Community pharmacists and mental illness: a survey of service provision, stigma, attitudes and beliefs
Background Half of Americans experience mental illness during their lifetime. Significant opportunity exists for community pharmacists to deliver services to these patients; however, personal and practice-related barriers may prevent full engagement. Objective To assess the demographics, practice ch...
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| Veröffentlicht in: | International journal of clinical pharmacy 2018-10, Vol.40 (5), p.1096-1105 |
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| container_title | International journal of clinical pharmacy |
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| creator | Giannetti, Vincent Caley, Charles F. Kamal, Khalid M. Covvey, Jordan R. McKee, Jerry Wells, Barbara G. Najarian, Dean M. Dunn, Tyler J. Vadagam, Pratyusha |
| description | Background
Half of Americans experience mental illness during their lifetime. Significant opportunity exists for community pharmacists to deliver services to these patients; however, personal and practice-related barriers may prevent full engagement.
Objective
To assess the demographics, practice characteristics, service provision, stigma, attitudes and beliefs of a national sample of community pharmacists towards individuals with mental illness.
Setting
National random sample of 3008 community pharmacists in the USA.
Method
101-item cross-sectional mailed survey questionnaire on: (1) demographics, (2) knowledge and practice characteristics, (3) provision of clinical pharmacy services, and (4) comparative opinions.
Main outcome measure
Scaled measures of service provision (comfort, confidence, willingness and interest) and comparative opinions (stigma, attitudes and beliefs) of mental illness, four linear regression models to predict service provision.
Results
A total of 239 responses were received (response rate 7.95%). Across pharmacy services, ratings for willingness/interest were higher than those for comfort/confidence. Pharmacists who reported providing medication therapy management (MTM) services for patients reported higher comfort (18.36 vs. 17.46,
p
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| doi_str_mv | 10.1007/s11096-018-0619-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2049937823</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2049937823</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-ca4b58163cfd3d3dc3d921a5277fe68699c92083f0875ae3168a5c627280e5cd3</originalsourceid><addsrcrecordid>eNp1kUuLFTEQhYMozjDOD3AjATcupjWVdOfhTi6-YMCNrkNuunrM0I9rKn3h_vvJ2OMIgqlFAvXVqUMOYy9BvAUhzDsCEE43AmwjNLjGPGHnUoJojAF4-vgW6oxdEt2KelotoWufszPprJatFuds2C3TtM6pnPjhZ8hTiIkK8TD3fMK5hJGncZyR6D0PnNZ8xBNfBk6YjykiP-TlmCgt8xWnkm6mcMVDKamsPW4iexwTDvSCPRvCSHj5cF-wH58-ft99aa6_ff66-3DdRGVkaWJo950FreLQq1pR9U5C6KQxA2qrnYtOCqsGYU0XUIG2oYtaGmkFdrFXF-zNpluN_VqRip8SRRzHMOOykpeidU4ZK1VFX_-D3i5rnqu731QLugOoFGxUzAtRxsEfcppCPnkQ_j4Hv-Xgaw7-Pgdv6syrB-V1P2H_OPHn1ysgN4Bqa77B_Hf1_1XvAGt6kl8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2049416511</pqid></control><display><type>article</type><title>Community pharmacists and mental illness: a survey of service provision, stigma, attitudes and beliefs</title><source>MEDLINE</source><source>Springer Online Journals Complete</source><creator>Giannetti, Vincent ; Caley, Charles F. ; Kamal, Khalid M. ; Covvey, Jordan R. ; McKee, Jerry ; Wells, Barbara G. ; Najarian, Dean M. ; Dunn, Tyler J. ; Vadagam, Pratyusha</creator><creatorcontrib>Giannetti, Vincent ; Caley, Charles F. ; Kamal, Khalid M. ; Covvey, Jordan R. ; McKee, Jerry ; Wells, Barbara G. ; Najarian, Dean M. ; Dunn, Tyler J. ; Vadagam, Pratyusha</creatorcontrib><description><![CDATA[Background
Half of Americans experience mental illness during their lifetime. Significant opportunity exists for community pharmacists to deliver services to these patients; however, personal and practice-related barriers may prevent full engagement.
Objective
To assess the demographics, practice characteristics, service provision, stigma, attitudes and beliefs of a national sample of community pharmacists towards individuals with mental illness.
Setting
National random sample of 3008 community pharmacists in the USA.
