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Establishing a community pharmacy-based fall prevention service – An implementation study
Community pharmacists are in the position to contribute to fall prevention, but this is not yet common practice. The aim of this study was to evaluate the implementation of a community pharmacy-based fall prevention service. A fall prevention service, consisting of a fall risk screening and assessme...
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Published in: | Research in social and administrative pharmacy 2023-01, Vol.19 (1), p.155-166 |
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description | Community pharmacists are in the position to contribute to fall prevention, but this is not yet common practice.
The aim of this study was to evaluate the implementation of a community pharmacy-based fall prevention service.
A fall prevention service, consisting of a fall risk screening and assessment including a medication review, was implemented in pharmacies during three months. A preparative online training was provided to the pharmacy team to enhance adoption of the service. Included patients were aged ≥70 years, using ≥5 drugs of which ≥1 fall risk-increasing drug. The implementation process was quantitively assessed by registering medication adaptations, recommendations, and referrals. Changes in patient scores on the Short Fall Efficacy Scale-International (FES-I) and a fall prevention knowledge test were documented at one month follow-up. Implementation was qualitatively evaluated by conducting semi-structured interviews with pharmacists before and after the project, based on the consolidated framework of implementation research.
The service was implemented in nine pharmacies and 91 consultations were performed. Medication was adapted of 32 patients. Patients' short FES-I scores were significantly higher at follow-up (p = 0.047) and patients’ knowledge test scores did not differ (p = 0.86). Pharmacists experienced the following barriers: lack of time, absence of staff, and limited multidisciplinary collaboration. Facilitators were training, motivated staff, patient engagement, and project scheduling.
The service resulted in a substantial number of medication adaptations and lifestyle recommendations, but many barriers were identified that hamper the sustained implementation of the service.
•Pharmacy teams provided a significant number of fall prevention interventions.•Training materials support pharmacy teams in providing fall prevention services.•Pharmacists expressed their need for an easily implementable fall prevention program. |
doi_str_mv | 10.1016/j.sapharm.2022.07.044 |
format | article |
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The aim of this study was to evaluate the implementation of a community pharmacy-based fall prevention service.
A fall prevention service, consisting of a fall risk screening and assessment including a medication review, was implemented in pharmacies during three months. A preparative online training was provided to the pharmacy team to enhance adoption of the service. Included patients were aged ≥70 years, using ≥5 drugs of which ≥1 fall risk-increasing drug. The implementation process was quantitively assessed by registering medication adaptations, recommendations, and referrals. Changes in patient scores on the Short Fall Efficacy Scale-International (FES-I) and a fall prevention knowledge test were documented at one month follow-up. Implementation was qualitatively evaluated by conducting semi-structured interviews with pharmacists before and after the project, based on the consolidated framework of implementation research.
The service was implemented in nine pharmacies and 91 consultations were performed. Medication was adapted of 32 patients. Patients' short FES-I scores were significantly higher at follow-up (p = 0.047) and patients’ knowledge test scores did not differ (p = 0.86). Pharmacists experienced the following barriers: lack of time, absence of staff, and limited multidisciplinary collaboration. Facilitators were training, motivated staff, patient engagement, and project scheduling.
The service resulted in a substantial number of medication adaptations and lifestyle recommendations, but many barriers were identified that hamper the sustained implementation of the service.
