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dc.contributor.authorAlhusein, Nour
dc.contributor.authorScott, Jenny
dc.contributor.authorNeale, Jo
dc.contributor.authorChater, Angel M.
dc.contributor.authorFamily, Hannah
dc.date.accessioned2021-10-04T09:15:17Z
dc.date.available2021-09-21T00:00:00Z
dc.date.available2021-10-04T09:15:17Z
dc.date.issued2021-09-21
dc.identifier.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)en_US
dc.identifier.issn2667-2766
dc.identifier.doi10.1016/j.rcsop.2021.100071
dc.identifier.urihttp://hdl.handle.net/10547/625111
dc.description.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.en_US
dc.description.sponsorshipMRCen_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.urlhttps://www.sciencedirect.com/science/article/pii/S2667276621000718?via%3Dihuben_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectcommunity pharmaciesen_US
dc.subjectcontraceptionen_US
dc.subjectSubject Categories::L510 Health & Welfareen_US
dc.titleCommunity pharmacists' views on providing a reproductive health service to women receiving opioid substitution treatment: a qualitative study using the TDF and COM-Ben_US
dc.typeArticleen_US
dc.identifier.eissn2667-2766
dc.contributor.departmentUniversity of Bristolen_US
dc.contributor.departmentUniversity of Bathen_US
dc.contributor.departmentKing's College Londonen_US
dc.contributor.departmentUniversity of New South Walesen_US
dc.contributor.departmentUniversity of Bedfordshireen_US
dc.identifier.journalExploratory Research in Clinical and Social Pharmacyen_US
dc.date.updated2021-10-04T09:11:09Z
dc.description.notegold open access


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