Community pharmacists' views on providing a reproductive health service to women receiving opioid substitution treatment: A qualitative study using the TDF and COM-B

Background: The absence of menstruation is common in women who use drugs. This can give a belief that conception is unlikely. When stabilised on Opioid Substitution Treatment (OST), fertility often returns, initially without realisation as ovulation precedes menstruation. This leaves women vulnerabl...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	N. Alhusein, J. Scott, J. Neale, A. Chater, H. Family
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Community pharmacists Reproductive health Opioid substitution treatment Theoretical domains framework Capability-opportunity-motivation to behaviour (COM-B) model Health services for women Pharmacy and materia medica RS1-441
Acceso en línea:	https://doaj.org/article/18806f9081b444f18e8bffee89cb6f94
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:18806f9081b444f18e8bffee89cb6f94
record_format	dspace
spelling	oai:doaj.org-article:18806f9081b444f18e8bffee89cb6f942021-11-28T04:39:56ZCommunity pharmacists' views on providing a reproductive health service to women receiving opioid substitution treatment: A qualitative study using the TDF and COM-B2667-276610.1016/j.rcsop.2021.100071https://doaj.org/article/18806f9081b444f18e8bffee89cb6f942021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2667276621000718https://doaj.org/toc/2667-2766Background: The absence of menstruation is common in women who use drugs. This can give a belief that conception is unlikely. When stabilised on Opioid Substitution Treatment (OST), fertility often returns, initially without realisation as ovulation precedes menstruation. This leaves women vulnerable to unplanned pregnancies. Community pharmacists (CPs) are frequently in contact with this patient group through the Supervised Consumption of OST service. This provides a timely opportunity to provide reproductive health (RH) advice. The aim of this study was to investigate pharmacists' views on providing a RH service to women receiving OST. Methods: Twenty semi-structured interviews based on the Capability-Opportunity-Motivation to Behaviour (COM-B) model and the Theoretical Domains Framework (TDF) were conducted between 2016 and 2017. Data analysis involved deductive coding using the TDF domains. The TDF domains were mapped onto the elements of the COM-B and used in the second step to create the framework and chart the data. The third step involved re-reading and clustering the codes, and inductive themes were generated to explain the data in depth. Results: Nine of the 14 TDF domains, mapped into five elements of the COM-B, were identified. Five inductive themes were generated: 1) The pharmacists' experience and knowledge of reproductive health (RH) needs of women receiving OST, 2) The pharmacists' approach to providing advice, 3) The pharmacists' perception of the relationship with women receiving OST, 4) Social influences, and 5) Environmental factors. Community pharmacists feared causing offense to women receiving OST and described requiring cues as to when the service was needed. Pharmacists' highlighted a power imbalance in the relationship with women receiving OST. This could influence how receptive this patient group would be to pharmacy RH interventions. Conclusions: CPs' concerns of providing RH service could hinder a proactive service provision. Supporting good rapport and providing a structured consultation would increase the accessibility of such a service.N. AlhuseinJ. ScottJ. NealeA. ChaterH. FamilyElsevierarticleCommunity pharmacistsReproductive healthOpioid substitution treatmentTheoretical domains frameworkCapability-opportunity-motivation to behaviour (COM-B) modelHealth services for womenPharmacy and materia medicaRS1-441ENExploratory Research in Clinical and Social Pharmacy, Vol 4, Iss , Pp 100071- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Community pharmacists Reproductive health Opioid substitution treatment Theoretical domains framework Capability-opportunity-motivation to behaviour (COM-B) model Health services for women Pharmacy and materia medica RS1-441
spellingShingle	Community pharmacists Reproductive health Opioid substitution treatment Theoretical domains framework Capability-opportunity-motivation to behaviour (COM-B) model Health services for women Pharmacy and materia medica RS1-441 N. Alhusein J. Scott J. Neale A. Chater H. Family Community pharmacists' views on providing a reproductive health service to women receiving opioid substitution treatment: A qualitative study using the TDF and COM-B
