Introduction

Community pharmacies have an increasingly prominent public health function. This includes addressing alcohol, but guidance on delivery of alcohol interventions in this setting is lacking. We have developed an intervention that integrates attention to alcohol within existing community pharmacy medicine review services. This paper examines the experiences of community pharmacists (CPs) in conducting a pilot trial of the intervention, including the acceptability of the trial patient recruitment procedures and the training and support provided by the research team.

Method

The pilot trial was conducted in 10 community pharmacies in Yorkshire, England. One CP from each pharmacy was recruited via a multi-stage process to assess motivation, commitment and capacity to participate. Each CP attended a research training day and received on-going research support to conduct the trial. Semi-structured audio-recorded face-to-face interviews (lasting 40–105 min) were conducted with all the CPs at the end of the trial. Data were also available from three direct observations conducted during trial support visits. Data were analysed thematically.

Results

The CPs were supportive of research in community pharmacy but had little direct experiences of research themselves. They valued the training and support provided, which had quickly identified areas where CPs were deviating from the study recruitment protocol. In some instances, the boundaries between research and practice became blurred with CPs making changes to their usual routines and interactions with patients to accommodate the research.

Conclusions

The trial procedures were acceptable to CPs, in part because of the training and support provided. There are also identifiable areas where CPs’ readiness for research could be enhanced to facilitate participation in future trials in this setting.

中文翻译：

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社区药房试点集群随机试验中的过程研究：探索药剂师的研究准备情况

介绍

社区药店的公共卫生功能日益突出。这包括解决酒精问题，但缺乏在这种情况下提供酒精干预的指导。我们开发了一种干预措施，将注意力整合到现有社区药房药物审查服务中。本文考察了社区药剂师 (CP) 在进行干预试点试验中的经验，包括试验患者招募程序的可接受性以及研究团队提供的培训和支持。

方法

试点试验在英格兰约克郡的 10 家社区药店进行。通过多阶段过程从每个药房招募一名 CP 来评估参与的动机、承诺和能力。每个 CP 都参加了研究培训日，并获得了持续的研究支持以进行试验。在试验结束时，对所有 CP 进行了半结构化录音面对面访谈（持续 40-105 分钟）。在试验支持访问期间进行的三项直接观察也提供了数据。数据进行了专题分析。

结果

CP 支持社区药学研究，但他们自己几乎没有直接的研究经验。他们重视所提供的培训和支持，这些培训和支持很快确定了 CP 偏离研究招募协议的领域。在某些情况下，研究与实践之间的界限变得模糊，因为 CP 改变了他们的日常习惯以及与患者的互动以适应研究。

结论

CP 可以接受试验程序，部分原因是提供了培训和支持。还有一些可识别的领域，可以增强 CP 的研究准备，以促进在这种情况下参与未来的试验。