eprintid: 10189508
rev_number: 7
eprint_status: archive
userid: 699
dir: disk0/10/18/95/08
datestamp: 2024-03-21 08:54:38
lastmod: 2024-03-21 08:54:38
status_changed: 2024-03-21 08:54:38
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Harrison, China
creators_name: Family, Hannah
creators_name: Kesten, Joanna
creators_name: Denford, Sarah
creators_name: Scott, Anne
creators_name: Dawson, Sarah
creators_name: Scott, Jenny
creators_name: Sabin, Caroline
creators_name: Copping, Joanna
creators_name: Harryman, Lindsey
creators_name: Cochrane, Sarah
creators_name: Horwood, Jeremy
title: Facilitators and barriers to community pharmacy PrEP delivery: a scoping review
ispublished: pub
divisions: UCL
divisions: B02
divisions: D01
divisions: G16
keywords: PrEP; HIV; community pharmacy; COM-B; barriers and facilitators; HIV prevention
note: Copyright © 2024 The Authors. Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of International AIDS Society.
This is an open access article under the terms of the Creative Commons Attribution License, https://creativecommons.org/licenses/by/4.0/, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
abstract: Introduction:
Pre-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.
//
Methods:
Five 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.
//
Results:
A 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.
//
Conclusions:
By 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.
date: 2024-03
date_type: published
official_url: https://doi.org/10.1002/jia2.26232
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 2260914
doi: 10.1002/jia2.26232
medium: Print
lyricists_name: Sabin, Caroline
lyricists_id: CASAB15
actors_name: Flynn, Bernadette
actors_id: BFFLY94
actors_role: owner
funding_acknowledgements: [Gilead Sciences, Inc]; [National Institute for Health and Care Research Applied Research Collaboration West]; [National Institute for Health and Care Research Health Protection Research Unit]
full_text_status: public
publication: Journal of the International AIDS Society (JIAS)
volume: 27
number: 3
article_number: e26232
event_location: Switzerland
issn: 1758-2652
citation:        Harrison, China;    Family, Hannah;    Kesten, Joanna;    Denford, Sarah;    Scott, Anne;    Dawson, Sarah;    Scott, Jenny;                     ... Horwood, Jeremy; + view all <#>        Harrison, China;  Family, Hannah;  Kesten, Joanna;  Denford, Sarah;  Scott, Anne;  Dawson, Sarah;  Scott, Jenny;  Sabin, Caroline;  Copping, Joanna;  Harryman, Lindsey;  Cochrane, Sarah;  Horwood, Jeremy;   - view fewer <#>    (2024)    Facilitators and barriers to community pharmacy PrEP delivery: a scoping review.                   Journal of the International AIDS Society (JIAS) , 27  (3)    , Article e26232.  10.1002/jia2.26232 <https://doi.org/10.1002/jia2.26232>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10189508/1/Journal%20of%20the%20International%20AIDS%20Society%20-%202024%20-%20Harrison%20-%20Facilitators%20and%20barriers%20to%20community%20pharmacy%20PrEP%20delivery.pdf