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Establishing a community pharmacy-based fall prevention service-An implementation study
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DOI：10.1016/j.sapharm.2022.07.044.png)
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Abstract
En 中文
Background: Community pharmacists are in the position to contribute to fall prevention, but this is not yet common practice.Objective: The aim of this study was to evaluate the implementation of a community pharmacy-based fall pre-vention service.Methods: A fall prevention service, consisting of a fall risk screening and assessment including a medication review, was implemented in pharmacies during three months. A preparative online training was provided to the pharmacy team to enhance adoption of the service. Included patients were aged >= 70 years, using >= 5 drugs of which >= 1 fall risk-increasing drug. The implementation process was quantitively assessed by registering medi-cation adaptations, recommendations, and referrals. Changes in patient scores on the Short Fall Efficacy Scale -International (FES-I) and a fall prevention knowledge test were documented at one month follow-up. Imple-mentation was qualitatively evaluated by conducting semi-structured interviews with pharmacists before and after the project, based on the consolidated framework of implementation research.Results: The service was implemented in nine pharmacies and 91 consultations were performed. Medication was adapted of 32 patients. Patients' short FES-I scores were significantly higher at follow-up (p = 0.047) and pa-tients' knowledge test scores did not differ (p = 0.86). Pharmacists experienced the following barriers: lack of time, absence of staff, and limited multidisciplinary collaboration. Facilitators were training, motivated staff, patient engagement, and project scheduling.Conclusion: The service resulted in a substantial number of medication adaptations and lifestyle recommenda-tions, but many barriers were identified that hamper the sustained implementation of the service.
Keywords:
Fall prevention
Elderly
Fall risk -increasing drugs
Community pharmacy
Implementation
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