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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

Authors
 Min Jung Kang  ;  Ji Hyun Park  ;  Sunny Park  ;  Nam Gyu Kim  ;  Eun Young Kim  ;  Yun Mi Yu  ;  Do Young Kim  ;  Ju-Yeun Lee  ;  Wan Gyoon Shin  ;  Soo An Choi 
Citation
 PLOS ONE, Vol.15(7) : e0236797, 2020-07 
Journal Title
 PLOS ONE 
Issue Date
2020-07
MeSH
Administration, Topical ; Adrenal Cortex Hormones / administration & dosage* ; Adult ; Community Pharmacy Services / statistics & numerical data ; Counseling / statistics & numerical data* ; Cross-Sectional Studies ; Female ; Focus Groups* ; Health Knowledge, Attitudes, Practice* ; Humans ; Male ; Middle Aged ; Models, Statistical ; Patient Safety ; Perception* ; Pharmacists / psychology ; Pharmacists / statistics & numerical data* ; Republic of Korea ; Surveys and Questionnaires*
Abstract
Topical 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.
Files in This Item:
T202003504.pdf Download
DOI
10.1371/journal.pone.0236797
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Do Young(김도영) ORCID logo https://orcid.org/0000-0002-0194-9854
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/179955
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