Method
101-item cross-sectional mailed survey questionnaire on: (1) demographics, (2) knowledge and practice characteristics, (3) provision of clinical pharmacy services, and (4) comparative opinions.
Main outcome measure
Scaled measures of service provision (comfort, confidence, willingness and interest) and comparative opinions (stigma, attitudes and beliefs) of mental illness, four linear regression models to predict service provision.
Results
A total of 239 responses were received (response rate 7.95%). Across pharmacy services, ratings for willingness/interest were higher than those for comfort/confidence. Pharmacists who reported providing medication therapy management (MTM) services for patients reported higher comfort (18.36 vs. 17.46,
p
< 0.05), confidence (17.73 vs. 16.01,
p
< 0.05), willingness (20.0 vs. 18.62,
p
< 0.05) and interest (19.13 vs. 17.66,
p
< 0.05). Pharmacists with personal experience with mental illness also resulted in higher scores across all four domains of service provision, lower levels of stigma (18.28 vs. 20.76,
p
< 0.05) and more positive attitudes (52.24 vs. 50.53,
p
< 0.01). Regression analyses demonstrated increased frequency of MTM service delivery and more positive attitudes as significantly predictive across all four models for comfort, confidence, willingness and interest. Increased delivery of pharmacy services was significantly associated with both willingness and interest to provide mental illness-specific services.
Conclusion
Despite willingness/interest to provide services to patients with mental illness, decreased levels of comfort/confidence remain service-related barriers for community pharmacists.]]></description><identifier>ISSN: 2210-7703</identifier><identifier>EISSN: 2210-7711</identifier><identifier>DOI: 10.1007/s11096-018-0619-7</identifier><identifier>PMID: 29862460</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Attitude of Health Personnel ; Attitudes ; Comfort ; Community Pharmacy Services - statistics & numerical data ; Cross-Sectional Studies ; Demographics ; Demography ; Drug stores ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Mental disorders ; Mental Disorders - epidemiology ; Mental Disorders - therapy ; Middle Aged ; Pharmacists ; Pharmacists - psychology ; Pharmacy ; Professional Role ; Regression analysis ; Research Article ; Social Stigma ; Stigma ; Surveys and Questionnaires - statistics & numerical data</subject><ispartof>International journal of clinical pharmacy, 2018-10, Vol.40 (5), p.1096-1105</ispartof><rights>Springer International Publishing AG, part of Springer Nature 2018</rights><rights>International Journal of Clinical Pharmacy is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-ca4b58163cfd3d3dc3d921a5277fe68699c92083f0875ae3168a5c627280e5cd3</citedby><cites>FETCH-LOGICAL-c372t-ca4b58163cfd3d3dc3d921a5277fe68699c92083f0875ae3168a5c627280e5cd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11096-018-0619-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11096-018-0619-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29862460$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Giannetti, Vincent</creatorcontrib><creatorcontrib>Caley, Charles F.</creatorcontrib><creatorcontrib>Kamal, Khalid M.</creatorcontrib><creatorcontrib>Covvey, Jordan R.</creatorcontrib><creatorcontrib>McKee, Jerry</creatorcontrib><creatorcontrib>Wells, Barbara G.</creatorcontrib><creatorcontrib>Najarian, Dean M.</creatorcontrib><creatorcontrib>Dunn, Tyler J.</creatorcontrib><creatorcontrib>Vadagam, Pratyusha</creatorcontrib><title>Community pharmacists and mental illness: a survey of service provision, stigma, attitudes and beliefs</title><title>International journal of clinical pharmacy</title><addtitle>Int J Clin Pharm</addtitle><addtitle>Int J Clin Pharm</addtitle><description><![CDATA[Background
Half of Americans experience mental illness during their lifetime. Significant opportunity exists for community pharmacists to deliver services to these patients; however, personal and practice-related barriers may prevent full engagement.
Objective
To assess the demographics, practice characteristics, service provision, stigma, attitudes and beliefs of a national sample of community pharmacists towards individuals with mental illness.
Setting
National random sample of 3008 community pharmacists in the USA.
Method
101-item cross-sectional mailed survey questionnaire on: (1) demographics, (2) knowledge and practice characteristics, (3) provision of clinical pharmacy services, and (4) comparative opinions.
Main outcome measure
Scaled measures of service provision (comfort, confidence, willingness and interest) and comparative opinions (stigma, attitudes and beliefs) of mental illness, four linear regression models to predict service provision.
