|
Determining the feasibility of pharmacy based research using over-the-counter (OTC) sleep aids as a model.
Akram G, Mason R, Millson D, Blenkinsopp A. Department of Medicines Management. Primary Care Sciences Research Centre, Keele University. Staffordshire. ST5 5BG On behalf of the North Staffordshire Research Consortium
Introduction
To establish the feasibility of conducting pharmacy based
research in our locality, North Staffordshire Consortium Pharmacists
decided to investigate the 'sleep aids'. Sleep aids (sedative
antihistamines) are available 'over the counter' from pharmacies for
the treatment of temporary sleeplessness. Although safe in the short
term, unregulated long term use can result in dependence or tolerance.
Larger quantities can induce hallucinations, drowsiness and other
psychoactive effects. The relative cheapness, wide availability and
media advertising increase the vulnerability of sleep aids to misuse.
Some pharmacists perceive sleep aids to be the most misused OTC
product available. However, little is known about who actually uses
these products and how they are used. A study was designed to
establish feasibility of conducting pharmacy based research and to
investigate the profile of OTC sleep medication users.
Method
Customers sold a sleep aid during the six week recruitment
period from any of the consortium pharmacies were invited to
participate. Demographic data and patterns of use were collected using
a self administered questionnaire. A log was also kept by pharmacy
staff which recorded details of all requests and their outcome.
Results
One hundred and forty requests were made in total during the
study period. The majority of sales were made to females (n=86, 64%).
Forty two percent of sales were made to persons thought to be older
than 50yrs. The majority of sales were made from the supermarket
pharmacies. One hundred and eleven questionnaires were given out.
Thirty eight questionnaires were returned (response rate, 34%). The
majority of respondents were female but the age profiles were well
distributed. Sixty percent (n=23) of respondents were not in
employment. Adverts and family or friends were strongest influences on
the choice to use sleep aids. Ten respondents were first time users.
Most respondents only used a sleep aid about once a week. Although 62%
of respondents had spoken to their GP abut their sleep problem, 59%
had not told him or her that they were now using an OTC sleep aid. The
majority of respondents were classed on the basis of self-report as
suffering from disordered sleep.
Discussion
We found that sleep aid use is not problematic but our
findings are limited with regards to generalisability. The response
rate although low is comparable to other pharmacy based research. The
Aberdeen group, who have pioneered this approach, reported rather
higher responses with a less sensitive topic. Nevertheless, we have
established the feasibility of conducting research using our local
pharmacy network and the study has provided an initial picture of
sleep-aid use. To increase recruitment for subsequent studies it is
suggested that; the study run for a longer period of time; the network
of pharmacies is expanded; customers are encouraged to fill out the
questionnaire on the premises; pharmacy (counter) staff are more
involved to give them greater ownership of the study and training be
provided for staff to make them more confident to carry out the study.
Presented at the HSRPP Conference 2000, Aberdeen
|