Abstract
The objective of this study was to assess men’s acceptability of a men’s mental health promotion program in community pharmacies through pilot testing the theoretical framework of acceptability (TFA) as part of the process evaluation. Five men were interviewed about their experiences with the Headstrong program to learn about the acceptability of the program. The TFA was used as the deductive coding scheme and consists of seven constructs including affective attitude, burden, intervention coherence, ethicality, opportunity costs, perceived effectiveness, and self-efficacy. Three constructs, affective attitude, perceived effectiveness, and intervention coherence, from the TFA were coded in all five transcripts. The most frequently coded constructs were affective attitude and perceived effectiveness, coded 19 and 17 times, respectively. Interviewees all reported good relationships with their pharmacists, which influenced their willingness, attitude, and low burden for participation in Headstrong. Each of the men expressed comments reflecting anticipated effectiveness of the program outside of their own experience and how it could impact other men. Use of the TFA as part of a process evaluation of men’s experiences in a men’s mental health program was useful in identifying men’s perceptions of the program’s acceptability. Further research regarding how the quality of existing relationships with clinicians and patients impacts the TFA constructs of affective attitudes, perceived effectiveness, and burden would be useful.
Highlights
Community pharmacies are typically retail spaces in North America with high accessibility by the public (Law et al, 2013)
Affective attitude, perceived effectiveness, and intervention coherence, from the theoretical framework of acceptability (TFA) were coded in all five transcripts (Table 1)
Anticipated affective attitude: how an individual feels about the intervention, prior to taking part
Summary
Community pharmacies are typically retail spaces in North America with high accessibility by the public (Law et al, 2013). Trust, and convenience factors (e.g., no appointments needed) of community pharmacy practice, a pharmacy-based intervention for men’s mental health was developed. A study by DeBate, Gatto, and Rafal (2018) revealed that college-aged males have low intentions to seek care for mental health concerns. They have low mental health literacy, unfavorable attitudes about help seeking, and experience self-stigma (DeBate et al, 2018). These factors have been associated with avoidance of help seeking from physicians (Tedstone Doherty & Kartalova-O’Doherty, 2010)
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