Service Users' Views and Experiences of Alcohol Relapse Prevention Treatment and Adherence: New Role for Pharmacists?
Dhital, Ranjita; Coleman, Rachel; Day, Ed; Drummond, Colin; Lingford-Hughes, Anne; Marsden, John; Phillips, Tom; Sinclair, Julia; Strang, John; Weinman, John; Whittlesea, Cate; Widyaratna, Kideshini; Donoghue, Kim
Professor Thomas Phillips Thomas.Phillips@hull.ac.uk
Professor of Nursing (Addictions)
Aims: To understand service users' views and experiences of alcohol relapse prevention medication, views of a telephone behavioural modification intervention delivered by pharmacists and the use of Contingency Management (CM) to support acamprosate adherence following assisted alcohol withdrawal. Methods: Four focus groups were conducted within four alcohol treatment and recovery groups across England (UK), with service users with lived experience of alcohol dependence (26 participants). Semi-structured topic guide was used to explore participants' views and experiences of alcohol relapse prevention medication, a telephone behavioural modification medication intervention delivered by pharmacists, and the use of CM to support acamprosate adherence. These were audio-recorded, transcribed verbatim and thematically analysed inductively and deductively. Results: Four themes were identified: concerns about support and availability of alcohol relapse prevention medication; lack of knowledge and understanding about acamprosate treatment; positive perceptions of acamprosate adherence telephone support from pharmacists; and negative perceptions of CM to support acamprosate adherence. There were misunderstandings about acamprosate's mode of action and strong negative beliefs about CM. However, most were positive about pharmacists' new role to support acamprosate adherence. Conclusion: This study highlighted challenges service users face to commence alcohol relapse prevention medication. It appears service users could benefit from a pharmacist-led telephone intervention to improve understanding about acamprosate medication, particularly, if delivered in an engaging and motivating way.
Dhital, R., Coleman, R., Day, E., Drummond, C., Lingford-Hughes, A., Marsden, J., …Donoghue, K. (2022). Service Users' Views and Experiences of Alcohol Relapse Prevention Treatment and Adherence: New Role for Pharmacists?. Alcohol and Alcoholism, 57(5), 602-608. https://doi.org/10.1093/alcalc/agac011
|Journal Article Type||Article|
|Acceptance Date||Feb 15, 2022|
|Online Publication Date||Mar 15, 2022|
|Publication Date||Sep 1, 2022|
|Deposit Date||Mar 16, 2022|
|Publicly Available Date||Mar 16, 2022|
|Journal||Alcohol and Alcoholism|
|Publisher||Oxford University Press|
|Peer Reviewed||Peer Reviewed|
© The Author(s) 2022. <br /> This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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