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Table 4 Specific activities conducted in health-promotion and preventive services in community pharmaciesa

From: Ideal and actual involvement of community pharmacists in health promotion and prevention: a cross-sectional study in Quebec, Canada

Services Distribution of written information
n (%)
Personalized counseling when
Dispensing medications
n (%)
Screeningb
n (%)
Referral to external resources
n (%)
Personalized follow-up or private consultation
n (%)
Other
n (%)
None
n (%)
Lifestyle        
   Smoking cessation 386 (68.2) 509 (89.9) 193 (34.1) 283 (50.0) 252 (44.5) 44 (7.8)c 0 (0)
   Physical-activity promotion 154 (27.8) 349 (63.0) 20 (3.6) 169 (30.5) 23 (4.2) 9 (1.6)d 51 (9.2)
   Healthy eating 304 (54.0) 355 (63.1) 43 (7.6) 297 (52.8) 30 (5.3) 29 (5.2)e 16 (2.8)
   Weight management 150 (27.3) 277 (50.4) 42 (7.6) 257 (46.7) 23 (4.2) 25 (4.5)f 72 (13.1)
   Alcohol consumption 75 (13.6) 309 (56.1) 32 (5.8) 155 (28.1) 16 (2.9) 3 (0.5)g 116 (21.1)
   Dental health 47 (8.7) 180 (33.1) 13 (2.4) 262 (48.3) 7 (1.3) 4 (0.7)h 159 (29.3)
Screening for:        
   Hypertension 344 (60.8) 480 (84.8) 417 (73.7) 186 (32.9) 304 (53.7) 35 (6.2)i 6 (1.1)
   Diabetes 364 (64.5) 489 (86.7) 351 (62.2) 246 (43.6) 254 (45.0) 33 (5.9)j 8 (1.4)
   Dyslipidemia 319 (57.1) 471 (84.3) 140 (25.0) 161 (28.8) 132 (23.6) 22 (3.9)k 21 (3.8)
   Risk of suicide 81 (15.1) 190 (35.4) 44 (8.2) 239 (44.6) 67 (12.5) 2 (0.4)l 148 (27.6)
Sexual health        
   Emergency oral contraception 227 (40.2) 497 (88.0) 122 (21.6) 137 (24.2) 230 (40.7) 26 (4.6)m 10 (1.8)
   Contraception 214 (38.1) 510 (90.7) 58 (10.3) 220 (39.1) 105 (18.7) 2 (0.4)n 11 (2.0)
   Counseling with partners when initiating treatment for sexually transmitted diseases 111 (19.8) 488 (87.0) 36 (6.4) 166 (29.6) 51 (9.1) 0 (0) 30 (5.3)
Infectious diseases and immunization        
   Travel health 241 (43.0) 412 (73.4) 78 (13.9) 319 (56.9) 58 (10.3) 40 (7.1)o 28 (5.0)
   Needle exchange programs 91 (16.9) 163 (30.4) 34 (6.3) 117 (21.8) 14 (2.6) 67 (12.5)p 189 (35.2)
   Immunization programs 207 (37.3) 267 (48.1) 50 (9.0) 274 (49.4) 45 (8.1) 45 (8.1)q 82 (14.8)
  1. aMore than one item could be checked.
  2. bScreening may be performed using a specific measure (e.g. blood-pressure measurement) and/or by documenting other risk factors (e.g. medication review, interview with the patient).
  3. cOther includes collective prescription (n = 39); health clinic at the pharmacy (n = 1); service offered by a nurse at the pharmacy (n = 1); oral presentations (n = 1); referral to the "iQuitnow" organization (n = 1); and answers to patients' questions (n = 1).
  4. dOther includes answers to patients' questions (n = 5); service offered by a nurse at the pharmacy (n = 2); oral presentations (n = 1); and referral to a website (n = 1).
  5. eOther includes service offered by a nutritionist at the pharmacy (n = 13); counseling by a nurse at the pharmacy (n = 7); answers to patients' questions (n = 4); health clinic at the pharmacy (n = 3); referral to a website (n = 1); and distribution of Canada's Food Guide (n = 1).
  6. fOther includes service by a nurse at the pharmacy (n = 10); service by a nutritionist at the pharmacy (n = 7); answers to patients' questions (n = 3); distribution of Canada's Food Guide (n = 1); referral to a website (n = 1); body-mass index measurement (n = 1); counseling on over-the-counter medications (n = 1); and health clinic at the pharmacy (n = 1).
  7. gOther includes answers to patients' questions (n = 2) and referral to a website (n = 1).
  8. hOther includes counseling on over-the-counter products (n = 2) and answers to patients' questions (n = 2).
  9. iOther includes service by a nurse at the pharmacy (n = 16); blood-pressure measurement at the pharmacy (n = 8); ambulatory blood pressure monitoring (n = 6); health clinic at the pharmacy (n = 3); "Tension Attention" program (n = 1); and follow-up with the physician (n = 1).
  10. jOther includes service by a nurse at the pharmacy (n = 19); health clinic at the pharmacy (n = 5); glycemia measurement at the pharmacy (n = 3); oral presentations (n = 2); service by a nutritionist at the pharmacy (n = 2); collective prescription for insulin monitoring (n = 1); and follow-up with the physician (n = 1).
  11. kOther includes service by a nurse at the pharmacy (n = 16); Cholestech device (n = 2); health clinic at the pharmacy (n = 1); oral presentations (n = 1); service by a nutritionist at the pharmacy (n = 1); and collective prescription (n = 1).
  12. lOther includes control of medication distribution and quantities (n = 1) and counseling by a nurse at the pharmacy (n = 1).
  13. mOther includes prescription of emergency oral contraception (n = 26).
  14. nOther includes counseling when prescription refills are late (n = 1) and suggestion of pregnancy test (n = 1).
  15. oOther includes service by a nurse at the pharmacy (n = 20); collective prescriptions (n = 8); travel clinic near the pharmacy (n = 4); counseling on over-the-counter medications (n = 3); vaccination/health clinic at the pharmacy (n = 2); referral to a website (n = 2); and oral presentation (n = 1).
  16. pOther includes needle-exchange program or distribution of clean needles (n = 27); distribution of toolkits (n = 17); needle recovery (n = 10); distribution of containers (n = 7); sale of needles (n = 3); poster in the pharmacy (n = 1); methadone program (n = 1); and collaborative service with the CLSC (n = 1).
  17. qOther includes vaccination by a nurse at the pharmacy (n = 31) and influenza vaccination at the pharmacy (n = 14).