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Published in: International Journal of Mental Health Systems 1/2014

Open Access 01-12-2014 | Research

A theory-informed approach to mental health care capacity building for pharmacists

Authors: Andrea L Murphy, David M Gardner, Stan P Kutcher, Ruth Martin-Misener

Published in: International Journal of Mental Health Systems | Issue 1/2014

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Abstract

Background

Pharmacists are knowledgeable, accessible health care professionals who can provide services that improve outcomes in mental health care. Various challenges and opportunities can exist in pharmacy practice to hinder or support pharmacists’ efforts. We used a theory-informed approach to development and implementation of a capacity-building program to enhance pharmacists’ roles in mental health care.

Methods

Theories and frameworks including the Consolidated Framework for Implementation Research, the Theoretical Domains Framework, and the Behaviour Change Wheel were used to inform the conceptualization, development, and implementation of a capacity-building program to enhance pharmacists’ roles in mental health care.

Results

The More Than Meds program was developed and implemented through an iterative process. The main program components included: an education and training day; use of a train-the-trainer approach from partnerships with pharmacists and people with lived experience of mental illness; development of a community of practice through email communications, a website, and a newsletter; and use of educational outreach delivered by pharmacists. Theories and frameworks used throughout the program’s development and implementation facilitated a means to conceptualize the component parts of the program as well as its overall presence as a whole from inception through evolution in implementation. Using theoretical foundations for the program enabled critical consideration and understanding of issues related to trialability and adaptability of the program.