•Pharmacy teams provided a significant number of fall prevention interventions.•Training materials support pharmacy teams in providing fall prevention services.•Pharmacists expressed their need for an easily implementable fall prevention program.</description><identifier>ISSN: 1551-7411</identifier><identifier>EISSN: 1934-8150</identifier><identifier>DOI: 10.1016/j.sapharm.2022.07.044</identifier><identifier>PMID: 35995694</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Accidental Falls - prevention & control ; Attitude of Health Personnel ; Community pharmacy ; Community Pharmacy Services ; Elderly ; Fall prevention ; Fall risk-increasing drugs ; Humans ; Implementation ; Pharmacies ; Pharmacists ; Professional Role</subject><ispartof>Research in social and administrative pharmacy, 2023-01, Vol.19 (1), p.155-166</ispartof><rights>2022 The Authors</rights><rights>Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-ed847c1fe92ec924e9fc255bba8d80496595bb2af268830a7b67155189ca21293</citedby><cites>FETCH-LOGICAL-c412t-ed847c1fe92ec924e9fc255bba8d80496595bb2af268830a7b67155189ca21293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35995694$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gemmeke, Marle</creatorcontrib><creatorcontrib>Koster, Ellen S.</creatorcontrib><creatorcontrib>van der Velde, Nathalie</creatorcontrib><creatorcontrib>Taxis, Katja</creatorcontrib><creatorcontrib>Bouvy, Marcel L.</creatorcontrib><title>Establishing a community pharmacy-based fall prevention service – An implementation study</title><title>Research in social and administrative pharmacy</title><addtitle>Res Social Adm Pharm</addtitle><description>Community pharmacists are in the position to contribute to fall prevention, but this is not yet common practice.
The aim of this study was to evaluate the implementation of a community pharmacy-based fall prevention service.
A fall prevention service, consisting of a fall risk screening and assessment including a medication review, was implemented in pharmacies during three months. A preparative online training was provided to the pharmacy team to enhance adoption of the service. Included patients were aged ≥70 years, using ≥5 drugs of which ≥1 fall risk-increasing drug. The implementation process was quantitively assessed by registering medication adaptations, recommendations, and referrals. Changes in patient scores on the Short Fall Efficacy Scale-International (FES-I) and a fall prevention knowledge test were documented at one month follow-up. Implementation was qualitatively evaluated by conducting semi-structured interviews with pharmacists before and after the project, based on the consolidated framework of implementation research.
The service was implemented in nine pharmacies and 91 consultations were performed. Medication was adapted of 32 patients. Patients' short FES-I scores were significantly higher at follow-up (p = 0.047) and patients’ knowledge test scores did not differ (p = 0.86). Pharmacists experienced the following barriers: lack of time, absence of staff, and limited multidisciplinary collaboration. Facilitators were training, motivated staff, patient engagement, and project scheduling.
The service resulted in a substantial number of medication adaptations and lifestyle recommendations, but many barriers were identified that hamper the sustained implementation of the service.
•Pharmacy teams provided a significant number of fall prevention interventions.•Training materials support pharmacy teams in providing fall prevention services.•Pharmacists expressed their need for an easily implementable fall prevention program.</description><subject>Accidental Falls - prevention & control</subject><subject>Attitude of Health Personnel</subject><subject>Community pharmacy</subject><subject>Community Pharmacy Services</subject><subject>Elderly</subject><subject>Fall prevention</subject><subject>Fall risk-increasing drugs</subject><subject>Humans</subject><subject>Implementation</subject><subject>Pharmacies</subject><subject>Pharmacists</subject><subject>Professional Role</subject><issn>1551-7411</issn><issn>1934-8150</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqFkLtOxDAQRS0E4rHwCSCXNAm2Y8dxhVaIl4REAxWF5TgT8Cov7GSl7fgH_pAvwcsutFQzo7l3ruYgdEpJSgnNLxZpMMOb8W3KCGMpkSnhfAcdUpXxpKCC7MZeCJpITukBOgphQUgmCeX76CATSolc8UP0ch1GUzYuvLnuFRts-7adOjeu8M9xY1dJaQJUuDZNgwcPS-hG13c4gF86C_jr4xPPO-zaoYE27sxmO07V6hjtRVeAk22doeeb66eru-Th8fb-av6QWE7ZmEBVcGlpDYqBVYyDqi0ToixNURWEq1yoODBTs7woMmJkmcv1Z4WyhlGmshk639wdfP8-QRh164KFpjEd9FPQTBIhBVOCRqnYSK3vQ_BQ68G71viVpkSvueqF3nLVa66aSB25Rt_ZNmIqW6j-XL8go-ByI4D46NKB18E66CxUzoMdddW7fyK-AdgSjdw</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Gemmeke, Marle</creator><creator>Koster, Ellen S.