ทัศนคติและการปฏิบัติเกี่ยวกับบุหรี่ไฟฟ้าของเภสัชกรร้านยาในจังหวัดพะเยา Attitude toward and Practice of E-cigarette among Community Pharmacists in Phayao Province, Thailand

บทคัดย่อ วัตถุประสงค์: เพื่อประเมินทัศนคติ การปฏิบัติ และของเภสัชกรชุมชนเกี่ยวกับบุหรี่ไฟฟ้า วิธีการศึกษา: การสำรวจภาคตัดขวางเก็บข้อมูลเภสัชกรชุมชนที่ปฏิบัติหน้าที่เต็มเวลาในจังหวัดพะเยาทั้งหมดจำนวน 69 ราย ตั้งแต่กันยายน พ.ศ. 2563 ถึงกุมภาพันธ์ พ.ศ. 2564 ใช้แบบประเมินทัศนคติและความรู้ โดยใช้คำถามพร้อมมาตราวัดลิเคิร์ท 5 ระดับ และพฤติกรรมการให้บริการเลิกบุหรี่ไฟฟ้าโดยใช้คำถามที่ตอบใช่หรือไม่ใช่ นำเสนอข้อมูลเป็นความถี่และร้อยละ การศึกษา: เภสัชกรชุมชนยินดีเข้าร่วมการศึกษา 58 ราย เภสัชกรเห็นว่าบุหรี่ไฟฟ้าไม่ดีต่อสุขภาพและอันตรายไม่น้อยไปกว่าบุหรี่ทั่วไป และเชื่อว่าบุหรี่ไฟฟ้าเป็นสิ่งเสพติด ไม่ควรแนะนำให้ผู้ป่วยเสพ และควรถูกจำกัดการใช้ตามกฎหมาย เภสัชกรชุมชนส่วนใหญ่ (ร้อยละ 86.2) มีความรู้เกี่ยวกับบุหรี่ไฟฟ้าในระดับไม่ดีหรือพอใช้ ร้อยละ 91.4 ไม่เคยให้คำแนะนำเกี่ยวกับบุหรี่ไฟฟ้า และร้อยละ 89.7 ไม่แนะนำให้ผู้ป่วยใช้บุหรี่ไฟฟ้ารวมทั้งไม่แนะนำให้ใช้บุหรี่ไฟฟ้าเป็นเครื่องมือในการเลิกบุหรี่ เภสัชกรชุมชนส่วนใหญ่มีทัศนคติเชิงลบเกี่ยวกับบุหรี่ไฟฟ้าและมีแนวโน้มไม่แนะนำให้ผู้ป่วยใช้บุหรี่ไฟฟ้า แม้การรับรู้ด้านความรู้ของเภสัชกรชุมชนจะอยู่ในระดับพอใช้แต่เภสัชกรชุมชนก็เชื่อว่าบุหรี่ไฟฟ้าส่งผลเสียต่อสุขภาพ ทำให้เสพติด และสนับสนุนให้มีการจำกัดการใช้ตามกฎหมาย คำสำคัญ: ทัศนคติ; ความรู้; การปฏิบัติ; บุหรี่ไฟฟ้า; เภสัชกรชุมชน Abstract Objective: To assess community pharmacists’ attitudes, practice, and perceived knowledge regarding e-cigarettes. Methods: In this cross-sectional survey, 69 full-time community pharmacists in Phayao province, Thailand region were invited. The study was carried out between September 2020 and February 2021. Participants were requested to rate their level of attitudes and perceived knowledge regarding e-cigarettes using five-point Likert-type scale. Participants were asked yes-or-no questions about their smoking cessation service practice. Frequency with percentage was used to summarize findings. Results: A total of 58 community pharmacists agreed to participate in the survey. Participants agreed that e-cigarettes are bad for health and are not less dangerous than conventional cigarettes. They believed that e-cigarettes are addictive, should not be recommended to patients, and should be banned. Most participants (86.2%) perceived their knowledge about e-cigarettes as fair and poor. However, 91. 4% of the participants never advised on e-cigarettes, and 89.7% would not recommend patients to use e-cigarettes or advise e-cigarettes as a smoking cessation tool. Conclusion: Most community pharmacists had a negative attitude regarding e-cigarettes. Despite having limited perceived knowledge, they felt them unhealthy and addictive and advocated a high restriction on them. They did not recommend patients use e-cigarettes. Keywords: attitude; perceived knowledge; practice; electronic cigarette; community pharmacist          

