Evaluation of Pharmacists’ Confidence, Engagement, and Knowledge about Dietary Supplements in the United Arab Emirates

Main Article Content

Sawsan Shanableh
Sara Sabrina
Sanah Hasan
Muaed Alomar

Keywords

Pharmacists, Dietary supplements, United Arab Emirates, Knowledge, Confidence

Abstract

Background: Dietary supplements (DS) are widely used, often without prescriptions, making community pharmacists key sources of guidance. In the UAE, DS use is growing due to cultural and health trends, but pharmacists’ knowledge, confidence, and involvement with DS vary, which may impact patient safety and counselling quality. Despite their important role, there’s limited research on how well UAE pharmacists are prepared to address DS-related questions, including effects, side effects, and interactions. Objectives: The aim of this study was to evaluate the confidence, involvement, and knowledge of community pharmacists in the UAE regarding dietary supplements. Methods: This cross-sectional study utilized a self-administered questionnaire designed to fulfil the study’s objectives. The questionnaire was divided into four sections: the first collected demographic information; the second assessed pharmacists’ confidence using a confidence scale; the third examined their engagement with dietary supplements (DS’s); and the fourth evaluated their knowledge of DS’s. A total of 333 practicing community pharmacists from across the UAE participated, with the sample size calculated using Raosoft software. A simple random sampling method was employed to ensure equal representation from all emirates. Results: A total of 333 responses were obtained. The average confidence of the respondents is found to be 9.961±3.53, indicating a significantly high confidence as the total confidence ranges from 0-15, with Cronbach’s alpha reaching 0.81. The total engagement score was found to be 3.96 ±1.2, overall reliability of questions according to Cronbach’s alpha is 0.48. The average knowledge of the respondents is 12.58 (0 to 21), indicating moderate knowledge of effects and interactions. the average of confidence and knowledge of pharmacists had no significant difference in terms of demographical variables such as age, academic degree, nationality, year of graduation, however, there was a statistically significant difference in terms of emirates’ knowledge (p<0.001). Conclusion: In conclusion, community pharmacists in the UAE demonstrate high confidence, positive engagement, and moderate overall knowledge regarding dietary supplements, but show limited understanding of their side effects and interactions. To address this gap, integrating reliable information sources into pharmacy computer systems is essential. Providing pharmacists with accurate and accessible information on dietary supplements is crucial for enhancing their ability to offer safe and informed guidance to patients.

