@article{ref1,
title="Establishing a community pharmacy-based fall prevention service - an implementation study",
journal="Research in social and administrative pharmacy",
year="2022",
author="Gemmeke, Marle and Koster, Ellen S. and van der Velde, Nathalie and Taxis, Katja and Bouvy, Marcel L.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Community pharmacists are in the position to contribute to fall prevention, but this is not yet common practice. <br><br>OBJECTIVE: The aim of this study was to evaluate the implementation of a community pharmacy-based fall prevention service. <br><br>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 medication 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. Implementation was qualitatively evaluated by conducting semi-structured interviews with pharmacists before and after the project, based on the consolidated framework of implementation research. <br><br>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 patients' 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. <br><br>CONCLUSION: The service resulted in a substantial number of medication adaptations and lifestyle recommendations, but many barriers were identified that hamper the sustained implementation of the service.<p /> <p>Language: en</p>",
language="en",
issn="1551-7411",
doi="10.1016/j.sapharm.2022.07.044",
url="http://dx.doi.org/10.1016/j.sapharm.2022.07.044"
}