Periconceptional folic acid supplementation: Knowledge, attitudes and counselling practice of Serbian pharmacists and pharmacy technicians

Background/Aim. The protective effect of periconceptional folic acid supplementation in reducing the risk of neural tube defects (NTDs) and other adverse pregnancy outcomes has been scientifically confirmed. The present study aimed to assess knowledge, attitudes, and practice (KAP) of community phar...

Full description

Saved in:
Bibliographic Details
Main Authors: Zeković Milica, Krajnović Dušanka, Nikolić Marina, Stojković Tatjana, Gurinović Mirjana, Glibetić Marija
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2019-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501800020Z.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850248369377640448
author Zeković Milica
Krajnović Dušanka
Nikolić Marina
Stojković Tatjana
Gurinović Mirjana
Glibetić Marija
author_facet Zeković Milica
Krajnović Dušanka
Nikolić Marina
Stojković Tatjana
Gurinović Mirjana
Glibetić Marija
author_sort Zeković Milica
collection DOAJ
description Background/Aim. The protective effect of periconceptional folic acid supplementation in reducing the risk of neural tube defects (NTDs) and other adverse pregnancy outcomes has been scientifically confirmed. The present study aimed to assess knowledge, attitudes, and practice (KAP) of community pharmacists and pharmacy technicians with regards to counselling women of reproductive age on adequate folate intake. Methods. The cross-sectional study was conducted among the nationwide stratified sample of pharmacists and pharmacy technicians, practicing in both private and state-owned community pharmacies in Serbia. The detailed literature review, expert consultation and pre-testing were employed in the questionnaire development. The descriptive and inferential statistical analyses were performed using the SPSS software ver. 22. Results. Among 730 survey participants, 96.6% correctly identified types of deformities that could be prevented by folic acid and 77.0% recognized recommended dosage for women capable of becoming pregnant. However, fewer were able to recognize the optimal timing for folic acid supplementation (61.1%) and the proper dose for the NTD recurrence prevention (42.9 %). While 43.2% of pharmacy technicians thought that it was not their responsibility to provide a counselling concerning the measures for the prevention of congenital anomalies, only 4.7% of licensed pharmacists and none of the interns were of that opinion (χ2 = 198.287; df = 4; p < 0.001). The majority of respondents (54.7%) reported provision of informative consultation concerning folic acid once a week, or few times a month, while only 10 stated to do so on a daily basis. In addition, based on self-report, only 36.7% of participants communicates information and advice regarding adequate folate status at their own initiative, while the rest addresses this topic only on the patients request, i.e., reactively. Conclusion. Although participants acknowledged the importance of their role in preconception health promotion, our findings revealed certain knowledge gaps as well as dominantly reactive counselling practice. Tailored educational interventions and professional support are needed to improve the engagement of community pharmacy personnel in this area of public health.
format Article
id doaj-art-1c3cc55d7efd491f8a1b5ffba30973b1
institution OA Journals
issn 0042-8450
2406-0720
language English
publishDate 2019-01-01
publisher Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
record_format Article
series Vojnosanitetski Pregled
spelling doaj-art-1c3cc55d7efd491f8a1b5ffba30973b12025-08-20T01:58:44ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202019-01-0176111127113810.2298/VSP171226020Z0042-84501800020ZPericonceptional folic acid supplementation: Knowledge, attitudes and counselling practice of Serbian pharmacists and pharmacy techniciansZeković Milica0Krajnović Dušanka1Nikolić Marina2Stojković Tatjana3Gurinović Mirjana4Glibetić Marija5University of Belgrade, Institute for Medical Research, Centre of Research Excellence in Nutrition and Metabolism, Belgrade, SerbiaUniversity of Belgrade, Faculty of Pharmacy, Department of Social Pharmacy and Pharmaceutical Legislation, Belgrade, SerbiaUniversity of Belgrade, Institute for Medical Research, Centre of Research Excellence in Nutrition and Metabolism, Belgrade, SerbiaUniversity of Belgrade, Faculty of Pharmacy, Department of Social Pharmacy and Pharmaceutical Legislation, Belgrade, SerbiaUniversity of Belgrade, Institute for Medical Research, Centre of Research Excellence in Nutrition and Metabolism, Belgrade, SerbiaUniversity of Belgrade, Institute for Medical Research, Centre of Research Excellence in Nutrition and Metabolism, Belgrade, SerbiaBackground/Aim. The