</creator><creator>van der Velde, Nathalie</creator><creator>Taxis, Katja</creator><creator>Bouvy, Marcel L.</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202301</creationdate><title>Establishing a community pharmacy-based fall prevention service – An implementation study</title><author>Gemmeke, Marle ; Koster, Ellen S. ; van der Velde, Nathalie ; Taxis, Katja ; Bouvy, Marcel L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-ed847c1fe92ec924e9fc255bba8d80496595bb2af268830a7b67155189ca21293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Accidental Falls - prevention & control</topic><topic>Attitude of Health Personnel</topic><topic>Community pharmacy</topic><topic>Community Pharmacy Services</topic><topic>Elderly</topic><topic>Fall prevention</topic><topic>Fall risk-increasing drugs</topic><topic>Humans</topic><topic>Implementation</topic><topic>Pharmacies</topic><topic>Pharmacists</topic><topic>Professional Role</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gemmeke, Marle</creatorcontrib><creatorcontrib>Koster, Ellen S.</creatorcontrib><creatorcontrib>van der Velde, Nathalie</creatorcontrib><creatorcontrib>Taxis, Katja</creatorcontrib><creatorcontrib>Bouvy, Marcel L.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Research in social and administrative pharmacy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gemmeke, Marle</au><au>Koster, Ellen S.</au><au>van der Velde, Nathalie</au><au>Taxis, Katja</au><au>Bouvy, Marcel L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Establishing a community pharmacy-based fall prevention service – An implementation study</atitle><jtitle>Research in social and administrative pharmacy</jtitle><addtitle>Res Social Adm Pharm</addtitle><date>2023-01</date><risdate>2023</risdate><volume>19</volume><issue>1</issue><spage>155</spage><epage>166</epage><pages>155-166</pages><issn>1551-7411</issn><eissn>1934-8150</eissn><abstract>Community pharmacists are in the position to contribute to fall prevention, but this is not yet common practice.
The aim of this study was to evaluate the implementation of a community pharmacy-based fall prevention service.
A fall prevention service, consisting of a fall risk screening and assessment including a medication review, was implemented in pharmacies during three months. A preparative online training was provided to the pharmacy team to enhance adoption of the service. Included patients were aged ≥70 years, using ≥5 drugs of which ≥1 fall risk-increasing drug. The implementation process was quantitively assessed by registering medication adaptations, recommendations, and referrals. Changes in patient scores on the Short Fall Efficacy Scale-International (FES-I) and a fall prevention knowledge test were documented at one month follow-up. Implementation was qualitatively evaluated by conducting semi-structured interviews with pharmacists before and after the project, based on the consolidated framework of implementation research.
The service was implemented in nine pharmacies and 91 consultations were performed. Medication was adapted of 32 patients. Patients' short FES-I scores were significantly higher at follow-up (p = 0.047) and patients’ knowledge test scores did not differ (p = 0.86). Pharmacists experienced the following barriers: lack of time, absence of staff, and limited multidisciplinary collaboration. Facilitators were training, motivated staff, patient engagement, and project scheduling.
The service resulted in a substantial number of medication adaptations and lifestyle recommendations, but many barriers were identified that hamper the sustained implementation of the service.
•Pharmacy teams provided a significant number of fall prevention interventions.•Training materials support pharmacy teams in providing fall prevention services.•Pharmacists expressed their need for an easily implementable fall prevention program.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>35995694</pmid><doi>10.1016/j.sapharm.2022.07.044</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Accidental Falls - prevention & control Attitude of Health Personnel Community pharmacy Community Pharmacy Services Elderly Fall prevention Fall risk-increasing drugs Humans Implementation Pharmacies Pharmacists Professional Role |
title | Establishing a community pharmacy-based fall prevention service – An implementation study |
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