ArticleImplementation science : IS2019
Targeting adaptability to improve Medication Therapy Management (MTM) implementation in community pharmacy.
Article in Implementation science : IS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Clinical, economic and humanistic outcomes of medication therapy management services: A systematic review and meta-analysis.Frontiers in pharmacology · 2023Pooled it
- Pharmacists' perspectives on medication therapy management training needs for chronic disease care in Indonesian primary healthcare centers: a qualitative study across 32 provinces.BMC medical education · 2026Article
- Implementation priorities in Australian community pharmacy: A semi-structured survey of Australian pharmacists.Exploratory research in clinical and social pharmacy · 2026Article
- Exploring community pharmacy professionals' knowledge, attitudes, and practices toward medication therapy management in Southwest Ethiopia: a cross-sectional study.Scientific reports · 2025Article
- Bridging gaps in medication therapy management at community health centers: A mixed-methods study on patient perceptions and pharmacists' preparedness.Exploratory research in clinical and social pharmacy · 2025Article
- Barriers and facilitators to the implementation of screening and intervention for co-use of opioid medications and alcohol among community pharmacy patients.Journal of substance use and addiction treatment · 2025Article
- Development, Pilot, and Evaluation of a Qualitative Documentation Tool for Pharmacists to Share High Impact Patient Intervention Stories.Innovations in pharmacy · 2024Article
- Community pharmacists' perspectives towards automated pharmacy systems and extended community pharmacy services: An online cross-sectional study.Exploratory research in clinical and social pharmacy · 2023Article
- Knowledge, attitude, and readiness of pharmacists toward medication therapy management for patients with attention deficit hyperactivity disorder: a cross-sectional quantitative study.International journal of clinical pharmacy · 2023Article
- Identification and Characterization of Workflow Models for Medication Therapy Management in Community Pharmacies.Innovations in pharmacy · 2023Article
- The updated Consolidated Framework for Implementation Research based on user feedback.Implementation science : IS · 2022Review
- Adaptations made to delivery of comprehensive medication management in the community pharmacy setting during COVID-19.Exploratory research in clinical and social pharmacy · 2021Article
- The Tennessee Medicaid medication therapy management program: early stage contextual factors and implementation outcomes.BMC health services research · 2021Article
- Ensuring intervention success: Assessing fit as an overlooked step of the implementation process.Pharmacy practiceArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectives(1) To develop an adaptation framework for MTM delivery for pharmacists (the MTM Adaptability Framework), (2) to examine the impact of an educational intervention informed by the MTM Adaptability Framework on MTM completion rates over a 2-year period, and (3) to explore pharmacists' perceptions regarding knowledge and beliefs about MTM and MTM implementation self-efficacy pre- and post-intervention.
methodsThis study is a prospective, mixed-methods research study including a quasi-experimental, one-group pretest-posttest quantitative study with a sequential explanatory qualitative study arm featuring semi-structured key informant interviews. US supermarket pharmacy chain setting included 93 community pharmacy sites located in Tennessee, Kentucky, and Alabama. MTM completion rates are reported as percentage of completed comprehensive medication reviews (CMRs) and targeted medication reviews (TMRs) and pharmacist perceptions.
resultsAn 11.4% absolute increase in MTM completion rates was seen after the educational intervention targeting adaptation of MTM in the community pharmacy setting. This was found to be significant (46.92% vs. 58.3%; p < 0.001). Responses to the semi-structured interviews were mapped against CFIR and included themes: "knowledge and beliefs about MTM (pre-intervention)," "self-efficacy for MTM implementation (pre-intervention)," "knowledge and beliefs about MTM (post-intervention)," and "self-efficacy for MTM implementation (post-intervention)." Data convergence was found across these methodologies and suggested that targeting adaptability of MTM delivery increases MTM completion rates (quantitative data) and positively changes perceptions of MTM feasibility and self-efficacy (interviews).
conclusionThe use of an educational intervention about adaptation of MTM to influence adaptation of MTM to a chain community pharmacy setting part of an implementation strategy improved MTM completion rates significantly. Future research should investigate combined implementation strategies and their impact on MTM implementation success.
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