Implementation of patient education at first and second dispensing of statins in Dutch community pharmacies: the sequel of a cluster randomized trial

Table 4 Barriers and facilitators for the implementation of EAFD and EASD reported by project assistants of experimental pharmacies

Barriers related to the:	Influenced which step of implementation process	Frequency of reporting (number of pharmacies)
Individual professionals
Lack of pharmacist's initiative to start with EAFD and EASD	Getting started	8
Pharmacist wanted to wait for list returned from GPs	Getting started	5
Forgetting to fill in the checklist sometimes	Registration	2
Difficulties with opening a conversation at the moment of second dispensing	Getting started and continuation	1
Organizational context
Insufficient staff	Getting started	5
Lack of routine because of limited number of new statin users	Continuation	2
Lack of experience with EASD	Getting started	2
Other priorities in pharmacy	Getting started	1
Patients
Negative reactions of patients	Continuation	4
Facilitators related to the:
Individual professionals
Enthusiastic pharmacy technicians	Getting started	8
Organizational context
Pharmacy technicians used to providing EAFD and/or EASD	Getting started	7
Availability of project materials	Getting started	2
Computer reminder at the moment of first or second dispensing	Continuation	2
Patients were informed already by GP	Continuation	2
Feedback to pharmacy technicians by pharmacist	Continuation	1
Materials on a visible place	Continuation	1
EAFD and EASD fits well into regular work system	Continuation	1
Patients
Positive reactions of patients	Continuation	5

ISSN: 1472-6963