Evidence map›Paper›PMID 34080543›Full record

ReviewJournal of substance abuse treatment2021

Rural and small metro area naloxone-dispensing pharmacists' attitudes, experiences, and support for a frontline public health pharmacy role to increase naloxone uptake in New York State, 2019.

Babak Tofighi, Helen-Maria Lekas, Sharifa Z Williams, Daniele Martino, Chloe Blau, Crystal F Lewis

Open access · greenAbstract readReview
In one paragraph

Review in Journal of substance abuse treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Babak TofighiNathan S. Kline Institute for Psychiatric Research, Division of Social Solutions and Services Research, Center for Research on Cultural & Structural Equity in Behavioral Health, United States of America; New York University School of Medicine, Department of Population Health, United States of America; Center for Drug Use and HIV Research, NYU College of Global Public Health, United States of America. Electronic address: babak.tofighi@nki.rfmh.org.
Helen-Maria LekasNathan S. Kline Institute for Psychiatric Research, Division of Social Solutions and Services Research, Center for Research on Cultural & Structural Equity in Behavioral Health, United States of America; New York University School of Medicine, Department of Psychiatry, United States of America.
Sharifa Z WilliamsNathan S. Kline Institute for Psychiatric Research, Division of Social Solutions and Services Research, Center for Research on Cultural & Structural Equity in Behavioral Health, United States of America.
Daniele MartinoNathan S. Kline Institute for Psychiatric Research, Division of Social Solutions and Services Research, Center for Research on Cultural & Structural Equity in Behavioral Health, United States of America.
Chloe BlauNathan S. Kline Institute for Psychiatric Research, Division of Social Solutions and Services Research, Center for Research on Cultural & Structural Equity in Behavioral Health, United States of America.
Crystal F LewisNathan S. Kline Institute for Psychiatric Research, Division of Social Solutions and Services Research, Center for Research on Cultural & Structural Equity in Behavioral Health, United States of America; New York University School of Medicine, Department of Psychiatry, United States of America.
Nathan Kline Institute for Psychiatric Research · USNew York University · US

Funding

Development of a text messaging tool to support buprenorphine treatment in primary careK23DA042140 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI TOFIGHI, BABAK · 2017 to 2021
$969k
Feasibility of a pharmacy-based overdose prevention program in rural/suburban NYR21DA049166 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI LEKAS, HELEN-MARIA, LEWIS, CRYSTAL FULLER · 2020 to 2021
$427k
NIDA NIH HHS K23 DA042140NIDA NIH HHS R21 DA049166
6 · The paper itself

Abstract

introductionThe purpose of this study is to assess community pharmacists' attitudes and experiences related to naloxone dispensation and counseling in non-urban areas in New York State to better understand individual and structural factors that influence pharmacy provision of naloxone. MATERIALS AND

methodsThe study conducted interviewer-administered semistructured surveys among community pharmacists in retail, independent, and supermarket pharmacies between October 2019 and December 2019. The 29-item survey ascertained pharmacists' demographic and practice characteristics; experiences and beliefs related to naloxone dispensation; and attitudes toward expansion of pharmacy services to include on-site public health services for persons who use opioids. The study used Chi square tests to determine associations between each characteristic and self-reported naloxone dispensation (any vs. none).

resultsA total of 60 of the 80 community pharmacists that the study team had approached agreed to participate. A majority were supportive of expanding pharmacy-based access to vaccinations (93.3%), on-site HIV testing, or referrals (75% and 96.7%, respectively), providing information on safe syringe use (93.3%) and disposal (98.3%), and referrals to medical/social services (88.3%), specifically substance use treatment (90%). A majority of pharmacist respondents denied negative impacts on business with over half reporting active naloxone dispensation (58.3%). Pharmacists dispensing naloxone were more likely to be multilingual (p < 0.03), and to specifically support on-site HIV testing (p < 0.02) than those who were not dispensing naloxone. DISCUSSION: Community pharmacists were highly favorable of naloxone dispensation in rural and small metro area pharmacies in NY, and those fluent in additional language(s) and supportive of on-site HIV testing were associated with active naloxone dispensation. While active naloxone dispensation was low, pharmacists appear supportive of a "frontline public health provider" model, which could facilitate naloxone uptake and warrants large-scale investigation.

conclusionRural and small metro area pharmacists are generally favorable of naloxone dispensation.

Indexed as

Pharmaceutical ServicesPharmaciesPharmacyAttitude of Health PersonnelHumansNaloxoneNew YorkPharmacistsPublic HealthNaloxoneNaloxoneOpioid use disorderPharmaciesVulnerable populations

Identifiers

PMID34080543
PMCPMC8380631
OpenAlexW3142073865

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.