Abstract
Background Obesity has reached pandemic levels, with more than 1.5 billion adults being affected worldwide. In Scotland two-thirds of men and more than half of women are either overweight or obese, placing Scotland overall third behind the United States of America and Mexico. All community pharmacies in Scotland are contracted to provide public health services such as smoking cessation and there is increasing interest in their contribution to weight management. Researching this area in Scotland may provide valuable information to facilitate the development of community pharmacy services in other parts of the UK and internationally. Objectives To describe the views of the Scottish general public on the provision of weight management services via community pharmacies. Setting General public in Scotland. Methods A cross-sectional postal questionnaire survey of 6,000 randomly selected members of the Scottish general public aged 18 years and over. Main outcome measures Views on community pharmacy led weight management services. Results Questionnaires were returned by 20.6% (n = 1,236). Over half 60.1% (n = 751) agreed or strongly agreed that they had easy access to pharmacy services in general and around one-third agreed (35%; n = 438) that it was more convenient to obtain weight management advice from a pharmacist than it is to make an appointment with a GP. Most respondents however lacked awareness of the types of health services available through community pharmacy (13.2%; n = 162) and would not feel comfortable speaking to a pharmacist or medicines counter assistant about weight related issues (25%; n = 320). Concerns over privacy (47.3%; n = 592) and perceived lack of pharmacists’ specialist knowledge (open comments) were identified as potential barriers to service uptake by the general public. Conclusion Overall, respondents appear to be receptive to the idea of accessing weight management services through community pharmacy but a perceived lack of privacy, poor knowledge of pharmacists’ skill level and of public health services available to them may explain the reluctance in the uptake of such services to date. The general public’s views expressed in this study may help to shape future community pharmacy led weight management service provision.
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References
World Health Organisation. Media centre, obesity and overweight. Fact Sheet No 311. 2011. Available from http://www.who.int/mediacentre/factsheets/fs311/en/index.html. Accessed 21 Jan 2012.
The Scottish Government. Health of Scotland’s population—healthy weight. 2011. Available from http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/TrendObesity. Accessed 21 Jan 2012.
Scottish Budget Spending review 2007, Edinburgh: Scottish Government. 2007. Available from http://www.scotland.gov.uk/Publications/2007/11/13092240/0. Accessed 21 Jan 2012.
Scottish Public Health Network. ScotPHNReport, Scottish action obesity resource. A project by ScotPHN (Scottish Public Health Network) undertaken by nutrition communication. Glasgow: ScotPHN; 2007.
World Health Organization Ministerial Conference on Counteracting Obesity. European charter on counteracting obesity. EUR/06/5062700/8. Istanbul, Copenhagen: WHO Regional Office for Europe, 16 Nov 2006. Available from http://www.euro.who.int/en/what-we-do/health-topics/diseases-and-conditions/obesity/publications/pre-2009/european-charter-on-counteracting-obesity. Accessed 21 Jan 2012.
Department of Health. A new national template for commissioning NHS health checks from community pharmacy. London: HM Government; 2009.
National Health Service. Hastings and Rother primary Care Trust. NHS Community Pharmacy Contractual Framework Enhanced Service—Weight Management. ENHR, 2006. Available from http://www.lpc-online.org.uk/bkpage/files/118/hastingsandrotherpct/weight_management_enhr13.pdf. Accessed 21 Jan 2012.
Weidmann AE, Cunningham S, Gray G, Hansford D, McLay J, Broom J, Stewart D. Over-the-counter orlistat: early experiences, views and attitudes of community pharmacists in Great Britain. Int J Clin Pharm. 2011;33(4):627–33.
Apothekerkammer Hamburg. Pressemitteilung—Hamburger Apotheker unterstützen Patienten beim Abnehmen. Gesundheit adhoc 2008. Available from http://www.gesundheit-adhoc.de/index.php?m=1&id=5255. Accessed 21 Jan 2012.
Gordon J, Watson M, Avenell A. Lightening the load? A systematic review of community pharmacy-based weight management interventions. Obes Rev. 2011;12:897–911.
Toubro S, et al. Dietary guidelines on obesity at Danish pharmacies. Results of a 12-week course with a 1-year follow-up. Research group on Human Nutrition, Frederiksberg. Ugeskr Laeger. 1999;161(38):5308–13.
Lloyd K, et al. Implementation of a weight management pharmaceutical care service. Ann Pharmacother. 2007;41:185–92.
Um ISI, et al. Managing obesity in pharmacy: the Australian experience. Pharm World Sci. 2010;32:711–20.
Newlands RS, Watson MC, Lee AJ. The provision of current and future Healthy Weight Management (HWM) services from community pharmacies: a survey of community pharmacists’ attitudes, practice and future possibilities. Int J Pharm Pract. 2011;19:106–14.
Blenkinsopp A, Anderson C, Armstrong M. Community pharmacy’s contribution to improving the public’s health: the case of weight management. Int J Pharm Pract. 2008;16:123–5.
Krska J, Lovelady C, Connolly D, Parmar S, Davies MJ. Community pharmacy contribution to weight management: identifying opportunities. Int J Pharm Pract. 2010;18(1):7–12.
