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