NG102 Community pharmacy: Promoting health and wellbeing Evidence reviews for offering advice or education to promote health and wellbeing

NICE (2018)

NICE - ISBN: 978-1-4731-3048-7

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Evidence Categories

• Care setting: Community setting
• Population group: Adults living with overweight and obesity
• Intervention: Intra-/Inter-personal: Multicomponent programme in-person
• Outcome: Healthy eating: Sugar-added food intake
• Outcome: Healthy Eating: Fruit and veg intake

Type of Evidence

Guidance

Overview

Evidence Review 3, which underpins NICE guideline NG102 aims to provide evidence to answer the following questions:

• "Review question 3a: What types of behavioural support for self-care to promote health behaviour change are effective in community pharmacies?"
• "Review question 3b: Is offering behaviour support acceptable to users of community pharmacy services?"
• "Review question 3c: What types of behavioural support for self-care to promote health behaviour change are cost effective in community pharmacies?"

The authors state:

• "In total 20 primary studies of effectiveness were included in review 3"
• "Outcome: Healthy eating; Quality of evidence: Very low"
• "Evidence statement 3.11 – Behavioural support has a positive effect on action related to healthy eating [GRADE profile 3]
   Very low quality evidence from 1 before and after study with 22 participants suggests that people eat a greater median number of vegetable (1.0 to 3.0, p<0.05) and fruit servings per day (1.0 to 2.0, p<0.05) and lower number of sweet snack servings per day (1.0 to 0, p<0.05) at 3 months after behavioural support."

Only one of the 20 studies was eligible for inclusion in our map and is described by the authors below:

• "Um et al. 2015 Community pharmacies Sydney, Australia"
• "Targets diet and physical activity in overweight and obese subjects."
• "Counselling tailored to stages of change. Used motivational interviewing strategies to support goal setting and action planning. Encouraged to keep food and physical activity diary."
• "6 sessions over 3 months. Initial session of 30 to 40 minutes, 15 to 20 minutes in weeks 2 to 8, 20 to 30 minutes in week 12."
• "Pharmacist delivered the intervention. Training with 3 day course, reading, observation of 3 month program. Face to face and 1 to 1 sessions. Not reported whether written materials were provided."

Recommendations

Taking into consideration evidence and stakeholder input, the subsequent guidance (NG102) recommends:

"1.5 Behavioural support

1.5.1 Offer behavioural support in line with NICE's guidelines on:

• behaviour change: individual approaches (see the recommendations on using proven behaviour change techniques when designing interventions; and high intensity behaviour change interventions and programmes)

• behaviour change: general approaches (see principles 4 and 5).

1.5.3 Help people to manage their weight by offering behavioural support programmes in line with NICE's guideline on overweight and obesity management."