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Community pharmacists' knowledge, perceptions, and practices about topical corticosteroid counseling: A real-world cross-sectional survey and focus group discussions in Korea

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dc.description.abstractTopical corticosteroids (TCs) are widely used to treat dermatological conditions such as eczema and psoriasis. It can be a safe and effective treatment when used appropriately. However, misguided information and corticosteroid phobia appear to contribute to inadequate adherence to therapy, leading to unsatisfactory treatment outcomes. Therefore, community pharmacists (CPs) are in a prime position to inform patients about the appropriate use of medicine. The aim of this study was to examine how the knowledge and perceptions of CPs, as well as other factors, associate CPs' patient counseling practice around the use of TCs. A structured, validated questionnaire was distributed to CPs in the Republic of Korea, and additional focus group discussions were implemented to obtain a deeper understanding of the survey findings. We analyzed the survey results by applying a modified knowledge-perception-practice model. In addition, we used path analysis to validate the model and assessed how knowledge level and perceptions of barriers affect CPs' counseling behavior. We ran a multiple regression to identify factors that associate CPs' practice levels. A total of 1018 surveys were analyzed. In general, respondents had sufficient knowledge to provide appropriate patient counseling on TC use. An increase in knowledge level positively associated the quality of practice, and more knowledge increased the perception of barriers that negatively associated patient counseling. Location in rural areas and pharmacists' perception of counseling barriers negatively associated the quality of practice. A higher level of knowledge, training in ADEs, higher proportion of OTC TC sales, and increased time for counseling positively associated the quality of practice. Therefore, minimizing barriers such as negative perceptions is very important in facilitating CPs' counseling practice around TC use.-
dc.publisherPublic Library of Science-
dc.relation.isPartOfPLOS ONE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHAdministration, Topical-
dc.subject.MESHAdrenal Cortex Hormones / administration & dosage*-
dc.subject.MESHCommunity Pharmacy Services / statistics & numerical data-
dc.subject.MESHCounseling / statistics & numerical data*-
dc.subject.MESHCross-Sectional Studies-
dc.subject.MESHFocus Groups*-
dc.subject.MESHHealth Knowledge, Attitudes, Practice*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHModels, Statistical-
dc.subject.MESHPatient Safety-
dc.subject.MESHPharmacists / psychology-
dc.subject.MESHPharmacists / statistics & numerical data*-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHSurveys and Questionnaires*-
dc.titleCommunity pharmacists' knowledge, perceptions, and practices about topical corticosteroid counseling: A real-world cross-sectional survey and focus group discussions in Korea-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Dermatology (피부과학교실)-
dc.contributor.googleauthorMin Jung Kang-
dc.contributor.googleauthorJi Hyun Park-
dc.contributor.googleauthorSunny Park-
dc.contributor.googleauthorNam Gyu Kim-
dc.contributor.googleauthorEun Young Kim-
dc.contributor.googleauthorYun Mi Yu-
dc.contributor.googleauthorDo Young Kim-
dc.contributor.googleauthorJu-Yeun Lee-
dc.contributor.googleauthorWan Gyoon Shin-
dc.contributor.googleauthorSoo An Choi-
dc.contributor.alternativeNameKim, Do Young-
dc.identifier.bibliographicCitationPLOS ONE, Vol.15(7) : e0236797, 2020-07-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers


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