description	Background: The absence of menstruation is common in women who use drugs. This can give a belief that conception is unlikely. When stabilised on Opioid Substitution Treatment (OST), fertility often returns, initially without realisation as ovulation precedes menstruation. This leaves women vulnerable to unplanned pregnancies. Community pharmacists (CPs) are frequently in contact with this patient group through the Supervised Consumption of OST service. This provides a timely opportunity to provide reproductive health (RH) advice. The aim of this study was to investigate pharmacists' views on providing a RH service to women receiving OST. Methods: Twenty semi-structured interviews based on the Capability-Opportunity-Motivation to Behaviour (COM-B) model and the Theoretical Domains Framework (TDF) were conducted between 2016 and 2017. Data analysis involved deductive coding using the TDF domains. The TDF domains were mapped onto the elements of the COM-B and used in the second step to create the framework and chart the data. The third step involved re-reading and clustering the codes, and inductive themes were generated to explain the data in depth. Results: Nine of the 14 TDF domains, mapped into five elements of the COM-B, were identified. Five inductive themes were generated: 1) The pharmacists' experience and knowledge of reproductive health (RH) needs of women receiving OST, 2) The pharmacists' approach to providing advice, 3) The pharmacists' perception of the relationship with women receiving OST, 4) Social influences, and 5) Environmental factors. Community pharmacists feared causing offense to women receiving OST and described requiring cues as to when the service was needed. Pharmacists' highlighted a power imbalance in the relationship with women receiving OST. This could influence how receptive this patient group would be to pharmacy RH interventions. Conclusions: CPs' concerns of providing RH service could hinder a proactive service provision. Supporting good rapport and providing a structured consultation would increase the accessibility of such a service.
format	article
author	N. Alhusein J. Scott J. Neale A. Chater H. Family
author_facet	N. Alhusein J. Scott J. Neale A. Chater H. Family
author_sort	N. Alhusein
title	Community pharmacists' views on providing a reproductive health service to women receiving opioid substitution treatment: A qualitative study using the TDF and COM-B
title_short	Community pharmacists' views on providing a reproductive health service to women receiving opioid substitution treatment: A qualitative study using the TDF and COM-B
title_full	Community pharmacists' views on providing a reproductive health service to women receiving opioid substitution treatment: A qualitative study using the TDF and COM-B
title_fullStr	Community pharmacists' views on providing a reproductive health service to women receiving opioid substitution treatment: A qualitative study using the TDF and COM-B
title_full_unstemmed	Community pharmacists' views on providing a reproductive health service to women receiving opioid substitution treatment: A qualitative study using the TDF and COM-B
title_sort	community pharmacists' views on providing a reproductive health service to women receiving opioid substitution treatment: a qualitative study using the tdf and com-b
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/18806f9081b444f18e8bffee89cb6f94
work_keys_str_mv	AT nalhusein communitypharmacistsviewsonprovidingareproductivehealthservicetowomenreceivingopioidsubstitutiontreatmentaqualitativestudyusingthetdfandcomb AT jscott communitypharmacistsviewsonprovidingareproductivehealthservicetowomenreceivingopioidsubstitutiontreatmentaqualitativestudyusingthetdfandcomb AT jneale communitypharmacistsviewsonprovidingareproductivehealthservicetowomenreceivingopioidsubstitutiontreatmentaqualitativestudyusingthetdfandcomb AT achater communitypharmacistsviewsonprovidingareproductivehealthservicetowomenreceivingopioidsubstitutiontreatmentaqualitativestudyusingthetdfandcomb AT hfamily communitypharmacistsviewsonprovidingareproductivehealthservicetowomenreceivingopioidsubstitutiontreatmentaqualitativestudyusingthetdfandcomb
_version_	1718408243754041344

Community pharmacists' views on providing a reproductive health service to women receiving opioid substitution treatment: A qualitative study using the TDF and COM-B

Ejemplares similares