Community pharmacists' views on providing a reproductive health service to women receiving opioid substitution treatment: a qualitative study using the TDF and COM-B
AffiliationUniversity of Bristol
University of Bath
King's College London
University of New South Wales
University of Bedfordshire
MetadataShow full item record
AbstractBackground 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.
CitationAlhusein N, Scott J, Neale J, Chater A, Family H (2021) 'Community pharmacists' views on providing a reproductive health service to women receiving opioid substitution treatment: a qualitative study using the TDF and COM-B', Exploratory Research in Clinical and Social Pharmacy, 4 (100071)
PubMed Central IDPMC8626316
The following license files are associated with this item:
- Creative Commons
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International
- A qualitative study to investigate community pharmacists' perceptions about identifying and addressing inappropriately prescribed analgesia.
- Authors: Meaadi J, Obara I, Nazar H
- Issue date: 2023 Jun 30
- Factors influencing the prescribing behaviour of independent prescriber optometrists: a qualitative study using the Theoretical Domains Framework.
- Authors: Spillane D, Courtenay M, Chater A, Family H, Whitaker A, Acton JH
- Issue date: 2021 Mar
- Using the behaviour change wheel to understand and address barriers to pharmacy naloxone supply in Australia.
- Authors: Nielsen S, Olsen A
- Issue date: 2021 Apr
- Factors influencing pharmacy services in opioid substitution treatment.
- Authors: Chaar BB, Wang H, Day CA, Hanrahan JR, Winstock AR, Fois R
- Issue date: 2013 Jul
- Enhancing community pharmacists' provision of medication adherence support to older adults: A mixed methods study using the Theoretical Domains Framework.
- Authors: Patton DE, Ryan C, Hughes CM
- Issue date: 2021 Feb