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Knowledge, attitude and practice of community pharmacists towards nutrition counseling

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Abstract

Background The World Health Organization considers health promotion a top health service priority. Nutrition, weight management and physical activity are necessary health promotion strategies to improve overall quality of life and decrease the personal and societal consequences or poor health. Community pharmacists are in the best position to implement health promotion strategies due to their excellent accessibility and the lack of a requirement to make an appointment to interact with them. Enabling people to change their lifestyle and control their health through nutrition education and counseling is a great opportunity for community pharmacists to promote health. Nutrition counseling as a part of clinical nutrition therapy aims to provide dietary advice and to assist the selection of appropriate over-the-counter supplements. Objective To investigate the community pharmacist role in nutrition counseling and identify the barriers and strategies to improve nutrition counseling in Egypt. Setting Community pharmacies in Egypt. Methods A descriptive, cross-sectional study was conducted with a knowledge, attitude, and practice survey. A specially developed and validated questionnaire was used to collect data via face-to-face structured interviews. Primary outcomes Pharmacists’ knowledge about, attitudes towards and practice of nutrition counseling. Results A total of 368 community pharmacists participated in this study, with a response rate of 73.6%. A total of 255 (69.3%) of the participants considered medical nutrition therapy a part of a pharmacist’s duties. Only 146 (39.7%) of the participants believed that dietary supplements positively impact public health. According to 321 (87.2%) of the participants, the lack of pharmacists’ expertise in nutrition counseling was the main barrier to nutrition counseling. Conclusions The majority of the participating community pharmacists had positive attitudes towards their role in nutritional assessment and medical nutrition therapy. There is a need to improve the nutritional knowledge of community pharmacists in Egypt. The current practice of community pharmacists in nutrition counseling is limited to adults. Obesity, diabetes and hypertension were the main medical conditions of the patients who received nutrition counseling from the community pharmacists. Inadequate knowledge in nutrition and the unavailability of educational materials were the main barriers to nutrition counseling.

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References

  1. World Health Organization, Health Promotion. https://www.who.int/features/qa/health-promotion/en/. Last visited June 2019.

  2. Geense WW, van de Glind IM, Visscher TL, van Achterberg T. Barriers, facilitators and attitudes influencing health promotion activities in general practice: an explorative pilot study. BMC Fam Pract. 2013;14(1):20.

    Article  Google Scholar 

  3. Joint FIP/WHO guidelines on good pharmacy practice: standards for quality of pharmacy services. WHO Technical Report Series, Geneva, No. 961. 2011. Annux 8. https://www.fip.org/www/uploads/database_file.php?id=331&table_id. Last visited July 2019.

  4. Surur AS, Getachew E, Teressa E, Hailemeskel B, Getaw NS, Erku DA. Self-reported and actual involvement of community pharmacists in patient counseling: a cross-sectional and simulated patient study in Gondar, Ethiopia. Pharm Pract (Granada). 2017;15(1):890.

    Article  Google Scholar 

  5. Alaqeel S, Abanmy NO. Counselling practices in community pharmacies in Riyadh, Saudi Arabia: a cross-sectional study. BMC Health Serv Res. 2015;15(1):557.

    Article  Google Scholar 

  6. Okumura LM, Rotta I, Correr CJ. Assessment of pharmacist-led patient counseling in randomized controlled trials: a systematic review. Int J Clin Pharm. 2014;36(5):882–91.

    Article  Google Scholar 

  7. Shraim NY, Shawahna R, Sorady MA, Aiesh BM, Alashqar GS, Jitan RI, et al. Community pharmacists’ knowledge, practices and beliefs about complementary and alternative medicine in Palestine: a cross-sectional study. BMC Complement Altern Med. 2017;17(1):429.

    Article  Google Scholar 

  8. Naeem S. Role of pharmacists in obesity management. J Pharm Pract Commun Med. 2017;3(3):191–3.

    Article  Google Scholar 

  9. Morton K, Pattison H, Langley C, Powell R. A qualitative study of English community pharmacists’ experiences of providing lifestyle advice to patients with cardiovascular disease. Res Soc Admin Pharm. 2015;11(1):e17–29.

