Evidence map›Paper›PMID 38494652›Full record

ArticleJournal of the International AIDS Society2024

Facilitators and barriers to community pharmacy PrEP delivery: a scoping review.

China Harrison, Hannah Family, Joanna Kesten, Sarah Denford, Anne Scott, Sarah Dawson, Jenny Scott, Caroline Sabin, Joanna Copping, Lindsey Harryman and 2 more

Open access · goldAbstract readScoping Review
In one paragraph

Article in Journal of the International AIDS Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.8field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

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  4. Review
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  9. Influencing Factors for the Acceptability of Accessing HIV Pre-exposure Prophylaxis via Community Pharmacies in Wales.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
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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

12 authors at 6 institutions in 1 country.

China HarrisonNational Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West), Bristol, UK.ORCID 0000-0003-3671-7866
Hannah FamilyNational Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West), Bristol, UK.
Joanna KestenNational Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West), Bristol, UK.
Sarah DenfordNational Institute for Health and Care Research, Health Protection Research Unit (HPRU) in Behavioural Science and Evaluation, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Anne ScottNational Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West), Bristol, UK.
Sarah DawsonPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Jenny ScottCentre for Academic Primary Care (CAPC), Bristol Medical School, University of Bristol, Bristol, UK.
Caroline SabinInstitute for Global Health, UCL, Royal Free Campus, London, UK.ORCID 0000-0001-5173-2760
Joanna CoppingCommunities and Public Health, Bristol City Council, College Green Bristol, Bristol, UK.
Lindsey HarrymanUnity Sexual Health, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Sarah CochraneThe Riverside Clinic, Royal United Hospitals Bath NHS Foundation Trust, Bristol, UK.
Jeremy HorwoodNational Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West), Bristol, UK.
National Institute for Health Research · GBAt Bristol · GBUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of Bristol · GBBristol City Council · GBThe Royal Free Hospital · GB

Funding

Gilead Sciences, IncNational Institute for Health and Care Research Applied Research Collaboration WestNational Institute for Health and Care Research Health Protection Research Unit
6 · The paper itself

Abstract

introductionPre-exposure prophylaxis (PrEP) is an effective medication to reduce the risk of acquiring HIV. PrEP is available free of charge in the UK from sexual health clinics. Expanding PrEP delivery to community pharmacies holds promise and aligns with UK government goals to eliminate new cases of HIV by 2030. The aim of this scoping review was to describe the existing evidence about the barriers to and facilitators of community pharmacy oral PrEP delivery, for pharmacists and pharmacy clients, as aligned with the Capacity Opportunity, Motivation Behaviour (COM-B) Model.

methodsFive bibliographic and five review databases were searched from inception to August 2023. Literature of any study design was included if it discussed barriers and facilitators of community pharmacy PrEP delivery. Trial registrations, protocols and news articles were excluded.

resultsA total of 649 records were identified, 73 full texts were reviewed and 56 met the inclusion criteria, predominantly from high-income/westernized settings. Most of the included literature was original research (55%), from the United States (77%) conducted during or after the year 2020 (63%). Barriers to PrEP delivery for pharmacists included lack of knowledge, training and skills (capability), not having the necessary facilities (opportunity), concern about the costs of PrEP and believing that PrEP use could lead to risk behaviours and sexually transmitted infections (motivation). Facilitators included staff training (capability), time, the right facilities (opportunity), believing PrEP could be a source of profit and could reduce new HIV acquisitions (motivation). For clients, barriers included a lack of PrEP awareness (capability), pharmacy facilities (opportunity) and not considering pharmacists as healthcare providers (motivation). Facilitators included awareness of PrEP and pharmacist's training to deliver it (capability), the accessibility of pharmacies (opportunity) and having an interest in PrEP (motivation). DISCUSSION: To effectively enhance oral PrEP delivery in UK community pharmacies, the identified barriers and facilitators should be explored for UK relevance, addressed and leveraged at the pharmacy team, client and care pathway level.

conclusionsBy comprehensively considering all aspects of the COM-B framework, community pharmacies could become crucial providers in expanding PrEP accessibility, contributing significantly to HIV prevention efforts.

Indexed as

Anti-HIV AgentsHIV InfectionsPharmaciesHumansIncomeMotivationUnited StatesAnti-HIV Agentsbarriers and facilitatorsCOM-Bcommunity pharmacyHIVHIV preventionPrEP

Identifiers

PMID38494652
PMCPMC10945033
OpenAlexW4392922074

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.