Research article Special Issues

Pharmacists’ acceptability of a men’s mental health promotion program using the Theoretical Framework of Acceptability

  • Received: 04 March 2019 Accepted: 15 May 2019 Published: 27 June 2019
  • Introduction: Community pharmacists are accessible, knowledgeable, and capable of providing mental health promotion and care in communities. This may not be a role that is recognized by the public, and men in particular. Differences between men and women exist in help seeking practices. Headstrong–Taking Things Head-On is a men’s mental health promotion program for community pharmacies that was designed to increase the capacity of community pharmacists in caring for men with lived experience of mental illness and addictions. The program’s core components included signage in pharmacies, education and training for pharmacists, and a website for use with patients.
    Methods: We applied the Theoretical Framework of Acceptability as the coding scheme to pharmacists’ qualitative interviews to examine the acceptability of Headstrong for pharmacists. Results: Nine pharmacists consented to participate and all chose telephone interviews. With the exceptions of ethicality, affective attitude, and opportunity costs, all components from the TFA were coded in each of the nine transcripts. The most frequently coded constructs were perceived effectiveness of the intervention, burden, and self-efficacy. These were coded at least 20 times. The remaining categories ethicality, intervention coherence, affective attitude, and opportunity costs were coded between 11 to 17 times. Pharmacists’ perceptions of the effectiveness of the program was mixed. The overall burden was perceived to be low, but opportunity costs appear to have limited the participation of some pharmacists in the program. Conclusion: Use of the Theoretical Framework of Acceptability as a coding scheme for qualitative data from community pharmacists in a men’s mental health program was helpful for identifying issues with the program that may require redesign (e.g., signage). Program design should consider how services are advertised in the pharmacy setting, how personal values of pharmacists influence intervention coherence, and whether minimizing the burden of an intervention negates issues related to opportunity costs.

    Citation: Andrea Lynn Murphy, David Martin Gardner. Pharmacists’ acceptability of a men’s mental health promotion program using the Theoretical Framework of Acceptability[J]. AIMS Public Health, 2019, 6(2): 195-208. doi: 10.3934/publichealth.2019.2.195

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  • Introduction: Community pharmacists are accessible, knowledgeable, and capable of providing mental health promotion and care in communities. This may not be a role that is recognized by the public, and men in particular. Differences between men and women exist in help seeking practices. Headstrong–Taking Things Head-On is a men’s mental health promotion program for community pharmacies that was designed to increase the capacity of community pharmacists in caring for men with lived experience of mental illness and addictions. The program’s core components included signage in pharmacies, education and training for pharmacists, and a website for use with patients.
    Methods: We applied the Theoretical Framework of Acceptability as the coding scheme to pharmacists’ qualitative interviews to examine the acceptability of Headstrong for pharmacists. Results: Nine pharmacists consented to participate and all chose telephone interviews. With the exceptions of ethicality, affective attitude, and opportunity costs, all components from the TFA were coded in each of the nine transcripts. The most frequently coded constructs were perceived effectiveness of the intervention, burden, and self-efficacy. These were coded at least 20 times. The remaining categories ethicality, intervention coherence, affective attitude, and opportunity costs were coded between 11 to 17 times. Pharmacists’ perceptions of the effectiveness of the program was mixed. The overall burden was perceived to be low, but opportunity costs appear to have limited the participation of some pharmacists in the program. Conclusion: Use of the Theoretical Framework of Acceptability as a coding scheme for qualitative data from community pharmacists in a men’s mental health program was helpful for identifying issues with the program that may require redesign (e.g., signage). Program design should consider how services are advertised in the pharmacy setting, how personal values of pharmacists influence intervention coherence, and whether minimizing the burden of an intervention negates issues related to opportunity costs.


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    Acknowledgments



    The study was funded by the Movember Foundation.

    Conflict of interest



    The authors declare no conflicts of interest.