Sunderland B, Burrows S, Joyce A, Mcanus A, Maycock B. Rural phar, acyu not delivering on its health potential. Aust J Rural Health. 2006;14:116–9.
Eades CE, Ferguson JS. O’Carroll. Public health in community pharmacy: a systematic review of pharmacist and consumer reviews. BMC Public Health. 2011;11:582.
EMEA European Medicines Agency, European Medicines Agency recommends first switch from prescription only to non-prescription for a centrally authorised medicine. Doc. Ref. EMEA/CHMP/493770/2008 2008. London 23 October 2008. Available from http://www.ema.europa.eu/docs/en_GB/document_library/Press_release/2009/11/WC500014828.pdf. Accessed 21 Jan 2012.
Pfleger DE, McHattie LW, Diack HL, McCaig DJ, Stewart DC. Views, attitudes and self-assessed training needs of Scottish community pharmacists to public health practice and competence. Pharm World Sci. 2008;30:801–9.
Edwards PJ, Roberts I, Clarke MJ, DiGuiseppi C, Wentz R, Kwan I, Cooper R, Felix LM, Pratap S. Methods to increase response to postal and electronic questionnaires. Cochrane Database Syst Rev. 2009;8(3):MR000008.
McColl E, Jacoby A, Thomas L, Soutter J, Bamford C, Steen N, THomas R, Harvey E, Garratt A, Bond J. Design and use of questionnaires: a review of best practice applicable to surveys of health service staff and patients. Health Technol Assess. 2001;5(31):1–256.
Hsieh HF, Shannon SE. Three Approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88.
Royal Pharmaceutical Society of Great Britain. Pharmacy in a new age: building the future. London: Royal Pharmaceutical Society of Great Britain; 1997.
Scottish Executive health Department. Public Health Service (PHS) outline specification:SEHD Primary care devision2006. Available from http://www.communitypharmacyscotland.org.uk/_resources/files/legislation/PublicHealthServiceOutlineSpec.pdf. Accessed 21 January 2012.
Iversen L, Mollison J. MAcLeod TNN. Attitudes of the general public to the expanding role of community pharmacists: a pilot study. Fam Pract. 2001;18(5):534–6.
Roth MT, Andrus MR, Westman EC. Outciomes from an outpatient smoking cessation clinic. Pharmacotherapy. 2005;25(2):279–88.
Earle KA, et al. A physician-pharmacist model for the surveillance of blood pressure in community: a feasibility study. J Hum Hypertens. 2001;15(8):529–33.
Pfleger DE, McHattie LW, Diack HL, McCaig DJ, Stewart DC. Developing consensus around the pharmaceutical public health competencies for community pharmacists in Scotland. Pharm World Sci. 2008;30:111–9.
All Party Pharmacy Group. Community Pharmacy—Tackling Obesity. A Report to Health Ministers. London: House of Commons; 2004.
Department of Health. Pharmacy in England. Building on strengths—delivering the future. London: HM Government; 2008.
Counterweight. United Kingdom, 2010. Counterweight programme. Available from http://www.counterweight.org/ Accessed 21 Jan 2012.
Commission of the European communities. White Paper on a strategy for Europe on nutrition, overweight and obesity related health issues. {SEC(2007) 706} {SEC(2007) 707}. Available from http://ec.europa.eu/health/ph_determinants/life_style/nutrition/documents/nutrition_wp_en.pdf. Accessed 21 Jan 2012.
U.S. Department of Health and Human Services. National Institute of health. Strategic Plan for NIH Obesity Research. NIH Publication No. 11-5493, 2011. Available from http://obesityresearch.nih.gov/about/StrategicPlanforNIH_Obesity_Research_Full-Report_2011.pdf. Accessed on 21 Jan 2012.
Anderson C, Blenkisnopp A, Armstrong M. Feedback from community pharmacy users on the contribution of community pharmacy to improving the public’s health: a systematic review of the peer reviewed and no-peer reviewed literature 1990–2002. Health Expect. 2004;7(3):191–202.
Renberg T et al. Pharmacy users’ expectations of pharmacy encounters: a Q-methodological study. Health Expect 2010 (Accessed 8 July 2011, epub ahead of print).
Office for National statistics. Population. Population Estimates. July 2011. Available from http://www.statistics.gov.uk/cci/nugget.asp?id=6. Accessed 21 Jan 2012.
Acknowledgments
We would like to acknowledge Y. Al-Obaidi, M. Bisset, P. Cleary, S. Crichton, J. Crosbie, S. Cunningham, L. Doherty, M. Munro, A. Smith, L. Smith, L. Stevenson and L. Adams for assistance with data collection, J Lowe for data input and all the members of the general public for completing questionnaires.
Funding
This study was funded by Robert Gordon University, School of Pharmacy and Life Sciences, Aberdeen.
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There was no conflict of interest.
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Weidmann, A.E., Cunningham, S., Gray, G. et al. Views of the Scottish general public on community pharmacy weight management services: international implications. Int J Clin Pharm 34, 389–397 (2012). https://doi.org/10.1007/s11096-012-9624-4
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DOI: https://doi.org/10.1007/s11096-012-9624-4