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Role of pharmacist in cardiovascular disease‐related health promotion and in hypertension and dyslipidemia management: a cross‐sectional study in the State of Qatar

Research paper by Maguy Saffouh El Hajj Pharm D BCPS, Ziyad R. Mahfoud PhD, Jassim Al Suwaidi MBChB BAO LRCP & SI(Honors), Dania Alkhiyami PharmD, Aya Riyad Alasmar PharmD

Indexed on: 10 Mar '16Published on: 10 Nov '15Published in: Journal of Evaluation in Clinical Practice



Abstract

In Qatar, cardiovascular diseases (CVD) have recently become the leading cause of morbidity and mortality. Prevention, detection and management of CVD risk factors reduce CVD chance. The study objectives were to assess Qatar pharmacists' involvement in CVD health promotion, to identify the activities that they currently provide to patients with CVD risk factors, to describe their attitudes towards their involvement in CVD prevention and to assess their perceived barriers for provision of CVD prevention servicesWe conducted a cross‐sectional survey of community and ambulatory pharmacists in Qatar. Pharmacist characteristics, involvement in CVD‐related activities along with their attitudes and perceived barriers were analysed using frequency distributions. Bivariate linear regression models were used to test for associations between CVD health promotion activity score and each variable. Variables with a P‐value of 0.20 or less were included in the multivariate model.A total of 141 pharmacists completed the survey (response rate 60%). More than 70% responded with rarely or never to 6 out of the 10 CVD health promotion activities. Eighty‐four per cent and 68% always or often describe to patients the appropriate time to take antihypertensive medications and the common medication adverse effects, respectively. Yet, 50% rarely or never review the medication refill history or provide adherence interventions. Lack of CVD educational materials was the top perceived barrier (55%) in addition to lack of having private counselling area (44.6%), and lack of time (38.3%). Females and community pharmacists were more involved in CVD health promotion (P = 0.046 and P = 0.017, respectively) than their counterparts. Health promotion practice increased with increasing attitudes score and decreased with increased barriers score (P = 0.012 and P = 0.001).The scope of pharmacy practice in CVD prevention is limited in Qatar. Efforts need to be exerted to increase pharmacists' involvement in CVD prevention