Conclusions

Theory was essential to the underlying development and implementation of a capacity-building program for enhancing services by pharmacists for people with lived experience of mental illness. Lessons learned from the development and implementation of this program are informing current research and evolution of the program.
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Literature
1.
go back to reference Finley PR, Bluml BM, Bunting BA, Kiser SN: Clinical and economic outcomes of a pilot project examining pharmacist-focused collaborative care treatment for depression. J Am Pharm Assoc. 2011, 51: 40-49. 10.1331/JAPhA.2011.09147.CrossRef Finley PR, Bluml BM, Bunting BA, Kiser SN: Clinical and economic outcomes of a pilot project examining pharmacist-focused collaborative care treatment for depression. J Am Pharm Assoc. 2011, 51: 40-49. 10.1331/JAPhA.2011.09147.CrossRef
2.
go back to reference Finley PR, Crismon ML, Rush AJ: Evaluating the impact of pharmacists in mental health: a systematic review. Pharmacotherapy. 2003, 23: 1634-1644. 10.1592/phco.23.15.1634.31952.CrossRefPubMed Finley PR, Crismon ML, Rush AJ: Evaluating the impact of pharmacists in mental health: a systematic review. Pharmacotherapy. 2003, 23: 1634-1644. 10.1592/phco.23.15.1634.31952.CrossRefPubMed
3.
go back to reference Finley PR, Rens HR, Pont JT, Gess SL, Louie C, Bull SA, Bero LA: Impact of a collaborative pharmacy practice model on the treatment of depression in primary care. Am J Health Syst Pharm. 2002, 59: 1518-1526.PubMed Finley PR, Rens HR, Pont JT, Gess SL, Louie C, Bull SA, Bero LA: Impact of a collaborative pharmacy practice model on the treatment of depression in primary care. Am J Health Syst Pharm. 2002, 59: 1518-1526.PubMed
4.
go back to reference Law MR, Heard D, Fisher J, Douillard J, Muzika G, Sketris IS: The geographic accessibility of pharmacies in Nova Scotia. Can Pharm J. 2013, 146: 39-46. 10.1177/1715163512473062.CrossRef Law MR, Heard D, Fisher J, Douillard J, Muzika G, Sketris IS: The geographic accessibility of pharmacies in Nova Scotia. Can Pharm J. 2013, 146: 39-46. 10.1177/1715163512473062.CrossRef
5.
go back to reference Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC: Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009, 4: 50. 10.1186/1748-5908-4-50.PubMedCentralCrossRefPubMed Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC: Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009, 4: 50. 10.1186/1748-5908-4-50.PubMedCentralCrossRefPubMed
6.
go back to reference Kitson A, Harvey G, McCormack B: Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care. 1998, 7: 149-158. 10.1136/qshc.7.3.149.PubMedCentralCrossRefPubMed Kitson A, Harvey G, McCormack B: Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care. 1998, 7: 149-158. 10.1136/qshc.7.3.149.PubMedCentralCrossRefPubMed
7.
go back to reference Rycroft-Malone J: The PARIHS framework–a framework for guiding the implementation of evidence-based practice. J Nurs Care Qual. 2004, 19: 297-304. 10.1097/00001786-200410000-00002.CrossRefPubMed Rycroft-Malone J: The PARIHS framework–a framework for guiding the implementation of evidence-based practice. J Nurs Care Qual. 2004, 19: 297-304. 10.1097/00001786-200410000-00002.CrossRefPubMed
8.
go back to reference Rycroft-Malone J, Harvey G, Seers K, Kitson A, McCormack B, Titchen A: An exploration of the factors that influence the implementation of evidence into practice. J Clin Nurs. 2004, 13: 913-924. 10.1111/j.1365-2702.2004.01007.x.CrossRefPubMed Rycroft-Malone J, Harvey G, Seers K, Kitson A, McCormack B, Titchen A: An exploration of the factors that influence the implementation of evidence into practice. J Clin Nurs. 2004, 13: 913-924. 10.1111/j.1365-2702.2004.01007.x.CrossRefPubMed
9.
go back to reference Rycroft-Malone J, Seers K, Titchen A, Harvey G, Kitson A, McCormack B: What counts as evidence in evidence-based practice?. J Adv Nurs. 2004, 47: 81-90. 10.1111/j.1365-2648.2004.03068.x.CrossRefPubMed Rycroft-Malone J, Seers K, Titchen A, Harvey G, Kitson A, McCormack B: What counts as evidence in evidence-based practice?. J Adv Nurs. 2004, 47: 81-90. 10.1111/j.1365-2648.2004.03068.x.CrossRefPubMed
10.
go back to reference Rycroft-Malone J, Kitson A, Harvey G, McCormack B, Seers K, Titchen A, Estabrooks C: Ingredients for change: revisiting a conceptual framework. Qual Saf Health Care. 2002, 11: 174-180. 10.1136/qhc.11.2.174.PubMedCentralCrossRefPubMed Rycroft-Malone J, Kitson A, Harvey G, McCormack B, Seers K, Titchen A, Estabrooks C: Ingredients for change: revisiting a conceptual framework. Qual Saf Health Care. 2002, 11: 174-180. 10.1136/qhc.11.2.174.PubMedCentralCrossRefPubMed
