Implementation of targeted medication adherence interventions within a community chain pharmacy practice: The Pennsylvania Project.
OBJECTIVE
To identify facilitators and barriers to implementing targeted medication adherence interventions in community chain pharmacies, and describe adaptations of the targeted intervention and organizational structure within each individual pharmacy practice.


METHODS
Qualitative study.


METHODS
Central and western Pennsylvania from February to April 2012.


METHODS
Rite Aid pharmacists staffed at the 118 Pennsylvania Project intervention sites.


METHODS
Qualitative analysis of pharmacists' perceptions of facilitators and barriers experienced, targeted intervention and organizational structure adaptations implemented, and training and preparation prior to implementation.


RESULTS
A total of 15 key informant interviews were conducted from February to April 2012. Ten pharmacists from "early adopter" practices and five pharmacists from "traditionalist" practices were interviewed. Five themes emerged regarding the implementation of targeted interventions, including all pharmacists' need to understand the relationship of patient care programs to their corporation's vision; providing individualized, continual support and mentoring to pharmacists; anticipating barriers before implementation of patient care programs; encouraging active patient engagement; and establishing best practices regarding implementation of patient care services.


CONCLUSIONS
This qualitative analysis revealed that there are a series of key steps that can be taken before the execution of targeted interventions that may promote successful implementation of medication therapy management in community chain pharmacies.
Jennifer L
JL
Bacci
Stephanie Harriman
SH
McGrath
Janice L
JL
Pringle
Michelle A
MA
Maguire
Melissa Somma
MS
McGivney
D000328:Adult; D001291:Attitude of Health Personnel; D003142:Communication; D003157:Community Pharmacy Services / Q000458:organization & administration* / Q000592:standards; D004513:Education, Pharmacy, Continuing; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D055118:Medication Adherence; D054539:Medication Therapy Management / Q000458:organization & administration* / Q000592:standards; D008611:Mentors; D010414:Pennsylvania; D010465:Perception; D010595:Pharmacists / Q000458:organization & administration* / Q000523:psychology / Q000592:standards; D024382:Professional Role; D011369:Professional-Patient Relations; D015397:Program Evaluation; D036301:Qualitative Research