Community pharmacists' attitudes toward and practice of pharmacy-based harm reduction services in Pittsburgh, PA: A descriptive survey

Original research
by
O'Brien, Caitlin et al

Release Date

2024

Geography

USA

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

In the wake of the syndemics of the COVID-19 pandemic and worsening overdose deaths from synthetic opioids, we examine knowledge, attitudes, and practices of harm reduction services among community pharmacists in Pittsburgh and identify potential barriers of expanded pharmacy-based harm reduction services.

Findings/Key points

90% of participants agreed pharmacists had a role in overdose prevention efforts, and 92% of participants had previously distributed naloxone. Although no pharmacists reported ever refusing to distribute naloxone, only 29% always provided overdose prevention counseling with each naloxone distributed. In contrast, while 87% of participants had positive attitudes toward the usefulness of NPS for reducing disease, only 73% of participants ever distributed NPS, and 54% had refused NPS to a customer. Participants endorsed a lack of time and concerns over clientele who used drugs as the most significant barriers to offering more comprehensive harm reduction services.

Design/methods

A 53-question Qualtrics survey consisting of multiple-choice, 5 or 6 point-Likert scale, and open-ended questions was conducted with 83 community pharmacists. Survey measures included demographics, knowledge, attitudes, and practices of naloxone and non-prescription syringe (NPS) provision, and explored self-reported barriers to future implementation. 

Keywords

About pharmacists
Harm reduction
Naloxone
Overdose
Policy/Regulatory
Stigma