UK chiropractors, osteopaths, and musculoskeletal physiotherapists low back pain managemENT (COMPLeMENT) randomized trial. Spine, 35(8), 858-866. https://doi.org/10.1097/BRS.0B013E3181D4E04B
Frost, H., Tooman, T., Cowie, J., Gillespie, N., Ackerman, P., Krievs, E., & Dziedzic, K. (2022). Advanced practice physiotherapists and the implementation of the JIGSAW-E model for the management of osteoarthritis in scottish primary care settings: A qualitative case study. Physiotherapy, 117, 81-88. https://doi.org/10.1016/j.physio.2022.08.007
GOV.UK. (2019). The community pharmacy contractual framework for 2019/20 to 2023/24: Supporting delivery for the NHS long term plan. Retrieved from https://www.gov.uk/government/publications/community-pharmacy-contractual-framework-2019-to-2024
Guest, G., Namey, E., & Chen, M. (2020). A simple method to assess and report thematic saturation in qualitative research. PLoS One, 15(5), e0232076. https://doi.org/10.1371/JOURNAL.PONE.0232076
Hindi, A. M. K., Schafheutle, E. I., & Jacobs, S. (2018). Patient and public perspectives of community pharmacies in the United Kingdom: A systematic review. Health Expectations, 21(2), 409-428. https://doi.org/10.1111/HEX.12639
Hindi, A. M. K., Schafheutle, E. I., & Jacobs, S. (2019). Community pharmacy integration within the primary care pathway for people with long-term conditions: A focus group study of patients’, pharmacists’ and GPs’ experiences and expectations. BMC Family Practice, 20(1), 1-15. https://doi.org/10.1186/S12875-019-0912-0/FIGURES/2
Holden, M. A., Whittle, R., Waterfield, J., Chesterton, L., Cottrell, E., Quicke, J. G., & Mallen, C. D. (2019). A mixed methods exploration of physiotherapist’s approaches to analgesic use among patients with hip osteoarthritis. Physiotherapy, 105(3), 328-337. https://doi.org/10.1016/j.physio.2018.08.003
Hunter, D. J., March, L., & Chew, M. (2020). Osteoarthritis in 2020 and beyond: A lancet commission. The Lancet, 396(10264), 1711-1712. https://doi.org/10.1016/S0140-6736(20)32230-3
Kielly, J., Davis, E. M., & Marra, C. (2017). Practice guidelines for pharmacists: The management of osteoarthritis. Canadian Pharmacists Journal: Counselling and Psychotherapy Journal, 150(3), 156-168. https://doi.org/10.1177/1715163517702168
Marra, C. A., Cibere, J., Grubisic, M., Grindrod, K. A., Gastonguay, L., Thomas, J. M., Embley, P., Colley, L., Tsuyuki, R. T., Khan, K. M., & Esdaile, J. M. (2012). Pharmacist-initiated intervention trial in osteoarthritis: A multidisciplinary intervention for knee osteoarthritis. Arthritis Care & Research, 64(12), 1837-1845. https://doi.org/10.1002/ACR.21763
Marra, C. A., Cibere, J., Tsuyuki, R. T., Soon, J. A., Esdaile, J. M., Gastonguay, L., Oteng, B., Embley, P., Colley, L., Enenajor, G., & Kok, R. (2007). Improving osteoarthritis detection in the community: Pharmacist identification of new, diagnostically confirmed osteoarthritis. Arthritis Care and Research, 57(7), 1238-1244. https://doi.org/10.1002/art.23019
Michie, S., Johnston, M., Francis, J., Hardeman, W., & Eccles, M. (2008). From theory to intervention: Mapping theoretically derived behavioural determinants to behaviour change techniques. Applied Psychology, 57(4), 660-680. https://doi.org/10.1111/j.1464-0597.2008.00341.x
Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. Sage Publications, Inc.
NHS England. (n.d.). Musculoskeletal health. Retrieved from https://www.england.nhs.uk/elective-care-transformation/best-practice-solutions/musculoskeletal/
NHS Health Education England. (2023). Community pharmacy workforce survey 2022. Retrieved from https://www.hee.nhs.uk/sites/default/files/documents/The%20Community%20Pharmacy%20Workforce%20Survey%202022%20Key%20findings%20presentation.pdf
NICE Guidelines. (2022). Osteoarthritis in over 16s: Diagnosis and management. Retrieved from https://www.nice.org.uk/guidance/ng226
Ogunbayo, O. J., Schafheutle, E. I., Cutts, C., & Noyce, P. R. (2016). How do community pharmacists conceptualise and operationalise self-care support of long-term conditions (LTCs)? An English cross-sectional survey. International Journal of Pharmacy Practice, 25(2), 121-132. https://doi.org/10.1111/ijpp.12283
Patey, A. M., Islam, R., Francis, J. J., Bryson, G. L., & Grimshaw, J. M. (2012). Anesthesiologists’ and surgeons’ perceptions about routine pre-operative testing in low-risk patients: Application of the theoretical domains framework (TDF) to identify factors that influence physicians’ decisions to order pre-operative tests. Implementation Science, 7(1), 1-13. https://doi.org/10.1186/1748-5908-7-52
Porcheret, M., Grime, J., Main, C., & Dziedzic, K. (2013). Developing a model osteoarthritis consultation: A delphi consensus exercise. BMC Musculoskeletal Disorders, 14(1), 1-9. https://doi.org/10.1186/1471-2474-14-25/TABLES/4
Porcheret, M., Jordan, K., & Jinks, C. (2007). Primary care treatment of knee pain--a survey in older adults. Rheumatology, 46(11), 1694-1700. https://doi.org/10.1093/RHEUMATOLOGY/KEM232
SPSS: IBM Corp. (2020). IBM SPSS statistics for windows, version 27.0. IBM Corp.
Steed, L., Sohanpal, R., Todd, A., Madurasinghe, V. W., Rivas, C., Edwards, E. A., Summerbell, C. D., Taylor, S. J. C., & Walton, R. T. (2019). Community pharmacy interventions for health promotion: Effects on professional practice and health outcomes. Cochrane Database of Systematic Reviews, 2019(12). https://doi.org/10.1002/14651858.CD011207.PUB2/EPDF/ABSTRACT
Swain, S., Sarmanova, A., Mallen, C., Kuo, C. F., Coupland, C., Doherty, M., & Zhang, W. (2020). Trends in incidence and prevalence of osteoarthritis in the United Kingdom: Findings from the clinical practice research datalink (CPRD). Osteoarthritis and Cartilage, 28(6), 792-801. https://doi.org/10.1016/J.JOCA.2020.03.004
Thomas, E., Peat, G., & Croft, P. (2013). Defining and mapping the person with osteoarthritis for population studies and public health. https://doi.org/10.1093/rheumatology/ket346
Todd, A., Copeland, A., Husband, A., Kasim, A., & Bambra, C. (2015). Access all areas? An area-level analysis of accessibility to general practice and community pharmacy services in England by urbanity and social deprivation. BMJ Open. 5(5), e007328. https://doi.org/10.1136/bmjopen-2014-007328
Zhang, W., Robertson, W. B., Zhao, J., Chen, W., & Xu, J. (2019). Emerging trend in the pharmacotherapy of osteoarthritis. Frontiers in Endocrinology, 10(JUL), 428650. https://doi.org/10.3389/FENDO.2019.00431/BIBTEX