protective effect of periconceptional folic acid supplementation in reducing the risk of neural tube defects (NTDs) and other adverse pregnancy outcomes has been scientifically confirmed. The present study aimed to assess knowledge, attitudes, and practice (KAP) of community pharmacists and pharmacy technicians with regards to counselling women of reproductive age on adequate folate intake. Methods. The cross-sectional study was conducted among the nationwide stratified sample of pharmacists and pharmacy technicians, practicing in both private and state-owned community pharmacies in Serbia. The detailed literature review, expert consultation and pre-testing were employed in the questionnaire development. The descriptive and inferential statistical analyses were performed using the SPSS software ver. 22. Results. Among 730 survey participants, 96.6% correctly identified types of deformities that could be prevented by folic acid and 77.0% recognized recommended dosage for women capable of becoming pregnant. However, fewer were able to recognize the optimal timing for folic acid supplementation (61.1%) and the proper dose for the NTD recurrence prevention (42.9 %). While 43.2% of pharmacy technicians thought that it was not their responsibility to provide a counselling concerning the measures for the prevention of congenital anomalies, only 4.7% of licensed pharmacists and none of the interns were of that opinion (χ2 = 198.287; df = 4; p < 0.001). The majority of respondents (54.7%) reported provision of informative consultation concerning folic acid once a week, or few times a month, while only 10 stated to do so on a daily basis. In addition, based on self-report, only 36.7% of participants communicates information and advice regarding adequate folate status at their own initiative, while the rest addresses this topic only on the patients request, i.e., reactively. Conclusion. Although participants acknowledged the importance of their role in preconception health promotion, our findings revealed certain knowledge gaps as well as dominantly reactive counselling practice. Tailored educational interventions and professional support are needed to improve the engagement of community pharmacy personnel in this area of public health.http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501800020Z.pdfcommunity pharmacy servicespharmacistspharmacy technicianshealth knowledge, attitudes, practicefolic acidpregnancyserbia
spellingShingle Zeković Milica
Krajnović Dušanka
Nikolić Marina
Stojković Tatjana
Gurinović Mirjana
Glibetić Marija
Periconceptional folic acid supplementation: Knowledge, attitudes and counselling practice of Serbian pharmacists and pharmacy technicians
Vojnosanitetski Pregled
community pharmacy services
pharmacists
pharmacy technicians
health knowledge, attitudes, practice
folic acid
pregnancy
serbia
title Periconceptional folic acid supplementation: Knowledge, attitudes and counselling practice of Serbian pharmacists and pharmacy technicians
title_full Periconceptional folic acid supplementation: Knowledge, attitudes and counselling practice of Serbian pharmacists and pharmacy technicians
title_fullStr Periconceptional folic acid supplementation: Knowledge, attitudes and counselling practice of Serbian pharmacists and pharmacy technicians
title_full_unstemmed Periconceptional folic acid supplementation: Knowledge, attitudes and counselling practice of Serbian pharmacists and pharmacy technicians
title_short Periconceptional folic acid supplementation: Knowledge, attitudes and counselling practice of Serbian pharmacists and pharmacy technicians
title_sort periconceptional folic acid supplementation knowledge attitudes and counselling practice of serbian pharmacists and pharmacy technicians
topic community pharmacy services
pharmacists
pharmacy technicians
health knowledge, attitudes, practice
folic acid
pregnancy
serbia
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501800020Z.pdf
work_keys_str_mv AT zekovicmilica periconceptionalfolicacidsupplementationknowledgeattitudesandcounsellingpracticeofserbianpharmacistsandpharmacytechnicians
AT krajnovicdusanka periconceptionalfolicacidsupplementationknowledgeattitudesandcounsellingpracticeofserbianpharmacistsandpharmacytechnicians
AT nikolicmarina periconceptionalfolicacidsupplementationknowledgeattitudesandcounsellingpracticeofserbianpharmacistsandpharmacytechnicians
AT stojkovictatjana periconceptionalfolicacidsupplementationknowledgeattitudesandcounsellingpracticeofserbianpharmacistsandpharmacytechnicians
AT gurinovicmirjana periconceptionalfolicacidsupplementationknowledgeattitudesandcounsellingpracticeofserbianpharmacistsandpharmacytechnicians
AT glibeticmarija periconceptionalfolicacidsupplementationknowledgeattitudesandcounsellingpracticeofserbianpharmacistsandpharmacytechnicians