Article Text

Download PDFPDF

Role of community pharmacists in the use of antipsychotics for behavioural and psychological symptoms of dementia (BPSD): a qualitative study
  1. Ian D Maidment1,
  2. Lydia Aston2,
  3. Andrea Hilton3,
  4. Naveed Iqbal4,
  5. Anne Child5,
  6. Rachel Shaw2
  1. 1School of Life and Health Sciences, Aston Research Centre for Healthy Ageing (ARCHA), Aston University, Birmingham, UK
  2. 2School of Life and Health Sciences, Aston University, Birmingham, UK
  3. 3Faculty of Health and Social Care, University of Hull, Hull, UK
  4. 4Department of Pharmacy, School of Life and Health Sciences, Aston University, Birmingham, UK
  5. 5Avante Care, Faversham, Kent, UK
  1. Correspondence to Dr Ian D Maidment; i.maidment{at}aston.ac.uk

Abstract

Objective This study aimed to use qualitative methodology to understand the current role of community pharmacists in limiting the use of antipsychotics prescribed inappropriately for behavioural and psychological symptoms of dementia.

Design A qualitative study employing focus groups was conducted. Data were analysed using thematic analysis.

Setting 3 different geographical locations in the England.

Participants Community pharmacists (n=22).

Results The focus groups identified an array of factors and constraints, which affect the ability of community pharmacists to contribute to initiatives to limit the use of antipsychotics. 3 key themes were revealed: (1) politics and the medical hierarchy, which created communication barriers; (2) how resources and remit impact the effectiveness of community pharmacy; and (3) understanding the nature of the treatment of dementia.

Conclusions Our findings suggest that an improvement in communication between community pharmacists and healthcare professionals, especially general practitioners (GPs) must occur in order for community pharmacists to assist in limiting the use of antipsychotics in people with dementia. Additionally, extra training in working with people with dementia is required. Thus, an intervention which involves appropriately trained pharmacists working in collaboration with GPs and other caregivers is required. Overall, within the current environment, community pharmacists question the extent to which they can contribute in helping to reduce the prescription of antipsychotics.

  • QUALITATIVE RESEARCH
  • CLINICAL PHARMACOLOGY

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

View Full Text

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.