    [1] Law MR, Heard D, Fisher J, et al. (2013) The geographic accessibility of pharmacies in Nova Scotia. Can Pharm J (Ott) 146: 39–46. doi: 10.1177/1715163512473062
    [2] Hindi AMK, Schafheutle EI, Jacobs S (2018) Patient and public perspectives of community pharmacies in the United Kingdom: a systematic review. Health Expect 21: 409–428. doi: 10.1111/hex.12639
    [3] Schindel TJ, Yuksel N, Breault R, et al. (2017) Perceptions of pharmacists' roles in the era of expanding scopes of practice. Res Social Adm Pharm 13: 148–161. doi: 10.1016/j.sapharm.2016.02.007
    [4] Bishop AC, Boyle TA, Morrison B, et al. (2015) Public perceptions of pharmacist expanded scope of practice services in Nova Scotia. Can Pharm J (Ott) 148: 274–283. doi: 10.1177/1715163515596757
    [5] International Pharmaceutical Federation (FIP), Focus on mental health: the contribution of the pharmacist, 2015. Available from: https://fip.org/files/Focus_on_mental_health_-final.pdf
    [6] Emslie C, Ridge D, Ziebland S, et al. (2006) Men's accounts of depression: reconstructing or resisting hegemonic masculinity? Soc Sci Med 62: 2246–2257. doi: 10.1016/j.socscimed.2005.10.017
    [7] Boman EKO, Walker GA (2010) Predictors of men's health care utilization. Psychol Men Masculin 11: 113–122. doi: 10.1037/a0018461
    [8] Nam SK, Chu HJ, Lee MK, et al. (2010) A meta-analysis of gender differences in attitudes toward seeking professional psychological help. J Am Coll Health 59: 110–116. doi: 10.1080/07448481.2010.483714
    [9] Ek S (2015) Gender differences in health information behaviour: a Finnish population-based survey. Health Promot Int 30: 736–745. doi: 10.1093/heapro/dat063
    [10] Tong V, Raynor D, Aslani P (2014) Gender differences in health and medicine information seeking behaviour: a review. J Malta College Pharm Pract 20: 14–16.
    [11] Oliver MI, Pearson N, Coe N, et al. (2005) Help-seeking behaviour in men and women with common mental health problems: cross-sectional study. Br J Psychiatry 186: 297–301. doi: 10.1192/bjp.186.4.297
    [12] Diaz JA, Griffith RA, Ng JJ, et al. (2002) Patients' use of the Internet for medical information. J Gen Intern Med 17: 180–185. doi: 10.1046/j.1525-1497.2002.10603.x
    [13] Doherty DT, Kartalova-O'Doherty Y (2010) Gender and self-reported mental health problems: predictors of help seeking from a general practitioner. Br J Health Psychol 15: 213–228. doi: 10.1348/135910709X457423
    [14] Hindi AMK, Jacobs S, Schafheutle EI (2019) Solidarity or dissonance? A systematic review of pharmacist and GP views on community pharmacy services in the UK. Health Soc Care Community 27: 565–598.
    [15] Murphy AL, Ataya R, Himmelman D, et al. (2018) Community pharmacists' experiences and people at risk of suicide in Canada and Australia: a thematic analysis. Soc Psychiatry Psychiatr Epidemiol 53: 1173–1184. doi: 10.1007/s00127-018-1553-7
    [16] Murphy AL, Phelan H, Haslam S, et al. (2016) Community pharmacists' experiences in mental illness and addictions care: a qualitative study. Subst Abuse Treat Prev Policy 11: 6. doi: 10.1186/s13011-016-0050-9
    [17] Murphy AL, Szumilas M, Rowe D, et al. (2014) Pharmacy students' experience in community pharmacy mental health services provision. Can Pharm J (Ott) 147: 55–65. doi: 10.1177/1715163513514170
    [18] Fonseca J, Chang A, Chang F (2018) Perceived barriers and facilitators to providing methadone maintenance treatment among rural community pharmacists in Southwestern Ontario. J Rural Health 34: 23–30. doi: 10.1111/jrh.12264
    [19] Knox K, Fejzic J, Mey A, et al. (2014) Mental health consumer and caregiver perceptions of stigma in Australian community pharmacies. Int J Soc Psychiatry 60: 533–543. doi: 10.1177/0020764013503149
    [20] Treloar C, Fraser S, Valentine K (2007) Valuing methadone takeaway doses: The contribution of service-user perspectives to policy and practice. Drug-Educ Prev Polic 14: 61–74. doi: 10.1080/09687630600997527
    [21] Emmerton LM, Smith L, LeMay KS, et al. (2012) Experiences of community pharmacists involved in the delivery of a specialist asthma service in Australia. BMC Health Serv Res 12: 164. doi: 10.1186/1472-6963-12-164