11.
go back to reference McCormack B, Kitson A, Harvey G, Rycroft-Malone J, Titchen A, Seers K: Getting evidence into practice: the meaning of ‘context’. J Adv Nurs. 2002, 38: 94-104. 10.1046/j.1365-2648.2002.02150.x.CrossRefPubMed McCormack B, Kitson A, Harvey G, Rycroft-Malone J, Titchen A, Seers K: Getting evidence into practice: the meaning of ‘context’. J Adv Nurs. 2002, 38: 94-104. 10.1046/j.1365-2648.2002.02150.x.CrossRefPubMed
12.
go back to reference Michie S, van Stralen MM, West R: The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011, 6: 42. 10.1186/1748-5908-6-42.PubMedCentralCrossRefPubMed Michie S, van Stralen MM, West R: The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011, 6: 42. 10.1186/1748-5908-6-42.PubMedCentralCrossRefPubMed
13.
go back to reference Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, Eccles MP, Cane J, Wood CE: The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013, 46: 81-95. 10.1007/s12160-013-9486-6.CrossRefPubMed Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, Eccles MP, Cane J, Wood CE: The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013, 46: 81-95. 10.1007/s12160-013-9486-6.CrossRefPubMed
14.
go back to reference Cane J, O’Connor D, Michie S: Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012, 7: 37. 10.1186/1748-5908-7-37.PubMedCentralCrossRefPubMed Cane J, O’Connor D, Michie S: Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012, 7: 37. 10.1186/1748-5908-7-37.PubMedCentralCrossRefPubMed
15.
go back to reference Michie S, Ashford S, Sniehotta FF, Dombrowski SU, Bishop A, French DP: A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours: the CALO-RE taxonomy. Psychol Health. 2011, 26: 1479-1498. 10.1080/08870446.2010.540664.CrossRefPubMed Michie S, Ashford S, Sniehotta FF, Dombrowski SU, Bishop A, French DP: A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours: the CALO-RE taxonomy. Psychol Health. 2011, 26: 1479-1498. 10.1080/08870446.2010.540664.CrossRefPubMed
16.
go back to reference Michie S, Fixsen D, Grimshaw JM, Eccles MP: Specifying and reporting complex behaviour change interventions: the need for a scientific method. Implement Sci. 2009, 4: 40. 10.1186/1748-5908-4-40.PubMedCentralCrossRefPubMed Michie S, Fixsen D, Grimshaw JM, Eccles MP: Specifying and reporting complex behaviour change interventions: the need for a scientific method. Implement Sci. 2009, 4: 40. 10.1186/1748-5908-4-40.PubMedCentralCrossRefPubMed
17.
go back to reference Abraham C, Michie S: A taxonomy of behavior change techniques used in interventions. Health Psychol. 2008, 27 (3): 379-387.CrossRefPubMed Abraham C, Michie S: A taxonomy of behavior change techniques used in interventions. Health Psychol. 2008, 27 (3): 379-387.CrossRefPubMed
18.
go back to reference Gardner DM, Murphy AL, Woodman AK, Connelly S: Community pharmacy services for antidepressant users. Int J Pharm Pract. 2001, 9: 217-224. 10.1111/j.2042-7174.2001.tb01052.x.CrossRef Gardner DM, Murphy AL, Woodman AK, Connelly S: Community pharmacy services for antidepressant users. Int J Pharm Pract. 2001, 9: 217-224. 10.1111/j.2042-7174.2001.tb01052.x.CrossRef
19.
go back to reference Black E, Murphy AL, Gardner DM: Community pharmacist services for people with mental illnesses: preferences, satisfaction, and stigma. Psych Serv. 2009, 60: 1123-1127.CrossRef Black E, Murphy AL, Gardner DM: Community pharmacist services for people with mental illnesses: preferences, satisfaction, and stigma. Psych Serv. 2009, 60: 1123-1127.CrossRef
20.
go back to reference Murphy A, Szumilas M, Rowe D, Landry K, Martin-Misener R, Kutcher S, Gardner D: Pharmacy students’ experiences in provision of community pharmacy mental health services. Can Pharm J. 2014, 147: 55-65. 10.1177/1715163513514170.CrossRef Murphy A, Szumilas M, Rowe D, Landry K, Martin-Misener R, Kutcher S, Gardner D: Pharmacy students’ experiences in provision of community pharmacy mental health services. Can Pharm J. 2014, 147: 55-65. 10.1177/1715163513514170.CrossRef
21.
go back to reference Hendriks AM, Jansen MW, Gubbels JS, De Vries NK, Paulussen T, Kremers SP: Proposing a conceptual framework for integrated local public health policy, applied to childhood obesity–the behavior change ball. Implement Sci. 2013, 8: 46. 10.1186/1748-5908-8-46.PubMedCentralCrossRefPubMed Hendriks AM, Jansen MW, Gubbels JS, De Vries NK, Paulussen T, Kremers SP: Proposing a conceptual framework for integrated local public health policy, applied to childhood obesity–the behavior change ball. Implement Sci. 2013, 8: 46. 10.1186/1748-5908-8-46.PubMedCentralCrossRefPubMed
23.
