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dc.contributor.authorLowrie, Richard-
dc.contributor.authorJohansson, Lina-
dc.contributor.authorForsyth, Paul-
dc.contributor.authorBryce, Stuart-
dc.contributor.authorMcKellar, Susan-
dc.contributor.authorFitzgerald, Niamh-
dc.description.abstractBackground: Heart failure (HF) is common, disabling and deadly. Patients with HF often have poor self-care and medicines non-adherence, which contributes to poor outcomes. Community pharmacy based cognitive services have the potential to help, but we do not know how patients view community-pharmacist-led services for patients with HF. Objective: We aimed to explore and portray in detail, the perspectives of patients receiving, and pharmacists delivering an enhanced, pay for performance community pharmacy HF service. Setting: Community pharmacies and community-based patients in Greater Glasgow and Clyde, Scotland. Methods Focus groups with pharmacists and semi-structured interviews with individual patients by telephone. Cross sectional thematic analysis of qualitative data used Normalization Process Theory to understand and describe patient's reports. Main outcome measure: Experiences of receiving and delivering an enhanced HF service. Results: Pharmacists voiced their confidence in delivering the service and highlighted valued aspects including the structured consultation and repeated contacts with patients enabling the opportunity to improve self care and medicines adherence. Discussing co-morbidities other than HF was difficult and persuading patients to modify behaviour was challenging. Patients were comfortable discussing symptoms and medicines with pharmacists; they identified pharmacists as fulfilling roles that were needed but not currently addressed. Patients reported the service helped them to enact HF medicines and HF self care management strategies. Conclusion: Both patients receiving and pharmacists delivering a cognitive HF service felt that it addressed a shortfall in current care. There may be a clearly defined role for pharmacists in supporting patients to address the burden of understanding and managing their condition and treatment, leading to better self management and medicines adherence. This study may inform the development of strategies or policies to improve the process of care for patients with HF and has implications for the development of other extended role services.en_UK
dc.relationLowrie R, Johansson L, Forsyth P, Bryce S, McKellar S & Fitzgerald N (2014) Experiences of a community pharmacy service to support adherence and self-management in chronic heart failure, International Journal of Clinical Pharmacy, 36 (1), pp. 154-162.-
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.-
dc.subjectCommunity pharmacyen_UK
dc.subjectHeart failureen_UK
dc.subjectPatient viewsen_UK
dc.titleExperiences of a community pharmacy service to support adherence and self-management in chronic heart failureen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreasonThe publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.-
dc.citation.jtitleInternational Journal of Clinical Pharmacy-
dc.type.statusPublisher version (final published refereed version)-
dc.contributor.affiliationNHS Greater Glasgow & Clyde-
dc.contributor.affiliationUniversity of Strathclyde-
dc.contributor.affiliationNHS Greater Glasgow & Clyde-
dc.contributor.affiliationInstitute for Social Marketing-
dc.contributor.affiliationUniversity of Strathclyde-
dc.contributor.affiliationInstitute for Social Marketing-
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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