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References

1. Naqvi AA, Ahmad R, Zehra F, Yousuf R, Kachela B, Nehal Nadir M. Dietary supplement use among students of pharmacy colleges in Karachi, Pakistan: prevalence, opinions, and attitudes. J Diet Suppl. 2019;16(2):166-178.
2. Qawasmeh AA, Yaghi BE, Khraiwesh AL. Pharmacists’ knowledge and perception regarding dietary supplements in Palestine: descriptive study. Int J Pharm Pharm Sci. 2020;12:59-62.
3. Kaddoura NH, AlAhmad M, Hassan N, Alomar MJ. Dietary supplements’ knowledge, attitude and consumption pattern among United Arab Emirates population. Br Food J. 2023;125(6):2139-2156.
4. Bukic J, Kuzmanic B, Rusic D, Portolan M, Mihanovic A, Seselja Perisin A, Leskur D, Petric A, Bozic J, Tomic S, Modun D. Community pharmacists’ use, perception and knowledge on dietary supplements: a cross sectional study. Pharm Pract (Granada). 2021;19(1).
5. Jairoun AA, Al-Hemyari SS, El-Dahiyat F, Hassali MA, Shahwan M, Al Ani MR, Jabbar HA. Suboptimal health, dietary supplementation, and public health approaches to regulatory challenges in Dubai. J Prim Care Community Health. 2020;11:2150132720911303.
6. Abdulla NM, Aziz F, Blair I, Grivna M, Adam B, Loney T. Prevalence of, and factors associated with health supplement use in Dubai, UAE: a population-based cross-sectional study. BMC Complement Altern Med. 2019;19(1):172.
7. Radwan H, Hasan HA, Ghanem L, Alnajjar G, Shabir A, Alshamsi A, Alketbi F. Prevalence of dietary supplement use and associated factors among college students in the UAE. J Community Health. 2019;44(6):1135-1140.
8. Clauson KA, McQueen CE, Shields KM, Bryant PJ. Knowledge and attitudes of pharmacists in Missouri regarding natural products. Am J Pharm Educ. 2003;67(4):301.
9. Kwan D, Hirschkorn K, Boon H. US and Canadian pharmacists’ attitudes, knowledge, and professional practice behaviors toward dietary supplements: a systematic review. BMC Complement Altern Med. 2006;6:31.
10. Naidu S, Wilkinson JM, Simpson MD. Attitudes of Australian pharmacists toward complementary and alternative medicines. Ann Pharmacother. 2005;39(9):1456-1461.
11. Abahussain NA, Abahussain EA, Al-Oumi FM. Pharmacists’ attitudes and awareness towards the use and safety of herbs in Kuwait. Pharm Pract (Internet). 2007;5(3):125-129.
12. Alkharfy KM. Community pharmacists’ knowledge, attitudes and practices towards herbal remedies in Riyadh, Saudi Arabia. East Mediterr Health J. 2010;16(9):988-993.
13. Aiesh BM, Sorady M, Hanieh WA, Alashqar GS, Jitan RE, Hotari YB. Community pharmacists’ patterns of use, knowledge, and attitudes toward complementary and alternative medicine in Palestine: a cross-sectional study.
14. Shanableh S, Zainal H, Alomar M, Palaian S. Pharmacovigilance and adverse drug reaction reporting activities in the UAE: a scoping review. Malays J Med Health Sci. 2024;20.
15. Mehralian G, Yousefi N, Hashemian F, Maleksabet H. Knowledge, attitude and practice of pharmacists regarding dietary supplements: a community pharmacy-based survey in Tehran. Iran J Pharm Res. 2014;13(4):1457.
16. Kemper KJ, Gardiner P, Gobble J, Woods C. Expertise about herbs and dietary supplements among diverse health professionals. BMC Complement Altern Med. 2006;6:15.
17. Semple SJ, Hotham E, Rao D, Martin K, Smith CA, Bloustien GF. Community pharmacists in Australia: barriers to information provision on complementary and alternative medicines. Pharm World Sci. 2006;28(6):366-373.
18. Shilbayeh SA. Exploring knowledge and attitudes towards counselling about vitamin supplements in Jordanian community pharmacies. Pharm Pract. 2011;9(4):242.
19. Asmelashe Gelayee D, Binega Mekonnen G, Asrade Atnafe S. Practice and barriers towards provision of health promotion services among community pharmacists in Gondar, Northwest Ethiopia. Biomed Res Int. 2017;2017:7873951.
20. Offu O, Anetoh M, Okonta M, Ekwunife O. Engaging Nigerian community pharmacists in public health programs: assessment of their knowledge, attitude and practice in Enugu metropolis. J Pharm Policy Pract. 2015;8(1):27.
21. Tan SY, Hatah E. Knowledge, attitudes, practices, and barriers related to research utilization among pharmacists in Malaysia. Int J Clin Pharm. 2017;39(2):450-458.
22. Al-Jamei S, Abu Farha R, Zawiah M, Kadi T, Al-Sonidar A. Perceptions, knowledge, and perceived barriers of Yemeni pharmacists and pharmacy technicians towards evidence-based practice. J Eval Clin Pract. 2019;25(4):585-590.
23. Ung CO, Harnett JE, Hu H, Desselle SP. Barriers to pharmacists adopting professional responsibilities supporting safe use of dietary supplements in the US. Am J Health Syst Pharm. 2019;76(13):980-990.
24. Clayton K, Luxford Y, Colaci J, Hasan M, Miltiadou R, Novikova D, Vlahopoulos D, Stupans I. Community pharmacists’ recommendations for natural products for stress in Melbourne, Australia: a simulated patient study. Pharm Pract (Granada). 2020;18(1).
25. Boon H, Hirschkorn K, Griener G, Cali M. Ethics of dietary supplements and natural health products in pharmacy practice. Int J Pharm Pract. 2009;17(1):31-38.
26. Waddington F, Naunton M, Kyle G, Thomas J, Cooper G, Waddington A. Community pharmacist therapeutic knowledge of dietary supplements: a systematic review. Int J Clin Pharm. 2015;37(3):439-446.
27. Alshahrani A. Knowledge, attitudes, and practice of community pharmacists toward counseling on vitamins and nutritional supplements in Saudi Arabia. AIMS Public Health. 2020;7(3):697.

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