go back to reference Norgaard LS, Morgall JM, Bissell P: Arguments for theory-based pharmacy practice research. Int J Pharm Pract. 2000, 8: 77-81.CrossRef Norgaard LS, Morgall JM, Bissell P: Arguments for theory-based pharmacy practice research. Int J Pharm Pract. 2000, 8: 77-81.CrossRef
24.
go back to reference Patwardhan PD, Amin ME, Chewning BA: Intervention research to enhance community pharmacists’ cognitive services: a systematic review. Res Social Adm Pharm. 2014, 10: 475-493. 10.1016/j.sapharm.2013.07.005.CrossRefPubMed Patwardhan PD, Amin ME, Chewning BA: Intervention research to enhance community pharmacists’ cognitive services: a systematic review. Res Social Adm Pharm. 2014, 10: 475-493. 10.1016/j.sapharm.2013.07.005.CrossRefPubMed
25.
go back to reference Roberts AS, Hopp T, Sorensen EW, Benrimoj SI, Chen TF, Herborg H, Williams K, Aslani P: Understanding practice change in community pharmacy: a qualitative research instrument based on organisational theory. Pharm World Sci. 2003, 25: 227-234. 10.1023/A:1025880012757.CrossRefPubMed Roberts AS, Hopp T, Sorensen EW, Benrimoj SI, Chen TF, Herborg H, Williams K, Aslani P: Understanding practice change in community pharmacy: a qualitative research instrument based on organisational theory. Pharm World Sci. 2003, 25: 227-234. 10.1023/A:1025880012757.CrossRefPubMed
26.
go back to reference Makowsky , Guirguis M, Hughes L, Sadowski C, Yuksel C, Nese : Factors influencing pharmacists’ adoption of prescribing: qualitative application of the diffusion of innovations theory. Implementation Sci. 2013, 8: 109. 10.1186/1748-5908-8-109.CrossRef Makowsky , Guirguis M, Hughes L, Sadowski C, Yuksel C, Nese : Factors influencing pharmacists’ adoption of prescribing: qualitative application of the diffusion of innovations theory. Implementation Sci. 2013, 8: 109. 10.1186/1748-5908-8-109.CrossRef
27.
go back to reference Farris KB, Schopflocher DP: Between intention and behavior: an application of community pharmacists’ assessment of pharmaceutical care. Soc Sci Med. 1999, 49: 55-66. 10.1016/S0277-9536(99)00078-7.CrossRefPubMed Farris KB, Schopflocher DP: Between intention and behavior: an application of community pharmacists’ assessment of pharmaceutical care. Soc Sci Med. 1999, 49: 55-66. 10.1016/S0277-9536(99)00078-7.CrossRefPubMed
28.
go back to reference Guirguis LM, Chewning BA: Role theory: literature review and implications for patient-pharmacist interactions. Res Social Adm Pharm. 2005, 1: 483-507. 10.1016/j.sapharm.2005.09.006.CrossRefPubMed Guirguis LM, Chewning BA: Role theory: literature review and implications for patient-pharmacist interactions. Res Social Adm Pharm. 2005, 1: 483-507. 10.1016/j.sapharm.2005.09.006.CrossRefPubMed
29.
go back to reference Estabrooks CA, Squires JE, Cummings GG, Birdsell JM, Norton PG: Development and assessment of the Alberta context tool. BMC Health Serv Res. 2009, 9: 234. 10.1186/1472-6963-9-234.PubMedCentralCrossRefPubMed Estabrooks CA, Squires JE, Cummings GG, Birdsell JM, Norton PG: Development and assessment of the Alberta context tool. BMC Health Serv Res. 2009, 9: 234. 10.1186/1472-6963-9-234.PubMedCentralCrossRefPubMed
30.
go back to reference Estabrooks CA, Squires JE, Hutchinson AM, Scott S, Cummings GG, Kang SH, Midodzi WK, Stevens B: Assessment of variation in the Alberta context tool: the contribution of unit level contextual factors and specialty in Canadian pediatric acute care settings. BMC Health Serv Res. 2011, 11: 251. 10.1186/1472-6963-11-251.PubMedCentralCrossRefPubMed Estabrooks CA, Squires JE, Hutchinson AM, Scott S, Cummings GG, Kang SH, Midodzi WK, Stevens B: Assessment of variation in the Alberta context tool: the contribution of unit level contextual factors and specialty in Canadian pediatric acute care settings. BMC Health Serv Res. 2011, 11: 251. 10.1186/1472-6963-11-251.PubMedCentralCrossRefPubMed
31.
go back to reference Chambers DA, Glasgow RE, Stange KC: The dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change. Implement Sci. 2013, 8: 117. 10.1186/1748-5908-8-117.PubMedCentralCrossRefPubMed Chambers DA, Glasgow RE, Stange KC: The dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change. Implement Sci. 2013, 8: 117. 10.1186/1748-5908-8-117.PubMedCentralCrossRefPubMed
Metadata
Title
A theory-informed approach to mental health care capacity building for pharmacists
Authors
Andrea L Murphy
David M Gardner
Stan P Kutcher
Ruth Martin-Misener
Publication date
01-12-2014
Publisher
BioMed Central
Published in
International Journal of Mental Health Systems / Issue 1/2014
Electronic ISSN: 1752-4458
DOI
https://doi.org/10.1186/1752-4458-8-46

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