    [22] Morton K, Pattison H, Langley C, et al. (2015) A qualitative study of English community pharmacists' experiences of providing lifestyle advice to patients with cardiovascular disease. Res Social Adm Pharm 11: e17–29. doi: 10.1016/j.sapharm.2014.04.006
    [23] Grindrod KA, Rosenthal MA, Lynd L, et al. (2015) Pharmacists' perspectives on providing chronic disease management services in the community-Part I: current practice environment. Can Pharm J 142: 234–239.
    [24] Gerges S, Peter E, Bowles SK, et al. (2018) Pharmacists as vaccinators: An analysis of their experiences and perceptions of their new role. Hum Vaccin Immunother 14: 471–477. doi: 10.1080/21645515.2017.1403695
    [25] Goodman CS, Smith TJ, LaMotte JM (2018) A survey of pharmacists' perceptions of the adequacy of their training for addressing mental health-related medication issues. Ment Health Clin 7: 69–73.
    [26] Michie S, Van Stralen MM, West R (2011) The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implement Sci 6: 42. doi: 10.1186/1748-5908-6-42
    [27] Sekhon M, Cartwright M, Francis JJ (2017) Acceptability of healthcare interventions: an overview of reviews and development of a theoretical framework. BMC Health Serv Res 17: 88. doi: 10.1186/s12913-017-2031-8
    [28] Murphy AL, Gardner DM, Kutcher SP, et al. (2014) A theory-informed approach to mental health care capacity building for pharmacists. Int J Ment Health Syst 21: 46.
    [29] Murphy AL, Gardner DM, Jacobs LM (2018) Patient care activities by community pharmacists in a capitation funding model mental health and addictions program. BMC Psychiatry 18: 192. doi: 10.1186/s12888-018-1746-3
    [30] Finlay L (2002) "Outing" the researcher: the provenance, process, and practice of reflexivity. Qual Health Res 12: 531–545. doi: 10.1177/104973202129120052
    [31] Atkins L, Francis J, Islam R, et al. (2017) A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implement Sci 12: 77. doi: 10.1186/s13012-017-0605-9
    [32] QSR International Pty Ltd. NVivo 10 data analysis software for Windows. 2012; 10.
    [33] Jacobson KL, Gazmararian JA, Kripalani S, et al. (2007) Is our pharmacy meeting patients' needs? A Pharmacy Health Literacy Assessment Tool. Available from: https://www.ahrq.gov/professionals/quality-patient-safety/pharmhealthlit/pharmlit/index.html.
    [34] Root G, Varney J (2017) Pharmacy: a way forward for public health. Opportunities for action through pharmacy for public health. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/643520/Pharmacy_a_way_forward_for_public_health.pdf.
    [35] Tran A, Fuller JM, Wong KK, et al. (2009) The development of a sleep disorder screening program in Australian community pharmacies. Pharm World Sci 31: 473–480. doi: 10.1007/s11096-009-9301-4
    [36] Radix AE (2017) Pharmacists' role in provision of transgender healthcare. Am J Health-Syst Pharm 74: 103–104. doi: 10.2146/ajhp160939
    [37] Redfern JS, Jann MW (2019) The evolving role of pharmacists in transgender health care. Transgend Health 4: 118–130. doi: 10.1089/trgh.2018.0038
    [38] Veale JF, Watson RJ, Peter T, et al. (2017) The mental health of Canadian transgender youth compared with the Canadian population. J Adolesc Health 60: 44–49. doi: 10.1016/j.jadohealth.2016.09.014
    [39] Gender-Based Analysis Plus [Internet]. Ottawa (ON): Government of Canada, Status of Women Canada. 2018 Dec 4 [cited 2019 May 7]. Available from: https://cfc-swc.gc.ca/gba-acs/index-en.html.
    [40] German A, Johnson L, Ybarra G, et al. (2018) Assessment of pharmacists' self-reported preparedness to provide pharmacotherapy services to individuals with psychiatric disorders. Ment Health Clin 8: 1–6. doi: 10.9740/mhc.2018.01.001
    [41] Crump K, Boo G, Liew FS, et al. (2011) New Zealand community pharmacists' views of their roles in meeting medicine-related needs for people with mental illness. Res Social Adm Pharm 7: 122–133. doi: 10.1016/j.sapharm.2010.03.006
    [42] Watkins A, McKee J, Hughes C, et al. (2017) Community pharmacists' attitudes toward providing care and services to patients with severe and persistent mental illness. J Am Pharm Assoc 57: S217–S224.e2. doi: 10.1016/j.japh.2017.02.020
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