Results
A total of 239 responses were received (response rate 7.95%). Across pharmacy services, ratings for willingness/interest were higher than those for comfort/confidence. Pharmacists who reported providing medication therapy management (MTM) services for patients reported higher comfort (18.36 vs. 17.46,
p
< 0.05), confidence (17.73 vs. 16.01,
p
< 0.05), willingness (20.0 vs. 18.62,
p
< 0.05) and interest (19.13 vs. 17.66,
p
< 0.05). Pharmacists with personal experience with mental illness also resulted in higher scores across all four domains of service provision, lower levels of stigma (18.28 vs. 20.76,
p
< 0.05) and more positive attitudes (52.24 vs. 50.53,
p
< 0.01). Regression analyses demonstrated increased frequency of MTM service delivery and more positive attitudes as significantly predictive across all four models for comfort, confidence, willingness and interest. Increased delivery of pharmacy services was significantly associated with both willingness and interest to provide mental illness-specific services.
Conclusion
Despite willingness/interest to provide services to patients with mental illness, decreased levels of comfort/confidence remain service-related barriers for community pharmacists.]]></description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Attitudes</subject><subject>Comfort</subject><subject>Community Pharmacy Services - statistics & numerical data</subject><subject>Cross-Sectional Studies</subject><subject>Demographics</subject><subject>Demography</subject><subject>Drug stores</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - therapy</subject><subject>Middle Aged</subject><subject>Pharmacists</subject><subject>Pharmacists - psychology</subject><subject>Pharmacy</subject><subject>Professional Role</subject><subject>Regression analysis</subject><subject>Research Article</subject><subject>Social Stigma</subject><subject>Stigma</subject><subject>Surveys and Questionnaires - statistics & numerical data</subject><issn>2210-7703</issn><issn>2210-7711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUuLFTEQhYMozjDOD3AjATcupjWVdOfhTi6-YMCNrkNuunrM0I9rKn3h_vvJ2OMIgqlFAvXVqUMOYy9BvAUhzDsCEE43AmwjNLjGPGHnUoJojAF4-vgW6oxdEt2KelotoWufszPprJatFuds2C3TtM6pnPjhZ8hTiIkK8TD3fMK5hJGncZyR6D0PnNZ8xBNfBk6YjykiP-TlmCgt8xWnkm6mcMVDKamsPW4iexwTDvSCPRvCSHj5cF-wH58-ft99aa6_ff66-3DdRGVkaWJo950FreLQq1pR9U5C6KQxA2qrnYtOCqsGYU0XUIG2oYtaGmkFdrFXF-zNpluN_VqRip8SRRzHMOOykpeidU4ZK1VFX_-D3i5rnqu731QLugOoFGxUzAtRxsEfcppCPnkQ_j4Hv-Xgaw7-Pgdv6syrB-V1P2H_OPHn1ysgN4Bqa77B_Hf1_1XvAGt6kl8</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Giannetti, Vincent</creator><creator>Caley, Charles F.</creator><creator>Kamal, Khalid M.</creator><creator>Covvey, Jordan R.</creator><creator>McKee, Jerry</creator><creator>Wells, Barbara G.</creator><creator>Najarian, Dean M.</creator><creator>Dunn, Tyler J.</creator><creator>Vadagam, Pratyusha</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><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>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20181001</creationdate><title>Community pharmacists and mental illness: a survey of service provision, stigma, attitudes and beliefs</title><author>Giannetti, Vincent ; Caley, Charles F. ; Kamal, Khalid M. ; Covvey, Jordan R. ; McKee, Jerry ; Wells, Barbara G. ; Najarian, Dean M. ; Dunn, Tyler J. ; Vadagam, Pratyusha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-ca4b58163cfd3d3dc3d921a5277fe68699c92083f0875ae3168a5c627280e5cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Attitudes</topic><topic>Comfort</topic><topic>Community Pharmacy Services - statistics & numerical data</topic><topic>Cross-Sectional Studies</topic><topic>Demographics</topic><topic>Demography</topic><topic>Drug stores</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - therapy</topic><topic>Middle Aged</topic><topic>Pharmacists</topic><topic>Pharmacists - psychology</topic><topic>Pharmacy</topic><topic>Professional Role</topic><topic>Regression analysis</topic><topic>Research Article</topic><topic>Social Stigma</topic><topic>Stigma</topic><topic>Surveys and Questionnaires - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Giannetti, Vincent</creatorcontrib><creatorcontrib>Caley, Charles F.</creatorcontrib><creatorcontrib>Kamal, Khalid M.</creatorcontrib><creatorcontrib>Covvey, Jordan R.