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Intervention fidelity for a complex behaviour change intervention in community pharmacy addressing cardiovascular disease risk

Mc Namara, K. P., O'Reilly, S. L., George, J., Peterson, G. M., Jackson, S. L., Duncan, G., Howarth, H. and Dunbar, J. A. 2015, Intervention fidelity for a complex behaviour change intervention in community pharmacy addressing cardiovascular disease risk, Health education research, vol. 30, no. 6, pp. 897-909, doi: 10.1093/her/cyv050.

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Title Intervention fidelity for a complex behaviour change intervention in community pharmacy addressing cardiovascular disease risk
Author(s) Mc Namara, K. P.
O'Reilly, S. L.
George, J.
Peterson, G. M.
Jackson, S. L.
Duncan, G.
Howarth, H.
Dunbar, J. A.
Journal name Health education research
Volume number 30
Issue number 6
Start page 897
End page 909
Total pages 13
Publisher Oxford University Press
Place of publication Oxford, Eng.
Publication date 2015-12
ISSN 1465-3648
Summary BACKGROUND: Delivery of cardiovascular disease (CVD) prevention programs by community pharmacists appears effective and enhances health service access. However, their capacity to implement complex behavioural change processes during patient counselling remains largely unexplored. This study aims to determine intervention fidelity by pharmacists for behavioural components of a complex educational intervention for CVD prevention. After receiving training to improve lifestyle and medicines adherence, pharmacists recruited 70 patients aged 50-74 years without established CVD, and taking antihypertensive or lipid lowering therapy. Patients received five counselling sessions, each at monthly intervals. Researchers assessed biomedical and behavioural risk factors at baseline and six months. Pharmacists documented key outcomes from counselling after each session. Most patients (86%) reported suboptimal cardiovascular diets, 41% reported suboptimal medicines adherence, and 39% were physically inactive. Of those advised to complete the intervention, 85% attended all five sessions. Pharmacists achieved patient agreement with most recommended goals for behaviour change, and overwhelmingly translated goals into practical behavioural strategies. Barriers to changing behaviours were regularly documented, and pharmacists reported most behavioural strategies as having had some success. Meaningful improvements to health behaviours were observed post-intervention. Findings support further exploration of pharmacists' potential roles for delivering interventions with complex behaviour change requirements.
Language eng
DOI 10.1093/her/cyv050
Field of Research 111799 Public Health and Health Services not elsewhere classified
1117 Public Health And Health Services
1302 Curriculum And Pedagogy
Socio Economic Objective 920103 Cardiovascular System and Diseases
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Oxford University Press
Persistent URL http://hdl.handle.net/10536/DRO/DU:30079536

Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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