Knee osteoarthritis and the knowledgeable, trustworthy pharmacist: Patient and pharmacist perceptions of community pharmacy-based education and support

doi:10.1002/msc.1660

. 2023 Mar;21(1):3-15.

doi: 10.1002/msc.1660. Epub 2022 May 26.

Knee osteoarthritis and the knowledgeable, trustworthy pharmacist: Patient and pharmacist perceptions of community pharmacy-based education and support

Affiliations

¹ Department of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.
² Department of General Practice, University of Otago, Christchurch, New Zealand.
³ Canterbury Community Pharmacy Group, Christchurch, New Zealand.
⁴ Consumer Research Partner, Wellington, New Zealand.
⁵ Halswell Pharmacy, Christchurch, New Zealand.
⁶ Department of Medicine, University of Otago, Wellington, New Zealand.
⁷ School of Pharmacy, University of Otago, Dunedin, New Zealand.
⁸ Department of Surgery, University of Otago, Dunedin, New Zealand.
⁹ Curtin School of Allied Health, Curtin University, Perth, Australia.

PMID: 35615979
DOI: 10.1002/msc.1660

Knee osteoarthritis and the knowledgeable, trustworthy pharmacist: Patient and pharmacist perceptions of community pharmacy-based education and support

Ben Darlow et al. Musculoskeletal Care. 2023 Mar.

. 2023 Mar;21(1):3-15.

doi: 10.1002/msc.1660. Epub 2022 May 26.

Authors

Affiliations

¹ Department of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.
² Department of General Practice, University of Otago, Christchurch, New Zealand.
³ Canterbury Community Pharmacy Group, Christchurch, New Zealand.
⁴ Consumer Research Partner, Wellington, New Zealand.
⁵ Halswell Pharmacy, Christchurch, New Zealand.
⁶ Department of Medicine, University of Otago, Wellington, New Zealand.
⁷ School of Pharmacy, University of Otago, Dunedin, New Zealand.
⁸ Department of Surgery, University of Otago, Dunedin, New Zealand.
⁹ Curtin School of Allied Health, Curtin University, Perth, Australia.

PMID: 35615979
DOI: 10.1002/msc.1660

Abstract

Background: Osteoarthritis (OA) clinical guidelines recommend self-management education, but education is often not included in primary care consultations.

Objective: To explore pharmacists' and patients' perceptions of a pharmacist-led model of service delivery for knee OA that was integrated within pharmacies' day-to-day workflow.

Methods: Cross-sectional qualitative design using Thematic Analysis. Community pharmacies were recruited in New Zealand and Australia. Pharmacy patients were screened for knee OA and offered tailored explanations, self-management information and referral for further support. Pharmacist focus groups and patient 1:1 interviews explored perceptions of the service delivery model.

Results: Nineteen pharmacists and 12 patients with knee OA participated. Pharmacist and patient data were analysed separately, with themes compared and contrasted to derive three meta-themes. Meta-theme 1: 'Welcome Engagement' included two pharmacist themes ('putting my broad skill set to use' and 'we're here and happy to help') and two patient themes ('information delivered well' and 'a welcome offer of help'). Meta-theme 2: 'The Knowledgeable and Trustworthy Pharmacist' included two pharmacist themes ('professional knowledge to help all sorts of patients' and 'managing time to help my patients') and one patient theme ('the accessible professional who I know and trust'). Meta-theme 3: 'The Opportunity for More Support' included one pharmacist theme ('this is not the end of the story') and one patient theme ('more help is available').

Conclusion: Community pharmacists are well-positioned to provide information and support to people with knee OA. Pharmacists appreciate the opportunity to better use their skills and accessibility for OA care, and patients welcome this engagement.

Keywords: community pharmacists; community pharmacy services; osteoarthritis; patient education.

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Cited by

Co-development and testing of an extended community pharmacy model of service delivery for managing osteoarthritis: protocol for a sequential, multi-methods study (PharmOA).
Babatunde OO, Cottrell E, White S, Chudyk A, Healey EL, Edwards J, Nicholls E, O'Brien N, Todd A, Walker C, Stanford C, Cork T, Long A, Simkins J, Mallen CD, Dziedzic K, Holden MA. Babatunde OO, et al. BMC Musculoskelet Disord. 2024 Jan 12;25(1):54. doi: 10.1186/s12891-023-07105-2. BMC Musculoskelet Disord. 2024. PMID: 38216895 Free PMC article.

