Cargando…

Expanding community pharmacists’ scope of practice in relation to contraceptive counselling and referral: a protocol for a pragmatic, stepped-wedge, cluster randomised trial (ALLIANCE)

INTRODUCTION: Improving access to effective contraception has the potential to reduce unintended pregnancy and abortion rates. Community pharmacists could play an expanded role in contraceptive counselling and referral to contraceptive prescribers particularly when women are already attending commun...

Descripción completa

Detalles Bibliográficos
Autores principales: Mazza, Danielle, Assifi, Anisa Rojanapenkul, Hussainy, Safeera Yasmeen, Bateson, Deborah, Johnston, Stefanie, Tomnay, Jane, Kasza, Jessica, Church, Jody, Grzeskowiak, Luke E, Nissen, Lisa, Cameron, Sharon Tracey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476139/
https://www.ncbi.nlm.nih.gov/pubmed/37652588
http://dx.doi.org/10.1136/bmjopen-2023-073154
_version_ 1785100863006572544
author Mazza, Danielle
Assifi, Anisa Rojanapenkul
Hussainy, Safeera Yasmeen
Bateson, Deborah
Johnston, Stefanie
Tomnay, Jane
Kasza, Jessica
Church, Jody
Grzeskowiak, Luke E
Nissen, Lisa
Cameron, Sharon Tracey
author_facet Mazza, Danielle
Assifi, Anisa Rojanapenkul
Hussainy, Safeera Yasmeen
Bateson, Deborah
Johnston, Stefanie
Tomnay, Jane
Kasza, Jessica
Church, Jody
Grzeskowiak, Luke E
Nissen, Lisa
Cameron, Sharon Tracey
author_sort Mazza, Danielle
collection PubMed
description INTRODUCTION: Improving access to effective contraception has the potential to reduce unintended pregnancy and abortion rates. Community pharmacists could play an expanded role in contraceptive counselling and referral to contraceptive prescribers particularly when women are already attending community pharmacy to obtain emergency contraceptive pills (ECPs) or to have medical abortion (MA) medicines dispensed. The ALLIANCE trial aims to compare the subsequent uptake of effective contraception (hormonal or intrauterine) in women seeking ECP or MA medicines, who receive the ALLIANCE community pharmacy-based intervention with those who do not receive the intervention. METHODS AND ANALYSIS: ALLIANCE is a stepped-wedge pragmatic cluster randomised trial in Australian community pharmacies. The ALLIANCE intervention involves community pharmacists delivering structured, patient-centred, effectiveness-based contraceptive counselling (and a referral to a contraceptive prescriber where appropriate) to women seeking either ECPs or to have MA medicines dispensed. Women participants will be recruited by participating pharmacists. A total of 37 pharmacies and 1554 participants will be recruited. Pharmacies commence in the control phase and are randomised to transition to the intervention phase at different time points (steps). The primary outcome is the self-reported use of effective contraception at 4 months; secondary outcomes include use of effective contraception and the rate of pregnancies or induced abortions at 12 months. A process and economic evaluation of the trial will also be undertaken. ETHICS AND DISSEMINATION: Ethical approval has been obtained from the Monash University Human Research Ethics Committee (#34563). An explanatory statement will be provided and written consent will be obtained from all participants (pharmacy owner, pharmacist and women) before their commencement in the trial. Dissemination will occur through a knowledge exchange workshop, peer-reviewed journal publications, presentations, social media and conferences. TRIAL REGISTRATION NUMBER: ACTRN12622001024730.
format Online
Article
Text
id pubmed-10476139
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-104761392023-09-05 Expanding community pharmacists’ scope of practice in relation to contraceptive counselling and referral: a protocol for a pragmatic, stepped-wedge, cluster randomised trial (ALLIANCE) Mazza, Danielle Assifi, Anisa Rojanapenkul Hussainy, Safeera Yasmeen Bateson, Deborah Johnston, Stefanie Tomnay, Jane Kasza, Jessica Church, Jody Grzeskowiak, Luke E Nissen, Lisa Cameron, Sharon Tracey BMJ Open Public Health INTRODUCTION: Improving access to effective contraception has the potential to reduce unintended pregnancy and abortion rates. Community pharmacists could play an expanded role in contraceptive counselling and referral to contraceptive prescribers particularly when women are already attending community pharmacy to obtain emergency contraceptive pills (ECPs) or to have medical abortion (MA) medicines dispensed. The ALLIANCE trial aims to compare the subsequent uptake of effective contraception (hormonal or intrauterine) in women seeking ECP or MA medicines, who receive the ALLIANCE community pharmacy-based intervention with those who do not receive the intervention. METHODS AND ANALYSIS: ALLIANCE is a stepped-wedge pragmatic cluster randomised trial in Australian community pharmacies. The ALLIANCE intervention involves community pharmacists delivering structured, patient-centred, effectiveness-based contraceptive counselling (and a referral to a contraceptive prescriber where