Evidence map›Paper›PMID 37201164›Full record

ArticleCanadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC

Community pharmacists' acceptance of prescribing pre-exposure prophylaxis (PrEP) for human immunodeficiency virus (HIV).

Connor Booker, Andrea L Murphy, Jennifer E Isenor, Tasha D Ramsey, Alesha J Smith, Andrea Bishop, Deborah V Kelly, Lisa Woodill, Greg Richard, Kyle John Wilby

Abstract read
In one paragraph

Article in Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC. 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
–field-weighted citation impact
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.

  1. Review
  2. Review
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  5. Article
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

10 authors.

Connor BookerCollege of Pharmacy, Faculty of Health, Dalhousie University, Halifax.
Andrea L MurphyCollege of Pharmacy, Faculty of Health, Dalhousie University, Halifax.ORCID https://orcid.org/0000-0001-5093-6681
Jennifer E IsenorCollege of Pharmacy, Faculty of Health, Dalhousie University, Halifax.ORCID https://orcid.org/0000-0003-1648-7362
Tasha D RamseyCollege of Pharmacy, Faculty of Health, Dalhousie University, Halifax.ORCID https://orcid.org/0000-0002-9435-9377
Alesha J SmithSchool of Pharmacy, University of Otago, Dunedin, New Zealand.
Andrea BishopCollege of Pharmacy, Faculty of Health, Dalhousie University, Halifax.
Deborah V KellySchool of Pharmacy, Memorial University of Newfoundland, St. John's, Newfoundland.ORCID https://orcid.org/0000-0003-3114-8123
Lisa WoodillPharmacy Association of Nova Scotia, Halifax.
Greg RichardBoyd's Pharmasave, Halifax, Nova Scotia.
Kyle John WilbyCollege of Pharmacy, Faculty of Health, Dalhousie University, Halifax.ORCID https://orcid.org/0000-0002-1670-2512

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pre-exposure prophylaxis (PrEP) for human immunodeficiency virus (HIV) prevention is highly effective. Pharmacists can increase PrEP accessibility through pharmacist prescribing. This study aimed to determine pharmacists' acceptance of a pharmacist PrEP prescribing service in Nova Scotia. Methods: A triangulation mixed methods study consisting of an online survey and qualitative interviews was conducted with Nova Scotia community pharmacists. The survey questionnaire and qualitative interview guide were underpinned by the 7 constructs of the Theoretical Framework of Acceptability (affective attitude, burden, ethicality, opportunity costs, intervention coherence, perceived effectiveness and self-efficacy). Survey data were analyzed descriptively and with ordinal logistic regression to determine associations between variables. Interview transcripts were deductively coded according to the same constructs and then inductively coded to identify themes within each construct. Results: A total of 214 community pharmacists completed the survey, and 19 completed the interview. Pharmacists were positive about PrEP prescribing in the constructs of affective attitude (improved access), ethicality (benefits communities), intervention coherence (practice alignment) and self-efficacy (role). Pharmacists expressed concerns about burden (increased workload), opportunity costs (time to provide the service) and perceived effectiveness (education/training, public awareness, laboratory test ordering and reimbursement). Conclusion: A PrEP prescribing service has mixed acceptability to Nova Scotia pharmacists yet represents a model of service delivery to increase PrEP access to underserved populations. Future service development must consider pharmacists' workload, education and training as well as factors relating to laboratory test ordering and reimbursement.

Identifiers

PMID37201164
PMCPMC10186867

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Registered trials

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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.