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Mental health service provision in community pharmacies: disentangling the impact of trust on public acceptability.

  • At: PPR SIG 2021 (2021)
  • Type: Digital
  • By: STOECKEL, Franziska (University of Nottingham, United Kingdom)
  • Co-author(s): Franziska Stoeckel, Tracey Thornley, Matthew J. Boyd, Claire Anderson
  • Abstract:


    Support for individuals experiencing mental health issues is finite and long waiting times for appointments are often the norm. Community pharmacy, due to the approachability of the staff and its accessibility might therefore be in an advantageous position to provide support for pharmacy users with mental health issues. Trust (or lack thereof) has been found to be an important factor for understanding public acceptance of enhanced services provided in pharmacies.


    To evaluate the impact of trust on individuals’ attitudes towards mental health service provision in pharmacies.


    A cross-sectional survey was administered across 15 community pharmacies in England over two weeks in March 2020; 30 survey administrators supported the data collection. The survey included questions about individuals’ demographic characteristics and use of pharmacies, as well as Likert-scale questions to measure participant trust of pharmacists and attitudes towards mental health service provision. Trust and attitude questions were summarised to form scales and subjected to a multilevel linear regression analysis in STATA (Release 16).


    1474 of 2860 approached pharmacy users agreed to participate (response rate: 51.5%). A significant association between individuals’ level of trust and their attitudes towards mental health service provision was found (p<0.001); a one-unit increase on the trust scale (i.e. lower levels of trust) resulted in 0.48 times more negative attitudes towards mental health service provision. More frequent visitors of pharmacies were more likely to exhibit positive attitudes (p=0.040), while participants who self-reported a diagnosis of anxiety or depression were found to express more negative attitudes (p=0.012).


    Trust was found to have a considerable effect on individuals’ acceptance of mental health service provision in pharmacies. Further research to explore how trust is developed and maintained in a pharmacy context is necessary, if the implementation of mental health services in pharmacies are to be commissioned.

Last update 4 October 2019

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