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Behavioural insights about barriers and facilitators to returning inhalers to the community pharmacy in Wales for safe disposal: patient and community pharmacy perspectives

Catherine Heidi Seage Orcid Logo, Aleysha Caffoor, Alys Harrop, Angharad Wooldridge, Hannah Thomas, Sian Evans, Sarah Brown Orcid Logo, Delyth James Orcid Logo

International Journal of Pharmacy Practice, Volume: 33, Issue: 4, Pages: 393 - 400

Swansea University Author: Delyth James Orcid Logo

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DOI (Published version): 10.1093/ijpp/riaf037

Abstract

Objectives: Inhalers containing hydrofluorocarbons have significant global warming potential. This project aimed to understand patient and community pharmacy (CP) staff perspectives on engaging in a CP-based inhaler recycling scheme. Methods: The COM-B Model of Behaviour and the Theoretical Domains...

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Published in: International Journal of Pharmacy Practice
ISSN: 0961-7671 2042-7174
Published: Oxford University Press (OUP) 2025
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa69734
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last_indexed 2025-11-08T06:13:47Z
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Methods: The COM-B Model of Behaviour and the Theoretical Domains Framework (TDF) underpinned the qualitative data collection methodology. Data from eleven patients and five CP staff were mapped to the COM-B, TDF, and Behaviour Change Wheel. Results: Patients and CP staff believed widespread knowledge of the need for, and existence of inhaler recycling schemes would encourage participation, building on existing recycling behaviours and aligning with moral obligations. Patients viewed CPs as trusted information sources, well-placed to raise recycling awareness. No patient participants recycled their inhalers and they felt that CPs were not adequately promoting recycling. Despite being involved in a pilot scheme, CP staff described having insufficient time with patients to encourage recycling. Patients saw inhaler recycling as integral to the CP&#x2019;s professional role whereas CP staff felt this responsibility was for the wider healthcare team. Both groups agreed inhaler recycling awareness should be raised, highlighted the busyness of CPs as a barrier to conversations, and considered feedback on the inhaler recycling pilots success an important motivator. Conclusions: This study provides new insights into patient&#x2019; and CP staff views on inhaler disposal. Whilst some barriers and facilitators were the same for both, identified areas of divergence surrounded the TDF Domain Professional Role and Identity. 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spelling 2025-11-07T13:54:15.4917239 v2 69734 2025-06-13 Behavioural insights about barriers and facilitators to returning inhalers to the community pharmacy in Wales for safe disposal: patient and community pharmacy perspectives dc24cdd4d09d96fa49a0f213d1060cf9 0000-0001-7434-7064 Delyth James Delyth James true false 2025-06-13 MEDS Objectives: Inhalers containing hydrofluorocarbons have significant global warming potential. This project aimed to understand patient and community pharmacy (CP) staff perspectives on engaging in a CP-based inhaler recycling scheme. Methods: The COM-B Model of Behaviour and the Theoretical Domains Framework (TDF) underpinned the qualitative data collection methodology. Data from eleven patients and five CP staff were mapped to the COM-B, TDF, and Behaviour Change Wheel. Results: Patients and CP staff believed widespread knowledge of the need for, and existence of inhaler recycling schemes would encourage participation, building on existing recycling behaviours and aligning with moral obligations. Patients viewed CPs as trusted information sources, well-placed to raise recycling awareness. No patient participants recycled their inhalers and they felt that CPs were not adequately promoting recycling. Despite being involved in a pilot scheme, CP staff described having insufficient time with patients to encourage recycling. Patients saw inhaler recycling as integral to the CP’s professional role whereas CP staff felt this responsibility was for the wider healthcare team. Both groups agreed inhaler recycling awareness should be raised, highlighted the busyness of CPs as a barrier to conversations, and considered feedback on the inhaler recycling pilots success an important motivator. Conclusions: This study provides new insights into patient’ and CP staff views on inhaler disposal. Whilst some barriers and facilitators were the same for both, identified areas of divergence surrounded the TDF Domain Professional Role and Identity. Further research should quantify the extent to which the wider population and CPs in Wales hold these views. Journal Article International Journal of Pharmacy Practice 33 4 393 400 Oxford University Press (OUP) 0961-7671 2042-7174 behavioural, insights, community pharmacy, theoretical domains framework, COM-B, inhaler disposal, recycling behaviour 1 8 2025 2025-08-01 10.1093/ijpp/riaf037 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee This work was commissioned and funded by the Primary and Community Care Development and Innovation Hub within Public Health Wales. 