</creatorcontrib><creatorcontrib>McKee, Jerry</creatorcontrib><creatorcontrib>Wells, Barbara G.</creatorcontrib><creatorcontrib>Najarian, Dean M.</creatorcontrib><creatorcontrib>Dunn, Tyler J.</creatorcontrib><creatorcontrib>Vadagam, Pratyusha</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical pharmacy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Giannetti, Vincent</au><au>Caley, Charles F.</au><au>Kamal, Khalid M.</au><au>Covvey, Jordan R.</au><au>McKee, Jerry</au><au>Wells, Barbara G.</au><au>Najarian, Dean M.</au><au>Dunn, Tyler J.</au><au>Vadagam, Pratyusha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Community pharmacists and mental illness: a survey of service provision, stigma, attitudes and beliefs</atitle><jtitle>International journal of clinical pharmacy</jtitle><stitle>Int J Clin Pharm</stitle><addtitle>Int J Clin Pharm</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>40</volume><issue>5</issue><spage>1096</spage><epage>1105</epage><pages>1096-1105</pages><issn>2210-7703</issn><eissn>2210-7711</eissn><abstract><![CDATA[Background
Half of Americans experience mental illness during their lifetime. Significant opportunity exists for community pharmacists to deliver services to these patients; however, personal and practice-related barriers may prevent full engagement.
Objective
To assess the demographics, practice characteristics, service provision, stigma, attitudes and beliefs of a national sample of community pharmacists towards individuals with mental illness.
Setting
National random sample of 3008 community pharmacists in the USA.
Method
101-item cross-sectional mailed survey questionnaire on: (1) demographics, (2) knowledge and practice characteristics, (3) provision of clinical pharmacy services, and (4) comparative opinions.
Main outcome measure
Scaled measures of service provision (comfort, confidence, willingness and interest) and comparative opinions (stigma, attitudes and beliefs) of mental illness, four linear regression models to predict service provision.
Results
A total of 239 responses were received (response rate 7.95%). Across pharmacy services, ratings for willingness/interest were higher than those for comfort/confidence. Pharmacists who reported providing medication therapy management (MTM) services for patients reported higher comfort (18.36 vs. 17.46,
p
< 0.05), confidence (17.73 vs. 16.01,
p
< 0.05), willingness (20.0 vs. 18.62,
p
< 0.05) and interest (19.13 vs. 17.66,
p
< 0.05). Pharmacists with personal experience with mental illness also resulted in higher scores across all four domains of service provision, lower levels of stigma (18.28 vs. 20.76,
p
< 0.05) and more positive attitudes (52.24 vs. 50.53,
p
< 0.01). Regression analyses demonstrated increased frequency of MTM service delivery and more positive attitudes as significantly predictive across all four models for comfort, confidence, willingness and interest. Increased delivery of pharmacy services was significantly associated with both willingness and interest to provide mental illness-specific services.
Conclusion
Despite willingness/interest to provide services to patients with mental illness, decreased levels of comfort/confidence remain service-related barriers for community pharmacists.]]></abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>29862460</pmid><doi>10.1007/s11096-018-0619-7</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2210-7703 |
| ispartof | International journal of clinical pharmacy, 2018-10, Vol.40 (5), p.1096-1105 |
| issn | 2210-7703 2210-7711 |
| language | eng |
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| source | MEDLINE; Springer Online Journals Complete |
| subjects | Adult Attitude of Health Personnel Attitudes Comfort Community Pharmacy Services - statistics & numerical data Cross-Sectional Studies Demographics Demography Drug stores Female Health Knowledge, Attitudes, Practice Humans Internal Medicine Male Medicine Medicine & Public Health Mental disorders Mental Disorders - epidemiology Mental Disorders - therapy Middle Aged Pharmacists Pharmacists - psychology Pharmacy Professional Role Regression analysis Research Article Social Stigma Stigma Surveys and Questionnaires - statistics & numerical data |
| title | Community pharmacists and mental illness: a survey of service provision, stigma, attitudes and beliefs |
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