    Article  Google Scholar 

  10. American Dietetic Association (ADA). Identifying patients at risk: ADA’s definitions for nutrition screening and nutrition assessment. J Am Diet Assoc. 1994;94:838–9.

    Article  Google Scholar 

  11. Roth RA. Nutrition and diet therapy. 11th ed. Boston: Cengage Learning; 2013.

    Google Scholar 

  12. Sabry NA, Farid SF. The role of clinical pharmacists as perceived by Egyptian physicians. Int J Pharm Pract. 2014;22(5):354–9.

    Article  Google Scholar 

  13. Creative research systems, the system for survey. http://www.surveysystem.com/sscalc.htm. Last visited October 30 2016.

  14. Arora C, Sinha B, Malhotra A, Ranjan P. Development and validation of health education tools and evaluation questionnaires for improving patient care in lifestyle related diseases. J Clin Diagn Res. 2017;11(5):JE06.

    Google Scholar 

  15. Awad A, Waheedi M. Community pharmacists role in obesity treatment in Kuwait: a cross-sectional study. BMC Public Health. 2012;12(1):863.

    Article  Google Scholar 

  16. Mehralian G, Yousefi N, Hashemian F, Maleksabet H. Knowledge, attitude and practice of pharmacists regarding dietary supplements: a community pharmacy-based survey in Tehran. Iran J Pharm Res. 2014;13(4):1457.

    Google Scholar 

  17. Setia MS. Methodology series module 9: designing questionnaires and clinical record forms—Part II. Indian J Dermatol. 2017;62(3):258.

    Article  Google Scholar 

  18. Parsian N, Dunning T. Develo** and validating a questionnaire to measure spirituality: a psychometric process. Glob J Health Sci. 2009;1(1):2–11.

    Article  Google Scholar 

  19. Asmelashe Gelayee D, Binega Mekonnen G, Asrade Atnafe S. Practice and barriers towards provision of health promotion services among community pharmacists in Gondar, Northwest Ethiopia. BioMed Res Int. 2017;2017:27.

    Google Scholar 

  20. McClinchy J, Williams J, Gordon L, Cairns M, Fairey G. Dietary advice and collaborative working: Do pharmacists and allied health professionals other than dietitians have a role? Healthcare. 2015;3(1):64–77.

    Article  Google Scholar 

  21. Botomino A, Bruppacher R, Krähenbühl S, Hersberger KE. Change of body weight and lifestyle of persons at risk for diabetes after screening and counselling in pharmacies. Pharm World Sci. 2008;30(3):222–6.

    Article  Google Scholar 

  22. El Hajj MS, Yousef SEA, Basri MA. Diabetes care in Qatar: a survey of pharmacists’ activities, attitudes and knowledge. Int J Clin Pharm. 2018;40(1):84–93.

    Article  Google Scholar 

  23. Di Palo KE, Kish T. The role of the pharmacist in hypertension management. Curr Opin Cardiol. 2018;33(4):382–7.

    Article  Google Scholar 

  24. Marfo AFA, Owusu-Daaku FT. Exploring the extended role of the community pharmacist in improving blood pressure control among hypertensive patients in a develo** setting. J Pharm Policy Pract. 2017;10(1):39.

    Article  Google Scholar 

  25. Toh LS, Lai PSM, Othman S, Shah A, Dang C, Low BY, et al. Exploring the current and future role of the pharmacists in osteoporosis screening and management in Malaysia. Int J Clin Pharm. 2018;40(2):450–7.

    Article  CAS  Google Scholar 

  26. Ragot S, Sosner P, Bouche G, Guillemain J, Herpin D. Appraisal of the knowledge of hypertensive patients and assessment of the role of the pharmacists in the management of hypertension: results of a regional survey. J Hum Hypertens. 2005;19(7):577.

