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Abstract

Background: In response to rising harms with prescription opioids, recent attention has focused on how to betterutilise community pharmacists to monitor outcomes with opioid medicines.Objective: This pilot aimed to test the implementation of software-facilitated Routine Opioid OutcomeMonitoring (ROOM).Methods: Community pharmacies in Victoria and New South Wales, Australia, were recruited to an open-labelsingle-arm observational implementation-effectiveness pilot study. Pharmacists completed baseline and followup interviews to measure change in knowledge and confidence following training on, and implementation ofROOM. Paired t-tests compared pre-post scores. Patients that participated were invited to complete a briefevaluation survey. Measures of feasibility and acceptability were collected.Results: Sixty-four pharmacists from 23 pharmacies were recruited and trained to conduct ROOM. Twentypharmacies (87%) were able to implement ROOM, with four pharmacies completing the target of 20 screens.Pharmacists completed ROOM with 152 patients in total. Forty-four pharmacists provided baseline and followup data which demonstrated significant improvements in confidence identifying and responding to unmanagedpain, depression and opioid dependence. Despite increases, low to moderate confidence for these domains wasreported at follow-up. Responses from pharmacists and patients indicated that implementation of ROOM wasfeasible and acceptable.Conclusions: Pharmacists’ confidence in identifying and responding to opioid-related problems significantlyincreased from baseline to follow up across several domains, however scores indicated that there is still significant scope to further increase confidence in responding to opioid-related problems. ROOM is feasible andacceptable, though more extensive pharmacist training with opportunity to practice skills may assist in developing confidence and skills in this challenging clinical area.

Item Type:	Article
Authors/Creators:	Nielsen, S and Picco, L and Kowalski, M and Sanfilippo, P and Wood, P and Larney, S and Bruno, R and Ritter, A
Keywords:	implementation study, Opioids, pharmacy practice, community pharmacy, overdose, Naloxone
Journal or Publication Title:	Research in Social and Administrative Pharmacy
Publisher:	Elsevier Inc.
ISSN:	1551-7411
DOI / ID Number:	https://doi.org/10.1016/j.sapharm.2020.02.009
Copyright Information:	Copyright 2020 Elsevier Inc
Related URLs:	Google Scholar: Bruno, R UTAS Profile: Bruno, R
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