appropriate) to women seeking either ECPs or to have MA medicines dispensed. Women participants will be recruited by participating pharmacists. A total of 37 pharmacies and 1554 participants will be recruited. Pharmacies commence in the control phase and are randomised to transition to the intervention phase at different time points (steps). The primary outcome is the self-reported use of effective contraception at 4 months; secondary outcomes include use of effective contraception and the rate of pregnancies or induced abortions at 12 months. A process and economic evaluation of the trial will also be undertaken. ETHICS AND DISSEMINATION: Ethical approval has been obtained from the Monash University Human Research Ethics Committee (#34563). An explanatory statement will be provided and written consent will be obtained from all participants (pharmacy owner, pharmacist and women) before their commencement in the trial. Dissemination will occur through a knowledge exchange workshop, peer-reviewed journal publications, presentations, social media and conferences. TRIAL REGISTRATION NUMBER: ACTRN12622001024730. BMJ Publishing Group 2023-08-31 /pmc/articles/PMC10476139/ /pubmed/37652588 http://dx.doi.org/10.1136/bmjopen-2023-073154 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/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, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Public Health
Mazza, Danielle
Assifi, Anisa Rojanapenkul
Hussainy, Safeera Yasmeen
Bateson, Deborah
Johnston, Stefanie
Tomnay, Jane
Kasza, Jessica
Church, Jody
Grzeskowiak, Luke E
Nissen, Lisa
Cameron, Sharon Tracey
Expanding community pharmacists’ scope of practice in relation to contraceptive counselling and referral: a protocol for a pragmatic, stepped-wedge, cluster randomised trial (ALLIANCE)
title Expanding community pharmacists’ scope of practice in relation to contraceptive counselling and referral: a protocol for a pragmatic, stepped-wedge, cluster randomised trial (ALLIANCE)
title_full Expanding community pharmacists’ scope of practice in relation to contraceptive counselling and referral: a protocol for a pragmatic, stepped-wedge, cluster randomised trial (ALLIANCE)
title_fullStr Expanding community pharmacists’ scope of practice in relation to contraceptive counselling and referral: a protocol for a pragmatic, stepped-wedge, cluster randomised trial (ALLIANCE)
title_full_unstemmed Expanding community pharmacists’ scope of practice in relation to contraceptive counselling and referral: a protocol for a pragmatic, stepped-wedge, cluster randomised trial (ALLIANCE)
title_short Expanding community pharmacists’ scope of practice in relation to contraceptive counselling and referral: a protocol for a pragmatic, stepped-wedge, cluster randomised trial (ALLIANCE)
title_sort expanding community pharmacists’ scope of practice in relation to contraceptive counselling and referral: a protocol for a pragmatic, stepped-wedge, cluster randomised trial (alliance)
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476139/
https://www.ncbi.nlm.nih.gov/pubmed/37652588
http://dx.doi.org/10.1136/bmjopen-2023-073154
work_keys_str_mv AT mazzadanielle expandingcommunitypharmacistsscopeofpracticeinrelationtocontraceptivecounsellingandreferralaprotocolforapragmaticsteppedwedgeclusterrandomisedtrialalliance
AT assifianisarojanapenkul expandingcommunitypharmacistsscopeofpracticeinrelationtocontraceptivecounsellingandreferralaprotocolforapragmaticsteppedwedgeclusterrandomisedtrialalliance
AT hussainysafeerayasmeen expandingcommunitypharmacistsscopeofpracticeinrelationtocontraceptivecounsellingandreferralaprotocolforapragmaticsteppedwedgeclusterrandomisedtrialalliance
AT batesondeborah expandingcommunitypharmacistsscopeofpracticeinrelationtocontraceptivecounsellingandreferralaprotocolforapragmaticsteppedwedgeclusterrandomisedtrialalliance
AT johnstonstefanie expandingcommunitypharmacistsscopeofpracticeinrelationtocontraceptivecounsellingandreferralaprotocolforapragmaticsteppedwedgeclusterrandomisedtrialalliance
AT tomnayjane expandingcommunitypharmacistsscopeofpracticeinrelationtocontraceptivecounsellingandreferralaprotocolforapragmaticsteppedwedgeclusterrandomisedtrialalliance
AT kaszajessica expandingcommunitypharmacistsscopeofpracticeinrelationtocontraceptivecounsellingandreferralaprotocolforapragmaticsteppedwedgeclusterrandomisedtrialalliance
AT churchjody expandingcommunitypharmacistsscopeofpracticeinrelationtocontraceptivecounsellingandreferralaprotocolforapragmaticsteppedwedgeclusterrandomisedtrialalliance
AT grzeskowiaklukee expandingcommunitypharmacistsscopeofpracticeinrelationtocontraceptivecounsellingandreferralaprotocolforapragmaticsteppedwedgeclusterrandomisedtrialalliance
AT nissenlisa expandingcommunitypharmacistsscopeofpracticeinrelationtocontraceptivecounsellingandreferralaprotocolforapragmaticsteppedwedgeclusterrandomisedtrialalliance
AT cameronsharontracey expandingcommunitypharmacistsscopeofpracticeinrelationtocontraceptivecounsellingandreferralaprotocolforapragmaticsteppedwedgeclusterrandomisedtrialalliance