The knowledge, attitudes and beliefs of patients and their healthcare professionals around oral dosage form modification: a systematic review of the qualitative literature

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dc.contributor.author McGillicuddy, Aoife
dc.contributor.author Kelly, Maria
dc.contributor.author Crean, Abina M.
dc.contributor.author Sahm, Laura J.
dc.date.accessioned 2016-10-18T12:22:26Z
dc.date.available 2016-10-18T12:22:26Z
dc.date.issued 2016-09-29
dc.identifier.citation McGillicuddy, A., Kelly, M., Crean, A.M. and Sahm, L.J. (2016) 'The knowledge, attitudes and beliefs of patients and their carers around oral dosage form modification: a systematic review of the qualitative literature', Research in Social and Administrative Pharmacy, 13(4), pp. 717-726. doi: 10.1016/j.sapharm.2016.09.004 en
dc.identifier.volume 13
dc.identifier.issued 4
dc.identifier.startpage 717
dc.identifier.endpage 726
dc.identifier.issn 1551-7411
dc.identifier.uri http://hdl.handle.net/10468/3192
dc.identifier.doi 10.1016/j.sapharm.2016.09.004
dc.description.abstract Objectives: The objective of this systematic review was to synthesize the available qualitative evidence on the knowledge, attitudes and beliefs of adult patients, healthcare professionals and carers about oral dosage form modification. Design: A systematic review and synthesis of qualitative studies was undertaken, utilising the thematic synthesis approach. Data sources: The following databases were searched from inception to September 2015: PubMed, Medline (EBSCO), EMBASE, CINAHL, PsycINFO, Web of Science, ProQuest Databases, Scopus, Turning Research Into Practice (TRIP), Cochrane Central Register of Controlled Trials (CENTRAL) and the Cochrane Database of Systematic Reviews (CDSR). Citation tracking and searching the references lists of included studies was also undertaken. Grey literature was searched using the OpenGrey database, internet searching and personal knowledge. An updated search was undertaken in June 2016. Review methods: Studies meeting the following criteria were eligible for inclusion; (i) used qualitative data collection and analysis methods; (ii) full-text was available in English; (iii) included adult patients who require oral dosage forms to be modified to meet their needs or; (iv) carers or healthcare professionals of patients who require oral dosage forms to be modified. Two reviewers independently appraised the quality of the included studies using the Critical Appraisal Skills Programme Checklist. A thematic synthesis was conducted and analytical themes were generated. Results: Of 5455 records screened, seven studies were eligible for inclusion; three involved healthcare professionals and the remaining four studies involved patients. Four analytical themes emerged from the thematic synthesis: (i) patient-centred individuality and variability; (ii) communication; (iii) knowledge and uncertainty and; (iv) complexity. The variability of individual patient’s requirements, poor communication practices and lack of knowledge about oral dosage form modification, when combined with the complex and multi-faceted healthcare environment complicate decision making regarding oral dosage form modification and administration. Conclusions: This systematic review has highlighted the key factors influencing the knowledge, attitudes and beliefs of patients and healthcare professionals about oral dosage form modifications. The findings suggest that in order to optimise oral medicine modification practices the needs of individual patients should be routinely and systematically assessed and decision-making should be supported by evidence based recommendations with multidisciplinary input. Further research is needed to optimise oral dosage form modification practices and the factors identified in this review should be considered in the development of future interventions. en
dc.description.sponsorship University College Cork (Strategic Research Fund PhD Scholarship); Science Foundation Ireland (SFI Grant Number 12/RC/2275) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Elsevier Inc. en
dc.rights © 2016, Elsevier Inc. This manuscript version is made available under the CC-BY-NC-ND 4.0 license en
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/ en
dc.subject Healthcare professionals en
dc.subject Patients en
dc.subject Medicine manipulation en
dc.subject Oral administration en
dc.subject Qualitative research en
dc.subject Systematic review en
dc.title The knowledge, attitudes and beliefs of patients and their healthcare professionals around oral dosage form modification: a systematic review of the qualitative literature en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Laura Sahm, Pharmacy, University College Cork, Cork, Ireland. +00353214901688 Email: l.sahm@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2017-09-29
dc.description.version Accepted Version en
dc.contributor.funder University College Cork en
dc.contributor.funder Science Foundation Ireland en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Research in Social and Administrative Pharmacy en
dc.internal.IRISemailaddress l.sahm@ucc.ie


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© 2016, Elsevier Inc. This manuscript version is made available under the CC-BY-NC-ND 4.0 license Except where otherwise noted, this item's license is described as © 2016, Elsevier Inc. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
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