ทัศนคติและขั้นตอนการเปลี่ยนแปลงไปสู่การเข้าร่วมโครงการร้านยาคุณภาพของเภสัชกรเจ้าของธุรกิจร้านยา ในเขตอำเภอเมือง จังหวัดเชียงใหม่ Attitudes and Stage of Change Towards Participation to the Community Pharmacy Development and Accreditation Project of Pharma

Objective: To study attitudes and stage of change towards participation tothe community pharmacy development and accreditation (CPA) projectamong the pharmacists who were drug store owners and worked there fulltimein Muang district, Chiang Mai province. Methods: Mixed methodtechnique was used. In phase 1, a mailed survey was used to exploreattitudes of the full-time practicing pharmacist drug store owners who hadnot participated in the CPA project. All 134 pharmacist store owners inMuang district, Chiang Mai province were asked to respond the survey. Inphase 2, 11 pharmacists were purposively selected for an interview forfurther explanations regarding findings in phase 1. Results: The mailedsurvey response rate was 40.6%. The majority of pharmacist drug storeowners (46.0%) were in pre-contemplation phase (i.e., no intention to jointhe project), and 44.0% in contemplation phase (having a concern aboutthe project). The majority of them did not know about the process of projectparticipation, nor see clear benefits of the project; some disagreed with theproject registration fee. Findings from interviews and open-ended questionssuggested that the decision not to participate in project was not onlylimitations on the drug store side, but also on the project side, for instancelack of regular publicity and no tangible benefits to drug store owners.However, 84.4% stated they had a potential to participate in the programand 53.1% agreed that the program should be enforced by law.Conclusion: The pharmacist drug store owners, a potential target for thecommunity pharmacy development and accreditation project, were currentlyhad no intention and no motivation to join the project.Keywords: community pharmacy development and accreditation project,pharmacist, drug store, stage of chang

Towards Better CARE for Superficial Fungal Infections: A Consultation Guide for the Community Pharmacy

Superficial fungal infections (SFIs) are among the most common skin diseases worldwide and are common in many parts of Asia. Community pharmacists are well-placed to help identify and manage SFIs. However, effective management may be hindered by a suboptimal consultation process, attributed to the misalignment between consumers’ and pharmacists’ viewpoints. The Fungal CARE (Care, Assess, Recommend, Empower) guide, a patient-centered collaborative framework, was developed to improve pharmacist-led SFI consultations in community pharmacy. A survey on real-world consumer experiences with SFIs provided insights for aligning the Fungal CARE guide with consumer perspectives. To further optimize the guide, community pharmacists were surveyed on their current practice and challenges of managing SFIs, as well as views on the usefulness of the Fungal CARE guide. The pharmacists’ survey indicated that respondents engaged with some but not all of consumers’ top concerns with SFIs, such as emotional and social aspects. Pharmacists identified their greatest challenges as poor compliance with SFI treatment and limited confidence in identifying and/or managing SFIs. Encouragingly, when presented with the Fungal CARE guide, nearly all pharmacists agreed it would be helpful and would use it in practice. Implementing the Fungal CARE guide may help improve pharmacist-led consultations for SFIs and encourage better treatment outcomes

Perception and the influence of information toward e-cigarette smoking behavior

Introduction Perceptions, personal perspectives, and public awareness of e-cigarette information have a significant impact on e-cigarette smoking behavior, and provide comprehensive information that can help reduce interest in e-cigarette smoking and reduce the number of new smokers. This study aimed to investigate the perceptions towards e-cigarettes related to e-cigarette use and how that information related to people’s use of them. Methods The data for this cross-sectional study were collected via an online questionnaire. Thai nationals who were aged ≥18 years provided data between June 2021 and January 2022. Multivariable logistic regression and the chisquared test were used to analyze the data. Results There were 340 respondents, 76 e-cigarette users, and 264 non-e-cigarette users. Most of the perceptions of information that differed statistically significantly between e-cigarette users and non-e-cigarette users included information on regulations, products, health effects, and the effectiveness of smoking cessation. The association between factors and e-cigarette smoking behavior revealed that the perception of the product information and male gender were associated with e-cigarette smoking behavior (AOR=13.59; 95% CI: 2.35–78.60, and AOR=5.19; 95% CI: 2.87–9.40, respectively). Conclusions The perception of e-cigarette product information and male gender were associated with e-cigarette smoking behavior