References

REFERENCES

1. Abbott, J. H., Usiskin, I. M., Wilson, R., Hansen, P., & Losina, E. (2017). The quality-of-life burden of knee osteoarthritis in New Zealand adults: A model-based evaluation. PLoS One, 12(10), e0185676. https://doi.org/10.1371/journal.pone.0185676
1. Ackerman, I. N., Bohensky, M. A., Zomer, E., Tacey, M., Gorelik, A., Brand, C. A., & de Steiger, R. (2019). The projected burden of primary total knee and hip replacement for osteoarthritis in Australia to the year 2030. BMC Musculoskeletal Disorder, 20(1), 90. https://doi.org/10.1186/s12891-019-2411-9
1. Arden, N. K., Perry, T. A., Bannuru, R. R., Bruyère, O., Cooper, C., Haugen, I. K., Hochberg, M. C., McAlindon, T. E., Mobasheri, A., & Reginster, J.-Y. (2021). Non-surgical management of knee osteoarthritis: Comparison of ESCEO and OARSI 2019 guidelines. Nature Reviews Rheumatology, 17(1), 59-66. https://doi.org/10.1038/s41584-020-00523-9
1. Baldwin, J., Briggs, A., Bagg, W., & Larmer, P. (2017). An osteoarthritis model of care should be a national priority for New Zealand. New Zealand Medical Journal, 130(1467), 78-86.
1. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101. https://doi.org/10.1191/1478088706qp063oa

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[1] Abbott, J. H., Usiskin, I. M., Wilson, R., Hansen, P., & Losina, E. (2017). The quality-of-life burden of knee osteoarthritis in New Zealand adults: A model-based evaluation. PLoS One, 12(10), e0185676. https://doi.org/10.1371/journal.pone.0185676

[2] Abbott, J. H., Usiskin, I. M., Wilson, R., Hansen, P., & Losina, E. (2017). The quality-of-life burden of knee osteoarthritis in New Zealand adults: A model-based evaluation. PLoS One, 12(10), e0185676. https://doi.org/10.1371/journal.pone.0185676

[3] Ackerman, I. N., Bohensky, M. A., Zomer, E., Tacey, M., Gorelik, A., Brand, C. A., & de Steiger, R. (2019). The projected burden of primary total knee and hip replacement for osteoarthritis in Australia to the year 2030. BMC Musculoskeletal Disorder, 20(1), 90. https://doi.org/10.1186/s12891-019-2411-9

[4] Ackerman, I. N., Bohensky, M. A., Zomer, E., Tacey, M., Gorelik, A., Brand, C. A., & de Steiger, R. (2019). The projected burden of primary total knee and hip replacement for osteoarthritis in Australia to the year 2030. BMC Musculoskeletal Disorder, 20(1), 90. https://doi.org/10.1186/s12891-019-2411-9

[5] Arden, N. K., Perry, T. A., Bannuru, R. R., Bruyère, O., Cooper, C., Haugen, I. K., Hochberg, M. C., McAlindon, T. E., Mobasheri, A., & Reginster, J.-Y. (2021). Non-surgical management of knee osteoarthritis: Comparison of ESCEO and OARSI 2019 guidelines. Nature Reviews Rheumatology, 17(1), 59-66. https://doi.org/10.1038/s41584-020-00523-9

[6] Arden, N. K., Perry, T. A., Bannuru, R. R., Bruyère, O., Cooper, C., Haugen, I. K., Hochberg, M. C., McAlindon, T. E., Mobasheri, A., & Reginster, J.-Y. (2021). Non-surgical management of knee osteoarthritis: Comparison of ESCEO and OARSI 2019 guidelines. Nature Reviews Rheumatology, 17(1), 59-66. https://doi.org/10.1038/s41584-020-00523-9

[7] Baldwin, J., Briggs, A., Bagg, W., & Larmer, P. (2017). An osteoarthritis model of care should be a national priority for New Zealand. New Zealand Medical Journal, 130(1467), 78-86.

[8] Baldwin, J., Briggs, A., Bagg, W., & Larmer, P. (2017). An osteoarthritis model of care should be a national priority for New Zealand. New Zealand Medical Journal, 130(1467), 78-86.

[9] Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101. https://doi.org/10.1191/1478088706qp063oa

[10] Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101. https://doi.org/10.1191/1478088706qp063oa

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Knee osteoarthritis and the knowledgeable, trustworthy pharmacist: Patient and pharmacist perceptions of community pharmacy-based education and support

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Knee osteoarthritis and the knowledgeable, trustworthy pharmacist: Patient and pharmacist perceptions of community pharmacy-based education and support

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