Osteoporosis screening in Australian community pharmacies: A mixed methods study.

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Journal of Australia Pub Date : 2024-05-22 DOI:10.1002/hpja.876
Jonathan Phuong, Rebekah Moles, Deborah Mason, Christopher White, Jacqueline Center, Stephen Carter
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Abstract

Issues addressed: Osteoporosis and poor bone health impact a large proportion of the Australian population, but is drastically underdiagnosed and undertreated. Community pharmacies are a strategic location for osteoporosis screening services due to their accessibility and the demographic profile of customers. The aim of this study was to develop, implement and evaluate a community pharmacy health promotion service centred on encouraging consumers to complete an anonymous osteoporosis screening survey called Know Your Bones.

Methods: The implementation process was documented using the REAIM (reach, effectiveness, adoption, implementation, maintenance) framework. Uptake of the Know Your Bones screening tool was monitored anonymously with website traffic. Surveys and interviews were designed to capture consumer outcomes after screening. Semi-structured interviews were conducted with Australian community pharmacy stakeholders during design and implementation phases to explore their perspectives of the barriers and facilitators.

Results: The service was implemented in 27 community pharmacies. There were 448 visits to the screening website. Interviews were conducted with 41 stakeholders. There were a range of factors that appeared to influence implementation of the service. Perceived acceptability was critical, which depended on staff training, pharmacists' altruism, and remuneration. Staff relied heavily on their existing close relationships with consumers. No consumers completed non-anonymous surveys or agreed to participate in interviews post-screening.

Conclusion: Using an implementation science approach, a community pharmacy osteoporosis screening service for the Australian context was designed and found to be acceptable to pharmacy staff and effective in reaching the target population. SO WHAT?: This low-cost and non-invasive health promotion has potential to sustainably increase national screening rates for osteoporosis.

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澳大利亚社区药房的骨质疏松症筛查:混合方法研究。
解决的问题:骨质疏松症和骨骼健康状况不佳影响着澳大利亚的大部分人口,但诊断和治疗严重不足。社区药房因其便利性和顾客的人口结构而成为骨质疏松症筛查服务的战略地点。本研究旨在开发、实施和评估一项社区药房健康促进服务,其核心是鼓励消费者完成一项名为 "了解你的骨骼 "的匿名骨质疏松症筛查调查:方法:采用 REAIM(覆盖范围、有效性、采用、实施、维护)框架记录实施过程。通过网站流量对 "了解你的骨骼 "筛查工具的使用情况进行匿名监测。设计了调查和访谈来捕捉消费者在筛查后的结果。在设计和实施阶段,对澳大利亚社区药房的利益相关者进行了半结构化访谈,以探讨他们对障碍和促进因素的看法:结果:这项服务在 27 家社区药房实施。筛查网站的访问量为 448 次。对 41 名利益相关者进行了访谈。影响服务实施的因素有很多。可接受性至关重要,这取决于员工培训、药剂师的利他主义和薪酬。工作人员在很大程度上依赖于他们与消费者现有的密切关系。没有消费者完成非匿名调查或同意参加筛查后的访谈:采用实施科学的方法,为澳大利亚设计了一项社区药房骨质疏松症筛查服务,并发现该服务可为药房员工所接受,且能有效覆盖目标人群。所以呢:这一低成本、非侵入性的健康推广活动有可能持续提高全国骨质疏松症筛查率。
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来源期刊
Health Promotion Journal of Australia
Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.10
自引率
10.50%
发文量
115
期刊介绍: The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.
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