Evidence map›Paper›PMID 42784226›Full record

ArticlePharmacy (Basel, Switzerland)2026

Knowledge and Beliefs Surrounding Nalmefene Among Alabama Pharmacists: A Cross-Sectional Survey Informed by the Theory of Planned Behavior.

Nicholas P McCormick, Christian S Flores, Olivia Aycock, Victoria Patterson, Francesca Mengel, Shannon Woods, Erin Blythe, Olivia Radzinski, Madison Holland, Melissa Sanders and 7 more

Abstract read
In one paragraph

Article in Pharmacy (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Nicholas P McCormickHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.ORCID 0000-0001-7166-2587
Christian S FloresHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.
Olivia AycockHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.ORCID 0009-0003-3359-2209
Victoria PattersonHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.
Francesca MengelHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.
Shannon WoodsHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.
Erin BlytheHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.
Olivia RadzinskiHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.
Madison HollandHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.
Melissa SandersHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.
Kathlyn SmithHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.
Autumn RandlesHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.
Emma TidmoreHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.
Bryson GrimsleyHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.
Anne TaylorHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.ORCID 0000-0001-7449-5358
Brandy DavisHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.ORCID 0000-0002-6505-7433
Lindsey HohmannHarrison College of Pharmacy, Auburn University, 2316 Walker Building, Auburn, AL 36849, USA.ORCID 0000-0001-8348-0895

Funding

Auburn University
6 · The paper itself

Abstract

The opioid epidemic continues to be a major public health crisis in the United States, and nalmefene has recently emerged as an alternative opioid overdose reversal agent. However, little is known about pharmacists' awareness and beliefs regarding nalmefene use and distribution. Therefore, the purpose of this study was to assess Alabama pharmacists' knowledge, perceptions, and behavioral intentions related to nalmefene. This study used a cross-sectional survey design. Practicing pharmacists in the state of Alabama were eligible to participate, and were recruited through the Alabama Board of Pharmacy email listserv. An anonymous online survey was distributed via email, and respondents were eligible to enter a lottery for one of five $100 electronic gift cards. The survey instrument was developed by the investigators, adapted from prior overdose reversal literature and informed by the Theory of Planned Behavior. Primary outcome measures included: knowledge of nalmefene (12 items); perceived barriers regarding nalmefene stocking and recommendations (19 items); and Theory of Planned Behavior concepts including attitudes (15 items), subjective norms (perceived social support) (six items), perceived behavioral control (confidence in ability to stock or recommend nalmefene) (11 items), and behavioral intentions surrounding nalmefene stocking and recommendations (13 items). Outcomes were measured via multiple-choice (objective knowledge) and Likert-type scale (1 = strongly disagree, 5 = strongly agree) questions. Differences in mean scale scores across pharmacy setting (pharmacists employed in inpatient versus outpatient settings), community pharmacy type (chain vs. independent), and geographic location (rural vs. urban) were analyzed using two-sided Mann-Whitney U tests for non-parametric data or

Indexed as

Alabama pharmacistsnalmefeneopioid overdosepreventiontheory of planned behavior

Identifiers

PMID42784226
PMCPMC13610114

What OpenQuestion holds

Textmetadata
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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.