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Pharmacist-based health coaching, Healthcare services Health coaching, Women health
Background: Although pharmacists are trusted and easily accessible by the public, their role in changing health behaviours related to breast cancer has been rarely investigated. Objective: To investigate the effectiveness of pharmacist-based coaching in improving BC-related health behaviors and knowledge in females, and to measure the comfort level toward this program. Methods: This was a randomized controlled study carried out in community pharmacies in Egypt. Pharmacies included were asked to enroll 240 females into a trial, then equally allocate them into either active or control arms, and provide 12 weekly face-to-face coaching sessions to those assigned to the active arm. Pharmacists were also asked to survey females and fill a standardized data collection form at baseline, in the middle of coaching, at the end of coaching, and three months after coaching. Results: The proportions of doing high physical activity, practicing healthy diet, and practicing breast self-exam three months after the end of coaching programme across the active and control arms were 52.17% versus 17.09% (p=0.002), 62.60% versus 28.20% (p=0.003), and 81.73% versus 23.07% (p=0.005), respectively. The mean scores of knowledge on BC symptoms, risk factors, and detection methods three months after coaching across the active and control arms were 4.10±2.47 versus 2.72±1.19 (p=0.038), 4.25±2.20 versus 3.28±1.48 (p=0.020), and .34±1.80 versus 1.72±0.68 (p=0.001) respectively. While most of the females participated in the active arm were comfortable toward the financial 94.78% and social 88.69% sides of the program, more than one-third (34.78%) of the participants were uncomfortable toward the competency of coaches. Conclusion: Despite the need for some modifications, BC-related health behaviors and knowledge can be improved through pharmacist-based health coaching.
2. Omar S, Khaled H, Gaafar R, et al. Breast cancer in Egypt: A review of disease presentation and detection strategies. East Mediterr Health J. 2000;9(3):448-63.
3. Rosenberg R, Levy-Schwartz R. p/Breast cancer in women younger than 40 years. Int J Fertil Womens Med. 2003;48(5):200-5.
4. O’Neill SC, DeFrank JT, Vegella P, et al. Engaging in health behaviors to lower risk for breast cancer recurrence. PLoS One. 2013;8(1):e53607-e53607. https://doi.org/10.1371/journal.pone.0053607
5. Fentiman IS, Allen DS, Hamed H. Smoking and prognosis in women with breast cancer. Int J Clin Pract. 2005;59(9):1051-4. https://doi.org/10.1111/j.1742-1241.2005.00581.x
6. Irwin ML, Aiello EJ, McTiernan A, et al. Physical activity, body mass index, and mammographic density in postmenopausal breast cancer survivors. J Clin Oncol Off J Am Soc Clin Oncol. 2007;25(9):1061-6. https://doi.org/10.1200/jco.2006.07.3965
7. El Hajj MS, Hamid Y. Breast cancer health promotion in Qatar: a survey of community pharmacists’ interests and needs. Int J Clin Pharm. 2013;35(3):376-85. https://doi.org/10.1007/s11096-010-9449-y
8. Thackeray R, Burton SH, Giraud-Carrier C, et al. Using Twitter for breast cancer prevention: an analysis of breast cancer awareness month. BMC Cancer. 2013;13(1):508. https://doi.org/10.1186/1471-2407-13-508
9. Lonie JM, Austin Z, Nguyen R, et al. Pharmacist-based health coaching: A new model of pharmacist-patient care. Res Social Adm Pharm. 2017;13(3):644-52. https://doi.org/10.1016/j.sapharm.2016.06.015
10. Ahluwalia S, de Silva D, Kumar S, et al. Teaching GP trainees to use health coaching in consultations with patients: evaluation of a pilot study. Educ Prim care an Off Publ Assoc Course Organisers, Natl Assoc GP Tutors, World Organ Fam Dr. 2013;24(6):418-26. https://doi.org/10.1080/14739879.2013.11494212
11. DiDonato KL, May JR, Lindsey CC. Impact of wellness coaching and monitoring services provided in a community pharmacy. J Am Pharm Assoc (2003). 2013;53(1):14-21. https://doi.org/10.1331/japha.2013.11227
12. Raoul Bell, Nils Brandenburg, Axel Buchner JH, et al. G*Power: Statistical Power Analyses for Windows and Mac. 2007 [cited 2020 Jun 30].
13. Michie S, van Stralen MM, West R. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6(1):42. https://doi.org/10.1186/1748-5908-6-42
14. ACS. American Cancer Society Recommendations for the Early Detection of Breast Cancer. 2021 [cited 2021 Jul 8].
15. Department of Health and Human Services. Physical Activity Guidelines for Americans 2nd edition. 2018.
16. Gidman W, Ward P, McGregor L. Understanding public trust in services provided by community pharmacists relative to those provided by general practitioners: a qualitative study. BMJ Open. 2012;2(3):e000939. https://doi.org/10.1136/bmjopen-2012-000939
17. Stan DL, Cutshall SM, Adams TF, et al. Wellness Coaching Intervention for Increasing Healthy Behaviors in Breast Cancer Survivors. Clin J Oncol Nurs. 2020;24(3):305-15. https://doi.org/10.1188/20.cjon.305-315
18. Ogden J, Hills L. Understanding sustained behavior change: the role of life crises and the process of reinvention. Health (London). 2008;12(4):419-37. https://doi.org/10.1177/1363459308094417
19. Abdel Fattah M. Breast self-examination practice and its impact on breast cancer diagnosis in Alexandria, Egypt. EMHJ - Eastern Mediterranean Health Journal. 2000;6(1):34-40. https://doi.org/10.26719/2000.6.1.34
20. Boulos DNK, Ghali RR. Awareness of breast cancer among female students at Ain Shams University, Egypt. Glob J Health Sci. 2013;6(1):154-61. https://doi.org/10.5539/gjhs.v6n1p154
21. Samarel N, Fawcett J, Tulman L. Effect of support groups with coaching on adaptation to early stage breast cancer. Res Nurs Health. 1997;20(1):15-26. https://doi.org/10.1002/(sici)1098-240x(199702)20:1%3C15::aid-nur3%3E3.0.co;2-x
22. Zeinomar N, Moslehi R. The Effectiveness of a Community-Based Breast Cancer Education Intervention in the New York State Capital Region. J Cancer Educ. 2013;28(3):466-73. https://doi.org/10.1007/s13187-013-0488-7
23. Rezaeian M, Sharifirad G, Mostafavi F, et al. The effects of breast cancer educational intervention on knowledge and health beliefs of women 40 years and older, Isfahan, Iran. J Educ Health Promot. 2014;3:43.
24. Conner M, Norman PBT-RM in N and BP. Health Behavior. In Elsevier; 2021.
25. Hattingh HL, Emmerton L, Ng Cheong Tin P, et al. Utilization of community pharmacy space to enhance privacy: a qualitative study. Health Expect. 2015/08/31. 2016;19(5):1098-110. https://doi.org/10.1111/hex.12401
26. Kristen Crossley. Public Perceives Pharmacists as Some of the Most Trusted Professionals. 2019 [cited 2021 Jul 13].