2025-11-07T13:54:15.4917239 2025-06-13T11:20:37.5209659 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Pharmacy Catherine Heidi Seage 0000-0002-8590-867X 1 Aleysha Caffoor 2 Alys Harrop 3 Angharad Wooldridge 4 Hannah Thomas 5 Sian Evans 6 Sarah Brown 0000-0002-9741-1935 7 Delyth James 0000-0001-7434-7064 8 69734__34475__a69f892da96240fa81d85a3573330e7c.pdf riaf037.pdf 2025-06-13T11:20:37.5204317 Output 667374 application/pdf Version of Record true © The Author(s) 2025. Published by Oxford University Press on behalf of the Royal Pharmaceutical Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (CC BY-NC-ND). true eng https://creativecommons.org/licenses/by-nc-nd/4.0/
title Behavioural insights about barriers and facilitators to returning inhalers to the community pharmacy in Wales for safe disposal: patient and community pharmacy perspectives
spellingShingle Behavioural insights about barriers and facilitators to returning inhalers to the community pharmacy in Wales for safe disposal: patient and community pharmacy perspectives
Delyth James
title_short Behavioural insights about barriers and facilitators to returning inhalers to the community pharmacy in Wales for safe disposal: patient and community pharmacy perspectives
title_full Behavioural insights about barriers and facilitators to returning inhalers to the community pharmacy in Wales for safe disposal: patient and community pharmacy perspectives
title_fullStr Behavioural insights about barriers and facilitators to returning inhalers to the community pharmacy in Wales for safe disposal: patient and community pharmacy perspectives
title_full_unstemmed Behavioural insights about barriers and facilitators to returning inhalers to the community pharmacy in Wales for safe disposal: patient and community pharmacy perspectives
title_sort Behavioural insights about barriers and facilitators to returning inhalers to the community pharmacy in Wales for safe disposal: patient and community pharmacy perspectives
author_id_str_mv dc24cdd4d09d96fa49a0f213d1060cf9
author_id_fullname_str_mv dc24cdd4d09d96fa49a0f213d1060cf9_***_Delyth James
author Delyth James
author2 Catherine Heidi Seage
Aleysha Caffoor
Alys Harrop
Angharad Wooldridge
Hannah Thomas
Sian Evans
Sarah Brown
Delyth James
format Journal article
container_title International Journal of Pharmacy Practice
container_volume 33
container_issue 4
container_start_page 393
publishDate 2025
institution Swansea University
issn 0961-7671
2042-7174
doi_str_mv 10.1093/ijpp/riaf037
publisher Oxford University Press (OUP)
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Pharmacy{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Pharmacy
document_store_str 1
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description Objectives: Inhalers containing hydrofluorocarbons have significant global warming potential. This project aimed to understand patient and community pharmacy (CP) staff perspectives on engaging in a CP-based inhaler recycling scheme. Methods: The COM-B Model of Behaviour and the Theoretical Domains Framework (TDF) underpinned the qualitative data collection methodology. Data from eleven patients and five CP staff were mapped to the COM-B, TDF, and Behaviour Change Wheel. Results: Patients and CP staff believed widespread knowledge of the need for, and existence of inhaler recycling schemes would encourage participation, building on existing recycling behaviours and aligning with moral obligations. Patients viewed CPs as trusted information sources, well-placed to raise recycling awareness. No patient participants recycled their inhalers and they felt that CPs were not adequately promoting recycling. Despite being involved in a pilot scheme, CP staff described having insufficient time with patients to encourage recycling. Patients saw inhaler recycling as integral to the CP’s professional role whereas CP staff felt this responsibility was for the wider healthcare team. Both groups agreed inhaler recycling awareness should be raised, highlighted the busyness of CPs as a barrier to conversations, and considered feedback on the inhaler recycling pilots success an important motivator. Conclusions: This study provides new insights into patient’ and CP staff views on inhaler disposal. Whilst some barriers and facilitators were the same for both, identified areas of divergence surrounded the TDF Domain Professional Role and Identity. Further research should quantify the extent to which the wider population and CPs in Wales hold these views.
published_date 2025-08-01T05:24:14Z
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