    Article  CAS  Google Scholar 

  27. Semple SJ, Hotham E, Rao D, Martin K, Smith CA, Bloustien GF. Community pharmacists in Australia: barriers to information provision on complementary and alternative medicines. Pharm World Sci. 2006;28(6):366–73.

    Article  Google Scholar 

  28. Shilbayeh SA. Exploring knowledge and attitudes towards counselling about vitamin supplements in Jordanian community pharmacies. Pharm Pract. 2011;9(4):242.

    Article  Google Scholar 

  29. Kwan D, Hirschkorn K, Boon H. US and Canadian pharmacists’ attitudes, knowledge, and professional practice behaviors toward dietary supplements: a systematic review. BMC Complement Alternat Med. 2006;6(1):31.

    Article  Google Scholar 

  30. Pharmacy: a way forward for public health. Public Health England, London. 2017. www.gov.uk/government/uploads/system/uploads/attachment_data/file/643520/Pharmacy_a_way_forward_for_public_health.pdf. Last visited December 6, 2018.

  31. Offu O, Anetoh M, Okonta M, Ekwunife O. Engaging Nigerian community pharmacists in public health programs: assessment of their knowledge, attitude and practice in Enugu metropolis. J Pharm Policy Pract. 2015;8(1):27.

    Article  Google Scholar 

  32. National campaign for eliminating HCV and detection of non communicable diseases, Egypt (Oct 2018–Dec 2019). www.stophcv.eg. Last visited March 10, 2019.

  33. Association for Nutrition. Workforce competence model in nutrition. Association for Nutrition, London, UK. 2012. http://www.associationfornutrition.org/Default.aspx?tabid=209. Last visited December 6, 2018.

  34. Food. The forgotten medicine conference, Royal Society of Medicine, London. 2016. https://collegeofmedicine.org.uk/events/#!event/2016/6/8/food-8211-the-forgotten-medicine. Last visited: May 10, 2019.

  35. Kris-Etherton PM, Akabas SR, Bales CW, Bistrian B, Braun L, Edwards MS, et al. The need to advance nutrition education in the training of health care professionals and recommended research to evaluate implementation and effectiveness. Am J Clin Nutr. 2014;99(5):1153S–66S.

    Article  CAS  Google Scholar 

  36. Farhan, F. Pharmacists ill-equipped to offer nutrition based advice. Pharm J. 2016. https://doi.org/10.1211/pj.2016.2020130. https://www.pharmaceutical-journal.com/news-and-analysis/event/pharmacists-ill-equipped-to-offer-nutrition-based-advice/20201307.article?firstPass=false. Last visited December 6, 2018.

  37. Sunguya BF, Poudel KC, Mlunde LB, Urassa DP, Yasuoka J, Jimba M. Nutrition training improves health workers’ nutrition knowledge and competence to manage child undernutrition: a systematic review. Front Public Health. 2013;1:37.

    Article  Google Scholar 

  38. Miere D, Stanciu O, Filip L. The evolution of Nutrition and Dietetics Bachelor Program from Faculty of Pharmacy, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca. Proc Soc Behav Sci. 2015;180:1398–405.

    Article  Google Scholar 

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Funding

No financial assistance was received in support of the study.

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Authors and Affiliations

  1. National Nutrition Institute, Cairo, Egypt

    M. Medhat

  2. Faculty of Pharmacy, Cairo University, Cairo, Egypt

    N. Sabry

  3. Faculty of Pharmacy, The British University in Egypt, Cairo, Egypt

    N. Ashoush

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  1. M. Medhat
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  2. N. Sabry
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  3. N. Ashoush
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Correspondence to N. Sabry.

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Medhat, M., Sabry, N. & Ashoush, N. Knowledge, attitude and practice of community pharmacists towards nutrition counseling. Int J Clin Pharm 42, 1456–1468 (2020). https://doi.org/10.1007/s11096-020-01106-0

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